Loading..
Michigan Health Insurance
Health Insurance Quotes MI

Exclusively Serving Michigan Since 1969!

Get a Quote
NOW
Get a Quote NOW

Our Insurance Partners

And More »

Michigan Health Insurance

« BACK

Save on Average $1,172 Per Year!

Individual and Family Health Insurance Plans

When purchasing a medical plan for your family it is highly recommended to obtain quotes together, even if you are looking for individual plans, this allows for each of you to obtain the most affordable plan for you and your family by opening up further options.

Couples rates are typically based on the age of the youngest person on the policy. With couples that have a large variance in age difference could find that applying for similar plans be more affordable than individual; whereas couples with a closer age difference might find more affordable plans through separate plans.

Five Common Individual & Family Benefit Plans:

  • Health Maintenance Organization (HMO)
    • These are the most restrictive in what doctors are available and the type of health care that is offered, only can use HMO employed doctors and hospitals (unless an out-of-state emergency occurs). HMOs typically cover expenses related to an illness or preventative care services (check-ups, well-baby care, and well-women care). These usually have the provider make co-payments of $10-$30 for each doctor’s visit.
  • Preferred Provider Organization (PPO)
    • These provide a wider range of doctors and health care coverages (some can include things like acupuncture and the like). PPOs cover expenses related to an illness and do offer some preventive care services. These have a co-payment of $25-$45 for each doctor’s visit, will most likely require permission from a primary care provider (PCP) for any specialty care, and have the option to see out-of-network providers (permission is not needed, but some additional fees may occur).
  • Point-of-Service Plan (POS)
    • The most flexible of all plans and features coverage expenses for illness and some preventative care services. Unlike HMO and PPO, the place in which you receive the service does affect the out-of-pocket costs. POS plans allow you to use specific doctors who are members of the network and pay the low co-pay, select form a list of doctors outside of the network but affiliated to the network (this will result in a higher co-pay), and may select a doctor not affiliated with the plan at all and pay the highest co-pay and a deductible.
  • Preferred Provider Arrangement (PPA)
    • These are more of an option feature of a health benefit plan. PPAs makes an identified network of participating providers or selected providers available to the insured in order to obtain cost-effective medical services.
  • Indemnity Plan (IP)
    • These are fee-for-service plans that allows the providers the freedom to choose any doctor and specialist without PCP permission. These are the most expensive plans and typically only cover medical expenses relation to illness and accident. Indemnity plans a provider has to pay an annual deductible, pay a co-pay for doctor’s visits, pay a portion of each medical expense (typically and 80/20 split with the provider paying 20% of the costs of services), and may require the provider to pay for services up front and then submit the bill to their health care plan administrator for reimbursement.

Additional Individual & Family Coverage Options:

  • Major Medical Coverage: pays the cost of inpatient hospital care and outpatient medical bills.
  • Basic Hospital-Surgical Expense Coverage: pays only expenses directly related to inpatient hospital care.
  • Short Term Coverage: limited to a specific period of time (no more than 180 days) and do not cover pre-existing conditions.
  • Catastrophic Health Coverage: provides benefits after an amount of medical expenses have been insured.
  • High Deductible Plans: are major medical expense plans; however they are sold in conjunction with Health Saving Accounts. They pay the cost of inpatient hospital care and outpatient medical bills but have high deductibles that is paid from the providers federally tax exempt Health Savings Account.

Business and Group Health Insurance Plans

Group Health Plans encompass a variety of employer-provided benefit plans. These are defined as an employee welfare benefit plan that is maintained by an employer or through an employee organization that provides medical care for participants or their dependents.

Group Health Insurance plans are a type of group health plans that provide actual health insurance coverage; this is purchased by an employer or employee organization and is offered to eligible participants and their dependents. These include plans such as HMO, PPO, and others.

Group Coverage (if offered by the employer) must be made available to all eligible employees. In this situation the employer is the master policyholder and the employees are certificate holders. The master policyholder is the one who negotiates the terms of the group policy with the health carrier. They can reduce or change the benefits and coverage, increase the employees share of the premium cost, switch health carriers or stop providing coverage altogether. If an employee loses group coverage through their employer they have continuation rights, federal COBRA rights or has eligibility through the Health Insurance Marketplace.

