What is the difference between a premium, a co-pay and and out-of-pocket expense?

Health Insurance Plan costs can be broken into two categories: cost of having the plan and costs of using the plan. In order to purchase and continue to have health insurance coverage, you have to pay a premium. The premium is paid on a regular basis such as a certain amount monthly, quarterly or yearly. It is typical that when purchased through your employer, the plan premium is deducted from each paycheck. Basically, the premium buys you the health …

What do EPO, PPO and POS mean?

In the world of health insurance, there are separate and distinct types of insurance plans. In general, the three types of plans are Exclusive Provider (EPO) network, Preferred Provider (PPO) network, and Point of Service (POS) network. These plans differ by cost and types of coverage provided.

The Exclusive Provider network or EPO is a managed care plan where services are covered only if you go to doctors, specialists, or hospitals in the plan’s network (except in an emergency). This …

Are all hospitals supposed to accept any or all insurance?

In the past, each hospital has been able to select which insurance plans it will accept. This could mean that if you got sick or injured while traveling, for example, and you had to visit an emergency room that you may have had to pay entirely out of pocket for care provided at that distant hospital if they “didn’t take your insurance.”

This will no longer happen to a large degree. All Marketplace plans will offer the same set of …

How do I take on a new cost for health insurance when I can barely pay my bills now?

A spending plan is just exactly that, a plan for how you will spend all the dollars your earn and those given to you (including, hopefully, directing some to savings). To make a change in your spending plan such as adding in health insurance costs or taking on a new car payment, it helps to be as inclusive as possible when calculating all of your monthly expenses. In other words, don’t write in only the premium cost, but include some …

What is the difference between a financial institution and an insurance company?

A financial institution is an organization that provides services that people need to manage their money. Financial institutions include different types of banks and credit unions.

Insurance companies are a type of “non-bank” financial institution that sell policies that provide protection from various kinds of risks. Risks that insurance policies cover include the loss of life, income, or possessions and the high cost of medical bills.

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What is the difference between a peril and a hazard?

A peril is any event that can cause a financial loss. Examples include a car crash, death, disability, fires, floods, illness, theft, and tornadoes (wind). An insurance agent can help you calculate the potential loss that you might experience from various types of perils as part of the process of determining how much coverage you need.

For example, insurance agents routinely use worksheets to determine a family’s life insurance needs. You might also be able to estimate the cost of …

Does your health insurance premium go toward your deductible?

In most instances, the answer is no. Premiums and deductibles are two separate payments related to an insurance policy. A premium is paid to simply have insurance coverage in place regardless of whether or not a claim is ever made. A deductible is paid if there is a claim and is the amount paid out of pocket by the insured before insurance benefits are received.

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What do the acronyms SUI and SDI on my paycheck stub stand for?

SUI is an acronym for “state unemployment tax.” This deduction from your paycheck is used to provide funds to your state for temporary support of workers who have lost their jobs. State unemployment benefits are generally limited to a specific time period, and those who receive them must be actively searching for a job.

SDI is an acronym for “state disability insurance.” Some states call it TDI for “temporary disability insurance.” Not every state has this tax, but those that …