Health coverage

Health Insurance

Understand plan types, networks, deductibles, and benefits so you can choose coverage that fits your care needs and your budget.

What health insurance does

Health insurance helps pay for medical care such as doctor visits, prescriptions, urgent care, hospital stays, and preventive services.

The best plan is not always the lowest monthly premium. We help you balance monthly cost with what you pay when you actually use care, including copays, coinsurance, and out-of-pocket maximums.

Fast plan check
We review
  • Network fit for your doctors and hospitals
  • Deductible and out-of-pocket maximum
  • Prescription coverage and tiers
  • Preventive care and referrals
Who it’s for

Coverage for individuals, families, and employees

We help match plan designs to your real-world healthcare use.

Individuals

Plans built around routine care, prescriptions, and flexibility for changing needs.

Families

Options that help manage pediatric care, specialist visits, and predictable costs.

Employers

Benefit strategies that support retention while keeping plan design sustainable.

What’s covered

Common benefits to understand

Coverage varies by plan and carrier, but these areas are worth reviewing closely.

Preventive care

Annual exams, screenings, and immunizations that help catch issues early.

Primary and specialty visits

Copays, referrals, and network access for doctors you actually want to use.

Urgent care and ER

Know when costs differ and what counts toward your deductible.

Hospital services

Inpatient/outpatient benefits, prior authorizations, and coinsurance details.

Prescription drugs

Formularies, tiers, and how generics, brands, and specialty meds are priced.

Mental health

Therapy and behavioral health benefits, including telehealth availability.

Pricing factors

What impacts your cost

We help you understand the levers that affect monthly premium and out-of-pocket expenses.

Plan type

HMO, PPO, EPO, and HDHP designs trade flexibility for premium differences.

Network

A broader network can raise premium, but can improve doctor availability.

Deductible

Higher deductibles usually lower premium, but increase early-year costs.

Out-of-pocket max

Your annual cap matters most if you anticipate higher care needs.

Add-ons

Benefits that can strengthen your plan

Depending on availability, you may want to pair core coverage with additional protection.

  • Dental and vision benefits
  • Health Savings Account compatibility (HDHP plans)
  • Accident and hospital indemnity coverage
  • Telehealth and virtual primary care options
Choosing a plan: quick checklist
Confirm your doctors and preferred facilities are in-network.
Estimate total yearly cost, not only the monthly premium.
Review prescription tiers and prior authorization rules.
Check urgent care, ER, and specialist copays in writing.
Avoid mistakes

Common pitfalls we help you avoid

Small details can create big surprises. We review these areas before you decide.

Choosing a plan without checking the network

A plan can look affordable until you discover your preferred doctors are out of network and costs increase.

Ignoring the out-of-pocket maximum

This annual cap can matter more than the deductible when you have unexpected medical needs.

Not reviewing prescriptions

Tiering and formulary changes can affect cost; we help you check what you take today and plan for future needs.

Missing enrollment windows

Deadlines can limit options. We help you track timing for open enrollment and qualifying life events.

FAQ

Health insurance questions

Answers to the most common plan and enrollment questions.

The deductible is what you pay before certain benefits start. The out-of-pocket maximum is the annual cap on what you pay for covered services in-network.

Many plans cover preventive services at no additional cost when you use in-network providers, but it’s important to confirm plan details.

We can help you verify whether your doctors, specialists, and hospitals participate in the plan network before you enroll.

A few basics help: household details, current plan info (if applicable), prescriptions you take, and preferences for premium vs. out-of-pocket cost.

Want help comparing health plans?

Share your priorities and we’ll help you narrow options, compare details, and select coverage you can count on.