Group, Individual, and Family Medical Insurance

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About Course

This course is designed to guide you through a standard health insurance plan details so you are aware of what you might be paying with your current policy and any future policies you may be shopping for.  Keep in mind, the higher the premium usually the lower the deductible and higher coverages compared to lower premium plans.  

Please, after reviewing this course, call your health insurance company or maybe you can even find it online when having an account, and ask for a summary of benefits.  With this document you can calculate what you would owe and do a full comparison from plan to plan.  Or as we used to say apples to apples.

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What Will You Learn?

  • How to read a SOB and understand what you would have to pay with your medical insurance policy per year.

Course Content

Summary of benefits
Each insurance policy comes with a summary of benefits sometimes called by us insurance geeks a SOB. This SOB will outline all coverages for the insurance plan. It will outline the deductibles, copays, coinsurances, and out of pocket maximums for the plan. It will lay out what it covered for each service along with other details such as what is covered as preventative and for prescriptions. Below is the beginning of a breakdown of the SOB. Please download my MP3 audio file for this course before starting.

  • Audio File For My Course
  • Example: Summary of Benefits (SOB)

Deductible, Co-Insurance, & OOPM
This is the main part of how to determine what you would be paying per the SOB.

Copayments, Preventative Services, & Family Deductibles/ OOPM
To continue on with an explanation of what would need to be paid throughout the year and some services that are covered at 100% regardless.

Networks, PPOs & HMOs
Defining where you can go to get care.

HRA, HSA, & Prescriptions
This section will define Health Reimbursement Accounts and Health Savings Accounts. Then touches on the complications of prescriptions.

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