Remove Agents Remove Out-Of-Pocket Remove Out-Of-Pocket Expense
article thumbnail

AEP 2025: An AEP Like No Other

PSM Brokerage

These adjustments include a significant decrease in annual out-of-pocket expenses for prescription drugs (from $8,000 to $2,000) and introducing an option for beneficiaries to manage their Part D out-of-pocket costs through capped monthly payments on a new Medicare Prescription Payment Plan.

article thumbnail

Can You Have Private Insurance and Medicaid?

Smart Insurance Agents

This dual coverage can provide a broader range of medical services and reduce out-of-pocket costs. Coordination of benefits between Medicaid and private insurance maximizes healthcare coverage and minimizes out-of-pocket expenses, with Medicaid typically serving as a secondary payer.

Insiders

Sign Up for our Newsletter

This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.

article thumbnail

How Much Does a Colonoscopy Cost With Insurance? Find Out Here!

Smart Insurance Agents

While insurance can lower your out-of-pocket expenses, the final cost depends on several factors. Key Takeaways Colonoscopy costs can range from $1,250 to $4,800, with insurance significantly impacting out-of-pocket expenses. These include physician fees, anesthesia fees, and facility fees.

article thumbnail

Medicare Advantage vs. Medicare Supplement Plans

PSM Brokerage

As an insurance agent, guiding your clients through Medicare options can feel like navigating a maze. Cost Medicare Advantage : Known for low or $0 monthly premiums, but clients may face higher out-of-pocket costs when accessing services. Cap on annual out-of-pocket costs. Cons : Limited provider networks.

article thumbnail

What is the Difference between HMO vs PPO

Smart Insurance Agents

Key Takeaways PPO plans offer flexibility in choosing providers without referrals, but come with higher premiums and out-of-pocket costs, while HMO plans are more cost-effective but restrict provider choices and require coordination through a primary care physician. Even though out-of-network care is covered, it comes at a higher cost.

article thumbnail

Blue Cross Blue Shield Texas Individual Plans

Smart Insurance Agents

Gold Plans provide the highest coverage but come with higher premiums, Silver Plans balance costs and coverage, and Bronze Plans have lower premiums but higher out-of-pocket expenses, making them suitable for generally healthy individuals. Silver Plans strike a good balance between monthly premiums and out-of-pocket costs.

article thumbnail

Insurance Coverage for Your Tiny House

Paragon Independent Insurance Agencies

This coverage will cover the cost of repairing your tiny home and reimburse any out-of-pocket expenses you incur as the primary owner. An agent can discuss various add-ons that your tiny home qualifies for. Home Insurance Like any other residence, a tiny home is eligible for various types of home insurance coverage.