Given the complexity of some of today’s health insurance plans with their limited coverages, deductibles, and exclusions, how can you know you’re getting the best value? How do you know that coverage is enough for your employees? Answering both questions is never easy. As a company, you want what’s best for your employees and want to ensure they feel confident and assured. Unfortunately, you lack the internal resources and time needed to go through the numerous options on the Health Insurance Marketplace. That’s why companies wanting affordable health insurance plans in NYC turn to Margolis & Associates – the best and most experienced health insurance broker in Chester County.
For over 50 years, Margolis & Associates has become the most reliable health insurance broker in West Chester County and the Tri-State area. We’re the first choice for companies wanting affordable health insurance coverage. However, it’s not just about ensuring our customers have affordable plans but ultimately ensuring those plans provide the kind of protection and coverage their employees need.
Our team leverages our over 50 years in the health insurance industry alongside invaluable insight from over 1500 customers in numerous industries. We know the insurance industry. We know what different companies need in different markets. We then leverage our extensive network, deep understanding of how health insurance companies operate, and our knowledge of different markets to ensure we’re negotiating the most affordable and comprehensive coverage for your company.
So, what is the most common coverage under today’s health insurance plans?
Choosing Health Insurance Plans
Choosing among health insurance plans can often be a source of frustration. While it might be easier to make those decisions for yourself, it’s a much more complicated process when thinking about your family or employees. Trying to balance all your employees’ needs with affordability is by no means easy. However, there are some common essentials that all health insurance plans must cover.
The following list should give you some idea of what to expect.
Critical Health Insurance Plan Benefits
Most of today’s health insurance plans provide preventative care coverage for in-patient doctor visits and screenings. Hospitalization and emergency services are also covered. Should one of your employees become sick, need to see a doctor, or experience an at-work or other type of accident and require hospitalization or an ambulance, then the health insurance plan will cover a portion of those costs.
Another basic coverage for your employees and their families includes prescription drugs. While the coverage and deductible requirements may vary, for the most part, today’s health insurance plan covers the most common prescription drugs. This is essential coverage for employees with families, and any exceptions or exclusions regarding deductibles are always indicated within the plan.
Today’s health insurance plans also assist your employees and their families when they need therapy or help with substance abuse. These coverages address an employee’s overall well-being and mental health. Several provisions within today’s health insurance plans outline the coverage for therapists, psychiatrists, and other mental health professionals.
Pediatric services for children and newborns, such as doctor visits and prescriptions, as well as dentist and ophthalmologist visits, are also commonly covered. Expectant mothers receive coverage throughout their pregnancy.
- Preventative care (doctor visits, screenings, laboratory tests)
- Hospitalization and emergency medical services
- Prescription drugs
- Mental health and well-being
- Substance abuse
- Pediatric services
- Oral and vision coverage
Areas Not Typically Covered by Health Insurance
The vast majority of health insurance plans do not offer coverage for cosmetic or elective surgery. In addition, unproven medical treatments or non-FDA-approved holistic medicines and drugs are also not covered.
Margolis & Associates: Your Company’s Health Insurance Partner
Very few companies have the time or resources needed to properly choose and manage their health insurance plans. It’s not just about selecting an affordable plan but ultimately about monitoring the changes to that plan and its impact on your employees.
If you are a company thinking of changing your health insurance plan and need the expert advice and guidance that only comes from working with an experienced health insurance broker, contact us now.