Health Insurance

A healthy choice in insurance.

Given the variety of coverage options, the ever-changing landscape of the market, shifting plan parameters and medical professional restrictions, deciding upon the best health plan for you and your family is not easy on your own.

Maritime Insurance is here to guide you through the process with advice and answers to your critical questions, such as:

How affordable is the cost of care?
Does the plan cover the services I do or would use?
Where does the plan stand in terms of quality?

You would’t trust your health to anyone but experts, do the same with your health insurance. Call Maritime Insurance and schedule an appointment. Our dedicated team of professionals make it easy for you to get a customized policy with broad and cost-effective coverage.

Health Insurance is available in the following ways:

Traditional
Although the most expensive of insurance options, Traditional coverage allows you complete freedom in choosing doctors or hospitals for medical services. A deductible, coinsurance amount and stop-loss apply, just like with the PPO plans.

Preferred Provider Organization (PPO)
PPOs offer a wide choice of providers within a specific network. Within the network, you may choose any provider and can change providers whenever you like. You also choose your deductible, which typically ranges from $250 to $2500 or more and must be met within a calendar year in order to qualify for coinsurance participation. Simply stated, coinsurance is the percentage the insurance company will pay for covered medical expenses. For example, they may pay 80% (and you’ll pay 20%) until you reach the stop-loss amount, after which the insurance company pays 100% of the covered medical expenses. Keep in mind that plans vary according to the benefits and special options they offer such as doctor’s office visit co-pays, maternity coverage, emergency room coverage, critical illness benefits and life insurance.

Health Savings Account (HSA)
A HSA plan is comprised of two parts: a high-deductible health insurance plan and the actual HSA, which is structured like an IRA account. Monthly health insurance premiums cover the insurance costs plus a set monthly deposit into the HSA. The HSA is used to cover non-catastrophic pre-deductible expenses like doctor’s office visits, lab work, prescriptions and dental care. All eligible expenses paid through the HSA are applied to your yearly deductible. After your deductible has been met, you are covered at 100% for all eligible expenses and no longer need to use the HSA for those expenses. The funds deposited into your HSA, as well as any expenses paid from it, are tax free. Any unused funds are yours to keep. To keep track of your HSA expenditures and simplify the year-end accounting, a debit-type card is typically issued to you specifically for the account.

Short Term

Short term insurance offers comprehensive major medical coverage with the freedom to choose any doctor or hospital; flexible payment, deductible and coinsurance options; competitive premium rates; and, simplified underwriting, instant effective dates and no waiting periods. Temporary life events where insurance is unavailable for a proscribed period of time may be covered effectively and affordably with short-term care coverage.

Short-Term Care insurance provides valuable major medical coverage for people in any of the following situations:

Between jobs
Laid off
Waiting to be covered under a group health plan
Self-employed with no established health care plan
A recent college graduate or young adult who, due to their age, is ineligible to receive benefits under a parent’s policy

A Short-Term Care policy has specific parameters:

Coverage Period: no less than 30 and no more than 180 days
Eligibility: persons between the ages of 15 days and 64 years 11 months; anyone turning 65 during the benefit period is not eligible
Deductible: ranges from $250-$1,000 and is applicable per person per benefit period
Coinsurance: after the deductible has been met, the insured pays 20% of expenses

International Travel
While very exciting, international travel can also be risky. Sustaining an injury or illness in a foreign country where you may be unfamiliar with the language, culture or medical customs compounds the treatment process especially if you lack the proper insurance resources to assist you. While traditional medical plans offer fine domestic coverage, few benefits extend to international use and typically exclude medically supervised emergency evacuations, emergency reunions or repatriation. International Travel coverage is ideal for business associates, students or individuals on Medicare.

Dental Insurance
Structured like medical insurance, Dental coverage is extended to you in exchange for a monthly premium. You are then entitled to certain dental benefits including regular checkups, cleanings, X-rays and other services required to promote general dental health. Plans vary in coverage options (which may include certain types of oral surgery, dental implants or orthodontia) and your required financial contribution for rendered services.

Medicare Supplements
Insurance benefits provided by Medicare do not cover 100% of health care expenses; however, Medicare Supplement Insurance is available to cover many of the costs not paid by Medicare. Known as “Medigap,” these policies fill in Medicare’s coverage “gaps,” and typically provide payment for deductibles, coinsurance amounts and other mandated benefits.

Medigap plans generally include:

Traditional Medicare supplements
High deductible plans
Association group insurance
Medicare Select

There is a 6-month open enrollment period, regardless of age, for all new Medicare Part B enrollees that begins with the date they apply for Medicare Part B insurance. During this period an insurance company must issue a Medigap policy regardless of the enrollee’s health status. A person outside of open enrollment who applies for Medigap insurance may be underwritten and can be denied coverage based upon health reasons.

Medicare Advantage Private Fee-for-Service
Through a predetermined contractual arrangement, Medicare pays a set monthly amount to a private insurance company to provide health coverage to people with Medicare on a pay-per-visit basis. In addition to the pay-per-visit expenses, you must also pay your Medicare Part B monthly premium.

Private Fee-for-Service coverage features include:
Freedom to choose any doctor or hospital that is willing to give you care and accepts the terms of the plan’s payment
Service coverage outside of your service area
The insurance company, not the Medicare program, decides how much you pay for the services rendered.
You get charged deductible and coinsurance amounts that differ from those under the original Medicare plan
Keep in mind that Private Fee-for-Service plans can charge an extra premium for additional benefits and may also let providers charge you 15% over the plan’s payment amount for services rendered.

Health Insurance Risk Sharing Plan (HIRSP)
HIRSP offers health insurance to Wisconsin residents who are either unable to find adequate health insurance coverage in the private market due to their medical condition(s) or who have lost their employer-sponsored group health insurance. Applicants are required to meet HIRSP eligibility criteria in order to qualify for coverage.

Maritime Insurance is local, accessible and interested in your getting the most coverage for your money. Contact us today for your health insurance needs.

Health Insurance

A healthy choice in insurance.

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