Before Texas consumers begin the process of researching, selecting and securing Texas health insurance, it is important to understand the basic components in order to ensure that the approved coverage meets the needs of the policyholder. Evaluating Texas health insurance options can be overwhelming at times, and the Texas consumer should be knowledgeable in order to make the best decision. The process to secure Texas health insurance involves four very different stages: (1) Research, (2) Selection, (3) Application and (4) Decision.
Like any other financial services decision that an individual
makes, the purchase of Texas health insurance should begin with
research. The goal of researching Texas health insurance is to
identify providers that are financially strong, to understand what
benefits are important, to determine premium ranges for the desired
benefits and to select a broker to explain coverage and carrier
The Internet has become an invaluable tool for Texas consumers to use in assisting with Texas health insurance research. Websites are available to help consumers understand technical aspects such as the financial ratings of the carriers. Firms such as A.M. Best, Standard and Poor's, and Moody's will provide detailed information regarding the financial strength of the carriers. The financial strength of a carrier is important because it is an indicator of how well the carrier can manage changes in the overall health care economy.
Research should include looking back at how health care has been used during the past three years. In order to determine the advantage of higher premiums associated with plans that include an office visit co-pay benefit, the number of visits made to a doctor annually should be quantified. Another area to concentrate on is prescription usage. Consumers should identify all prescriptions used, especially prescriptions that are being used on an ongoing basis. Different carriers have varying levels of risk tolerance for prescriptions, and an individual's prescription usage could have a direct impact on which carrier would approve an application.
Consumers should always determine what their monthly budget goal is for Texas health insurance. An important aspect in researching Texas health insurance is to understand Texas health insurance terminology. For example, a common question concerns deductible and how a plan deductible works. Deductible, which is the amount for which the insured is responsible before an insurance company will make payment, has a direct effect on premium? As deductible goes down, the plan premium will go up, and the inverse will be true. The consumer should understand what level of deductible is acceptable. Understanding terminology related to Texas health insurance will help determine the necessary monthly budget. Websites such as www.texasplans.com , which is owned by Stateside, provides a wealth of consumer information to help with the research. The www.texasplans.com website includes terminology information, provider search engines, plan descriptions, plan premiums and information on health savings accounts.
Research is an important first step that will enable the consumer to make a beneficial decision once the most appropriate options have been defined through the selection process.
Research will enable the consumer to broadly define the type of plans and which carriers are the most the suitable given health history, budget and historical use of health care services.
The insurance broker is an excellent resource to organize the
information and will be able to interpret and explain the
differences between the various plans. Individuals in Texas have
over 100 plan options from the five largest carriers. Stateside will
use the information identified through the research phase to narrow
the number of options to between 9 and 12 plans. Stateside will
explain the differences in coverage and benefits and through
discussing the plans will be able to narrow the number of suitable
plans to a more manageable 3 to 5 options. If different carriers are
involved, the doctors' network participation should be identified in
order to confirm that in-network benefits would be available.
Stateside will take as much time as needed to explain the various options and will help the consumer arrive at a decision. It is important during the selection process that adequate time is taken to discuss and explain plan options so the consumer ultimately feels confident with making the decision.
Health insurance applications are now submitted predominately
online which allows the carriers to arrive at an underwriting
decision in a much shorter period of time. In the past, as recent as
2006, printed applications were mailed to the broker who would
review the application and forward the application to the carrier.
Once the application was received, the carrier would input the
information into the underwriting database and begin the process of
making a decision. The decision timeline for the printed application
once it was received by the broker was between 30 and 35 days.
Since the applicant no submits the application information online
and directly into the carrier's underwriting database, a decision
can be made at in as little as 7 days and typically in less than 21
Since the ACA law implementation, medical underwriting is no longer required
Carriers require the initial premium to be paid with the application. Premium payments can be made with either a credit card or a bank draft. Depending on the carrier's procedures, the payment will be processed either as soon as the application is submitted or when a decision is made to offer coverage.
There are no longer rate-up, waiting periods, pre-existing condition clauses but we need to apply during Open Enrollment or via a Special Enrollment window (detail below).
Applying for Texas health insurance can be a very efficient
process when the applicant invests time in understanding the key
terminology and the options that are available. With the help of the
Internet a great amount of information can be accessed to help in
evaluating the best options; and with the online application, a
coverage decision can be made in a relatively short amount of time.
Texas consumers should consult frequently with Stateside Insurance
during the process in order to completely understand their options
and to secure the best coverage to meet their needs and budget.
Again, there is absolutely no cost to you for our services. Call 866-444-3332 Today!
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|2 People||$16k - $63k|
|3 People||$20k - $79k|
|4 People||$24k - $95k|
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To Get Started
You can get the enrollment process started using any of the following:
Click on the Instant Quote link and provide census information. Stateside will respond with a proposal that outlines your various plan options with premium cost.
Call (866) 444-3332 (toll free) and speak with a licensed representative regarding your coverage, subsidy and enrollment questions.
Email Stateside at email@example.com with demographic information (date of birth, zip code and gender), and a proposal will be sent to you.
We'll quickly see if you have the best priced plan available and if you qualify for a tax credit866-444-3332
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