Health Insurance Frequently Asked Questions

» What is health insurance?
Health insurance is insurance that pays for medical expenses when you visit a doctor.

» Why do I need health insurance?
Health care costs are high and increasing. Health insurance provides a way for you to pay for medical services at a fraction of the price that it would cost for treatment without insurance.

» What is group health insurance?
Group health insurance is usually offered to employees through their employer and the cost is spread among the employees.

» What is individual health insurance?
Individual health insurance is health insurance for families and an individual.

» Is my business required to pay for employee benefits?
With most group insurance the employer contributes to the cost of their employees’ insurance premiums.

» Can my business afford to not offer my employees insurance?
Studies show that group insurance benefits are valued more by employees than retirement plans and $5,000 pay increases. If you own a business, it would be a good idea to offer an insurance plan to your employees.

» Why types of health insurance do you provide?
Our St. Pete, FL, health insurance agency provides major medical PPO, family health and individual, group, and HSAs.

» What services and items might be paid for under my health insurance?
Medical expenses due to an accident, illness, injury, and/or disease are covered by medical insurance. How much will be covered by your health care provider depends on your plan.

» What is coinsurance?
Coinsurance is the rate you must pay that is split between you and your insurance agency.

» What is a copayment?
The copayment is the amount of money required to be paid by you in accordance with your health insurance plan for treatment or visitation to a health treatment facility.

» What health insurance providers do you offer?
Our St. Petersburg, FL, health insurance agency carries Blue Cross/Blue Shield, Humana, Aetna, United Healthcare, Cigna, Assurant, World, and Avalon health insurance providers.

» What is a health savings account (HSA)?
Health savings accounts is an account that you can put money into to save for future medical expenses. There are certain advantages to putting money into these accounts, including favorable tax treatment. Read more about HSAs.

» What is a health insurance deductible?
A deductible is the portion of medical expenses that the insurance plan member is responsible for on an annual basis.

» What health insurance plan should I choose?
When choosing a health insurance plan there are many considerations. Your primary focus should be what health care services are provided, which provider you want, and how much the plan will cost. Our agents in St. Pete can help you choose the right policy coverage for you and your budget.

» How often will I have to pay for my health insurance policy?
Insurance companies generally require you to pay every month. This payment is known as a premium.

» What is a claim?
Claims are submitted to the managed care plan and include an itemized statement of each healthcare service costs provided by a hospital, physician, or other provider. The agents at our St. Petersburg, FL, insurance office will guide you whenever possible.

» What should I do if where I’m being treated doesn’t accept my health insurance provider?
This is usually considered out of network and your benefits will be greatly reduced and possibly not covered at all. Please contact your agent for details.

» How can I learn more?
Contact our Saint Petersburg, Florida, health insurance agency to get the plan that best fits you.