Learn some basic insurance terminology to help you understand the costs you may face with health care…

The cost for health care for you and your family will be determined by the provisions of your insurance policy, so it is important to understand the basics.  For services that are covered by your policy, your cost should equal the sum of the following items:

Annual Premium

PLUS

Expenses applied to your Deductibles

PLUS

Copays (common for doctor visits and prescription drugs)

PLUS

Your Coinsurance expense, up to the annual Out-of-Pocket Limit

Click the tabs above to learn more information about the highlighted terms.  .

Of course, the cost of any health care services that are not covered (excluded) by your health insurance will be your responsibility and paid by you in addition to the amounts above – So knowing what your policy excludes is as important as knowing what your policy includes.

Another important benefit of health insurance that many people overlook is that insurance companies negotiate lower costs for services from network providers.  Those without insurance will generally pay the full cost billed by providers; whereas, those with insurance will have costs reduced up front to the negotiated fee (assuming they use network providers).  For the insured person, this means lower expenses billed by providers.  

We hope you find this information valuable, and that you to use our online services to purchase the plan of your choice.  Feel free to give us a call for personalized advice, to answer questions, or for help with your application.  Schleh Benefits is a licensed consultancy with years of experience and practical know-how.  We understand health insurance and are here to help you.  Our services are completely free and have no effect on your policy premiums and benefits (we have no hidden fees, surcharges, or application costs of any sort).  We are an independent agency representing only highly-rated insurance companies – and they contract with us to help you find the right plan!

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IMPORTANT DISCLAIMER:  The information provided on this web site is for general educational purposes only; it is not intended to be legal advice and does not replace or supplement the terms of any insurance policy.  Our definitions and usage may not be the same as that used by certain insurance companies in their policies, plan documents, or brochures.