Health carriers can offer wellness coverage which may offer a reduction in premium, co-payments, co-insurance, deductibles, or a combination. In exchange for these the employees’ must participate in any health behaviors wellness, maintenance or improvement programs offered by the employer. The employer needs to provide the health carrier with evidential proof of improvement or maintenance of the employees’ health statue and health behaviors under the specific program(s).

Self-Employed Health Insurance - 4 Step Coverage Process

  • Assess Needs
    • Who will be covered (yourself and/or any dependents)?
      • These can help save you money by covering different members of your family under two or more plans.
    • Is a saving maintained or living paycheck to paycheck?
      • No saved funds will need a low or no deductible; as well as a plan with lower monthly premiums.
    • How often do I go to the doctor?
      • Visit often would need to have a higher monthly premium to keep co-payments and deductibles low.
    • How much did I spend on health care coverage last year?
      • Helps you understand if you have recurring costs and that they are covered.
    • Any pre-existing medical conditions?
      • These can help save you money by covering different members of your family under two or more plans.
    • Any specific benefits necessary or irrelevant?
      • These can help you save money either up front or in the long run.
  • Compare Options
    • Five key criteria to consider:
      • Health benefits
      • Costs
      • Physician network
      • Brand
      • Consumer and industry reviews
  • Apply for Coverage
  • After Purchasing Coverage
    • Adding or removing dependents can be done through contacting the insurance company for instructions on to how to do this.
    • Also be aware of any changes to monthly premiums and benefits through reading the updates that your insurance company has provided. For any questions you can contact their customer service department or agent.

Small & Mid-Size Business Health Insurance - 4 Step Coverage Process

  • Assess Needs
    • Who will be covered (yourself and family also the employees and their dependents)?
      • This will help you determine the type of plan that you will want to provide and if it is affordable for everyone involved and to suit the diverse medical and financial needs of those who are being covered.
    • How much cost-sharing can you afford?
      • This decided the monthly premiums that are paid for both the employer and the employees.
    • Would employees rather pay more up front and less when sick or vice versa?
      • This can be discussed for how often you and your employees visit the doctors to decide on the expense of premiums and deductibles.
    • What kinds of benefits are most important to you and your employees?
      • This helps tailor a plan that covers the diverse needs of your employees and you.
  • Compare Options
    • Five important criteria to compare:
      • Health benefits
      • Costs
      • Industry ratings
      • Brand
      • Coverage add-ons
  • Apply for Coverage
  • After Purchasing Coverage
    • Adding or removing covered persons can be done through contacting the insurance company for instructions on to how to do this.
    • Also be aware of any changes to monthly premiums and benefits through reading the updates that your insurance company has provided. For any questions you can contact their customer service department or agent.

Why Choose Us For Your Health Insurance

Compass health insurance specialists are here to help you find the best health plan for you, your family, Or Your Business

With all the recent changes to the health insurance industry, you may be holding on to a plan that is inferior to what is now available… and at more affordable rates! While many employers offer health plan options, they typically only offer a select few choices which may not meet the health and budget limits for every employee. Our live health plan specialists are here to help you determine which health coverage, among a sea, is most beneficial and cost effective for individuals, businesses or large families. Call Compass today and meet your new Health Plan agent.

COMPASS ROCKS!

“I was on my way to the Emergency Room to meet my daughter (sever broken ankle...3 breaks, reconstruction surgery, etc)and my first thought was to call Compass! Sarah is a top-notch, 5 star, insurance agent who is hands-on, high-service, high-energy... and she delivers! I'm very impressed by her integrity and relationship-building skills. When I call her, I know she knows who I am!! On my way to the hospital,I was incredibly reassured to know I had Compass in my corner as a go-to resource. Thank-you everyone for the peace-of-mind.”

- Heidi Frye, July 13th -
Health Insured with Compass Insurance Agency Grand Rapids, MI

Read More Customer Reviews »

Get A Quote NOW!