| Copyright 2005 Bisarek Insurance Agency, All rights reserved |
| Bisarek Insurance Agency |
| Omaha 402-505-3414 Lincoln 402-730-8243 |
Health Insurance
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Individual & Family Plans
Short Term
| Student |
Health Savings Accounts-HSA
Health Savings Account (HSA) - A tax-favored savings account which allows
funds to be accumulated tax-free to pay for current and future qualified
healthcare expenses.
funds to be accumulated tax-free to pay for current and future qualified
healthcare expenses.
Calendar Year - The period beginning January 1 of any year through December
31 of the same year.
Case Management - A process whereby a covered person with specific health
care needs is identified and a plan which efficiently utilizes health care
resources is designed and implemented to achieve the optimum patient outcome
in the most cost-effective manner.
Certificate of Coverage - A document given to an insured that describes the
benefits, limitations and exclusions of coverage provided by an insurance
company.
Claim - Information a medical provider or insured submits to an insurance
company to request payment for medical services provided to the insured.
Consolidated Omnibus Budget Reconciliation Act (COBRA) - A federal law that,
among other things, requires employers to offer continued health insurance
coverage to certain employees and their beneficiaries whose group health
insurance has been terminated if they undergo a triggering event.
Coinsurance - The portion of covered health care costs for which the covered
person has a financial responsibility, usually a fixed percentage. Coinsurance
usually applies after the insured meets his/her deductible.
Consumer Choice plan - A health plan that features payments made by
employees into a fund that is then used to pay for health expenses.
Contract Year - The period of time from the effective date of the contract to the
expiration date of the contract.
Coordination of Benefits (COB) - A provision in the contract that applies when a
person is covered under more than one medical plan. It requires that payment of
benefits be coordinated by all plans to eliminate overinsurance or duplication of
benefits.
Copayment or copay - A cost-sharing arrangement in which an insured pays a
specified charge for a specified service, such as $10 for an office visit. The
insured is usually responsible for payment at the time the service is rendered.
This charge may be in addition to certain coinsurance and deductible payments.
Covered Person - An individual who meets eligibility requirements and for whom
premium payments are paid for specified benefits of the contractual agreement.
31 of the same year.
Case Management - A process whereby a covered person with specific health
care needs is identified and a plan which efficiently utilizes health care
resources is designed and implemented to achieve the optimum patient outcome
in the most cost-effective manner.
Certificate of Coverage - A document given to an insured that describes the
benefits, limitations and exclusions of coverage provided by an insurance
company.
Claim - Information a medical provider or insured submits to an insurance
company to request payment for medical services provided to the insured.
Consolidated Omnibus Budget Reconciliation Act (COBRA) - A federal law that,
among other things, requires employers to offer continued health insurance
coverage to certain employees and their beneficiaries whose group health
insurance has been terminated if they undergo a triggering event.
Coinsurance - The portion of covered health care costs for which the covered
person has a financial responsibility, usually a fixed percentage. Coinsurance
usually applies after the insured meets his/her deductible.
Consumer Choice plan - A health plan that features payments made by
employees into a fund that is then used to pay for health expenses.
Contract Year - The period of time from the effective date of the contract to the
expiration date of the contract.
Coordination of Benefits (COB) - A provision in the contract that applies when a
person is covered under more than one medical plan. It requires that payment of
benefits be coordinated by all plans to eliminate overinsurance or duplication of
benefits.
Copayment or copay - A cost-sharing arrangement in which an insured pays a
specified charge for a specified service, such as $10 for an office visit. The
insured is usually responsible for payment at the time the service is rendered.
This charge may be in addition to certain coinsurance and deductible payments.
Covered Person - An individual who meets eligibility requirements and for whom
premium payments are paid for specified benefits of the contractual agreement.
With Assurant Health & Bisarek Insurance Agency, you'll get health insurance the
way you want it with:
Plan Types
To choose the best health insurance plan, you need to understand what different
plans offer and what their benefit and cost trade-offs are. No matter what your
individual needs, Assurant Health has the right plan:
Network Plans
With a network plan, you take your pick of providers within a large network of
physicians and hospitals offering negotiated rates. The providers' reduced fees lead
to lower premiums, deductibles and copayments for you.
Traditional Plans
A traditional plan offers you complete freedom to choose the doctor or hospital you
wish, without penalty. The flexibility of a traditional plan makes the most sense if you
live outside a network area
way you want it with:
- Up to an $8 million lifetime benefit maximum
- Worldwide coverage, 24 hours-a-day
- Your choice of doctors and hospitals from extensive networks
- No referrals necessary to see a specialist
- First-year rate guarantee
Plan Types
To choose the best health insurance plan, you need to understand what different
plans offer and what their benefit and cost trade-offs are. No matter what your
individual needs, Assurant Health has the right plan:
Network Plans
With a network plan, you take your pick of providers within a large network of
physicians and hospitals offering negotiated rates. The providers' reduced fees lead
to lower premiums, deductibles and copayments for you.
Traditional Plans
A traditional plan offers you complete freedom to choose the doctor or hospital you
wish, without penalty. The flexibility of a traditional plan makes the most sense if you
live outside a network area
A Health Savings Account (HSA) plan consists of a federally-qualified high
deductible health insurance plan and a tax-sheltered HSA. The high deductible plan,
which costs less in premium compared to a conventional plan, covers bills that
exceed the deductible. You may pay smaller bills and some other expenses not
typically covered by health insurance with pre-tax dollars if you set up an HSA. HSAs
also help you save for your future needs since the funds roll over from year to year
tax-free.
deductible health insurance plan and a tax-sheltered HSA. The high deductible plan,
which costs less in premium compared to a conventional plan, covers bills that
exceed the deductible. You may pay smaller bills and some other expenses not
typically covered by health insurance with pre-tax dollars if you set up an HSA. HSAs
also help you save for your future needs since the funds roll over from year to year
tax-free.
Short Term Medical Plans
If you are between jobs, waiting for employer group coverage, laid off, on strike, a
recent college graduate, seasonal employee, early retiree or are waiting for Medicare
to start, you may be interested in Assurant Health's Short Term Medical insurance.
Short Term Medical is a temporary health insurance plan that offers coverage for
30-365 days.** Assurant Health is the nation's leading provider of Short Term
Medical (STM) insurance. In fact, Assurant Health introduced the industry's first Short
Term Medical plan in 1973.
If you are between jobs, waiting for employer group coverage, laid off, on strike, a
recent college graduate, seasonal employee, early retiree or are waiting for Medicare
to start, you may be interested in Assurant Health's Short Term Medical insurance.
Short Term Medical is a temporary health insurance plan that offers coverage for
30-365 days.** Assurant Health is the nation's leading provider of Short Term
Medical (STM) insurance. In fact, Assurant Health introduced the industry's first Short
Term Medical plan in 1973.
Student Medical Plans
Student Select is health insurance designed for today's undergraduate and graduate
college students. This plan is ideal for single students no longer covered under their
parents' health plan, if they live outside their parents' HMO or PPO area, or are
considering a college-sponsored plan
Student Select is health insurance designed for today's undergraduate and graduate
college students. This plan is ideal for single students no longer covered under their
parents' health plan, if they live outside their parents' HMO or PPO area, or are
considering a college-sponsored plan
| Frequently used terms |
