Individual Health Insurance Plans

xrac

Guru
5000 Post Club
11,528
Usa
"Individual health insurance is very different from group health insurance in some respects. Many people have had group health insurance from a large corporate group plan and that is all that they have ever known. Many have never had to actually pick and choose between different insurance companies and different health plans as all of the decision making was done on their behalf by their employer. Here are a few quick things to keep in minding when searching for individual health insurance.
The underwriting for individual health insurance is different than the underwriting for group health insurance.
This is great news if you, your spouse and kids are healthy as individual health insurance rates are much cheaper than a comparable group health insurance plan. It could be a cause for concern if you have some health issues in your past as there is the possibility that the application will be declined due to what is called “pre-existing conditions” in your medical history. Most individual health insurance companies will look back into your health history going back about 10 years. If the application is on a fully underwritten basis and there are major health issues such as cancer, diabetes, heart disease, etc. then the application will be declined. (What do you do at this point? Make sure that you keep your current coverage and elect COBRA benefits or any other form of continuation coverage and when that coverage expires you will want to look for a HIPAA eligible health insurance plan).
Individual health insurance is much cheaper than group health insurance.
Think of it kind of like; in individual health insurance the insurance company gets to pick and choose who they will extend coverage too. They choose those who are healthy and have the lowest risk to the company. Therefore, the rates are much lower than in a group health insurance plan where no matter who applies for coverage, whether healthy or unhealthy, they are offered coverage (and of course everyone that is unhealthy wants health insurance – this principle is called the law of adverse selection if any super technical people just love knowing the actual name of insurance principles). A good way to think about it is if you are healthy and on a group health insurance plan then you are in a sense subsidizing the cost of all of the unhealthy people on the group health insurance plan.
Getting quotes for individual health insurance is very easy.
Obtaining group health insurance quotes is sometimes a long drawn out process of filling out a census form with all of the employee information and other administrative time consuming tasks. With the ease of the Internet and the simplicity of individual health insurance rates all it takes is a few moments to enter in basic health insurance information and you can view individual health insurance rate quotes online."

Individual Health Insurance vs. Group Health Insurance
 
Pros:
Individual health insurance is portable and can never be cancelled as long as you pay your premiums on time.
Cons:
Certain conditions may not be insurable

Group plans:
Come one, come all. No waiting periods for maternity, etc. Cost is a factor and losing group coverage under the current system can be problematic for the unhealthy.
 
What is the major difference between group and individual insurance?

Assuming the person is healthy and qualifies for individual it all comes down to with group the employer is paying some or all of the premium. With individual the insured is paying his premium.

With group, if you get a health condition that requires you to become disabled, you are screwed. Once you exhaust Cobra you are VERY limited with what you can purchase. This is a big problem if you have money but are disabled (as in people who have a good disability income policy.)

With individual, it's non cancelable. So you are still insured as long as you have the money to continue premiums.

If I ever work for anyone again (doubtful) I would NEVER in a million years accept group health insurance. Pay me the money. I'll buy my own insurance.

People get trapped into jobs and have to pass on better opportunities because they are stuck in a group health plan.

If Obama really want to help people with health insurance he needs to completely take it away from employers. The entire country should be one large group that EVERYONE can buy into regardless of where they work.

DON'T get me started on this!!! I tend to ramble on.
 
Assuming the person is healthy and qualifies for individual it all comes down to with group the employer is paying some or all of the premium. With individual the insured is paying his premium.

With group, if you get a health condition that requires you to become disabled, you are screwed. Once you exhaust Cobra you are VERY limited with what you can purchase. This is a big problem if you have money but are disabled (as in people who have a good disability income policy.)

With individual, it's non cancelable. So you are still insured as long as you have the money to continue premiums.

If I ever work for anyone again (doubtful) I would NEVER in a million years accept group health insurance. Pay me the money. I'll buy my own insurance.

People get trapped into jobs and have to pass on better opportunities because they are stuck in a group health plan.

If Obama really want to help people with health insurance he needs to completely take it away from employers. The entire country should be one large group that EVERYONE can buy into regardless of where they work.

DON'T get me started on this!!! I tend to ramble on.


Interesting points.
Yep, give me the $1000 a month that the employer would shell out for my group coverage and I'll go out on my own and get what is respondsible for $300 while I invest the rest.
I like it.
 
Interesting points.
Yep, give me the $1000 a month that the employer would shell out for my group coverage and I'll go out on my own and get what is respondsible for $300 while I invest the rest.
I like it.

Not to many employers allow for this. They need participation to keep the group qualified.

It's also a myth that there is this big of a delta between group and IFP premiums, for similar coverages.

Also, the answer to this whole thread varies a lot from state to state.

Dan
 
Yep, give me the $1000 a month that the employer would shell out for my group coverage and I'll go out on my own and get what is respondsible for $300 while I invest the rest.
I like it.

1. Half the people won't qualify for IFP and good luck finding maternity outside of CA

2. As previously mentioned group has minimum participations rates to avoid adverse selection

3. Individual responsibility? Yeah right... This only applies to a few people who already have money. People were pitching interest only loans a few years back and "invest the rest" - How did that work out?

Why do anything when...


The government is coming...

The government is coming...
 
. Half the people won't qualify for IFP and good luck finding maternity outside of CA

Good luck finding decent maternity coverage inside of California except through one of the government plans.

Dan
 
Not to many employers allow for this. They need participation to keep the group qualified.

It's also a myth that there is this big of a delta between group and IFP premiums, for similar coverages.

Also, the answer to this whole thread varies a lot from state to state.

Dan

For sure most employers can't / won't go for this because they need 75% participation. We were being facetious.
However, we disagree with your statement concerning that there is a "myth" between grp. and indie premiums.
Before the big 65% cobra subsidy; people often worked with us instead of extending their much more expensive grp. coverage.
Logically, as grp. is guaranteed issue coverage (i.e) not medically underwritten, it is a much higher risk for any ins. company to underwrite and administer.
If an ins. company asks an applicant 40 medical questions and checks medical history prior to approval (indie coverage not grp.) then of course they can afford to charge significantly less per month for the coverage. Also many times grp. coverage includes maturnity; indie does not.
 
Back
Top