Why Health Insurance Is So Expensive

If you’ve ever wondered why health insurance premiums seem so high, you’re not alone. Rising costs in healthcare, regulatory changes, and the structure of insurance plans all contribute to why health insurance can feel out of reach for many individuals and families. Let’s break it down and explore a more affordable option for healthy individuals: medically underwritten PPO plans.

The Rising Costs of Health Insurance

1. Guaranteed Coverage Under the Affordable Care Act (ACA):

   • One of the primary reasons for higher premiums is the ACA’s guaranteed issue requirement, which ensures that no one can be denied coverage based on pre-existing conditions. While this provides vital access to many, it also raises costs for everyone.

2. Comprehensive Coverage Requirements:

   • ACA plans must include a wide range of essential health benefits, from preventive care to mental health services. These broad mandates often make the plans more expensive, even for individuals who may not need all these services.

3. Rising Healthcare Costs:

   • From hospital visits to prescription drugs, the overall cost of healthcare services continues to increase, and these expenses are reflected in insurance premiums.

A Cost-Saving Alternative: Medically Underwritten PPO Plans

For healthy individuals, there’s an alternative that offers excellent coverage at a lower cost: medically underwritten PPO plans. These plans determine eligibility based on your health status, which allows insurers to offer lower premiums to those who qualify.

What Are Medically Underwritten PPO Plans?

• These plans assess your health history to determine your premium and coverage options.

• They’re ideal for young and healthy individuals who don’t require extensive medical care.

• Unlike ACA plans, they’re not required to include every essential health benefit, which can result in significant cost savings.

• Exclusions for Cost Reduction: Medically underwritten plans may exclude some of the ACA’s minimum essential coverages that not everyone needs, such as maternity care or mental health services, helping to further reduce costs.

  
  

Why Choose a Medically Underwritten PPO Plan?

• Lower Premiums: If you’re in good health, you’ll likely pay much less compared to an ACA-compliant plan.

• Flexibility: PPO plans typically offer a broad network of providers and do not require referrals to see specialists.

How We Can Help

At Family Care of America, we specialize in helping healthy individuals find affordable coverage through medically underwritten PPO plans. Our team of licensed professionals will:

• Evaluate your health needs and eligibility.

• Compare options to find a plan that fits your budget and lifestyle.

• Provide personalized guidance to ensure you understand your coverage.

Don’t Overpay for Health Insurance

Health insurance doesn’t have to break the bank. If you’re healthy and looking for a more affordable option, a medically underwritten PPO plan could be the perfect solution. Contact Family Care of America today to explore your options and start saving on health insurance.