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Health Quotes : Individuals & Families
See how easy it can be! Whether you're an individual or you are looking for health insurance for your entire family, you want to make sure you get the best possible health care benefits at a price you can afford. Health insurance is too important to be left to chance. Let Melissa help you select the policy with the benefits you need at the price you can afford. 714-547-8787 x 104 or email Melissa |
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Health Savings Account (HSA) Plans
Let the leader work for you!
The Health Savings Account (HAS) is the most innovative approach to health care financing in years. 
You won't pay tax on the funds you deposit or the interest you make. And you can use the funds to pay for your qualified medical expenses, or start a nest egg for retirement.
When you look at the money you can save with a Health Savings Account (HSA), it's easy to see why it's the smartest way to pay for your health care expenses. Take a look:
| Typical Family Plan Three times single deductible: $1,000 |
HSA Plan Common Family deductible: $5,200 | |
| Coinsurance | 80% 20% (doctor office copay) |
100% |
| Premium Paid | $6,720 | $3,016 |
| Your share of medical care expenses ($1,500 claim) |
$1,000 for deductibles, $100 for coinsurance, $550 for other non-covered medical expenses + $1,650 |
$1,500 for medical expenses and $550 for dental/eyewear expenses + $2,050 |
| Expenses subtotal | = $8,370 | = $5,066 |
| Tax savings on HSA deposits (Assumes a 28% tax bracket on deposit of $5,200, the maximum contribution allowed with a $5,200 deductible) | $0 | $1,456 |
| Net expenses (out-of-pocket minus savings) |
$8,370 | $3,610 |
| Total net savings with HSA Plan | = $4,760 |
| Note: If you are self- employed, you can deduct your premium. |
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Let us help you be smart about paying for your health care expenses. You'll see these advantages:
- “Tax-advantaged” dollars - the smartest way to pay for your medical expenses *
- The money's always yours - since your balance rolls over each year, “use it or lose it” doesn't apply
Health Savings Accounts are available with qualified high deductible health plans.
* - Romero Wealth Management is not engaged in rendering tax or legal advice. Federal and state tax regulations are subject to change. If tax or legal advice is required, seek the services of a licensed professional.
Contact: For more information about plans through Romero Wealth Management, please call 714-547-8787 x 104.
Insurance Terms
Alphabetical Listing of Insurance Terms
A / B / C / D / E / F / G / H / I / J / K /L / M / N / O
P / Q / R / S / T / U / V / W / X / Y / Z
A
Ancillary Services — Services, other than those provided by your physician or hospital, that are related to your care, like lab work, x-rays and anesthesia.
C
Calendar Year — The period beginning January 1 of any year through December 31 of the same year.
Case Management — A process we develop to help you if you have specific health care needs. A company representative works with you to make sure health care resources are used to get you the best outcome in the most efficient and cost-effective way.
Certificate of Coverage — A document given to you that describes the benefits, limitations and exclusions of coverage provided by us.
Claim — Information a doctor, hospital or you submit to us to request payment for medical services provided.
Coinsurance — Coinsurance is the percentage of covered expense you are responsible for after you meet your deductible. For example, you can choose 20% coinsurance of $5,000 (which equals $1,000). That means you'll pay 20% and we pay 80% of the first $5,000 (which equals $4,000) of covered expenses. After that, we pay 100% of covered charges for the remainder of the year, up to the policy maximum.
Coordination of Benefits (COB) — A provision in the health insurance contract that applies when you are covered under more than one medical plan. It requires that payment of benefits be coordinated by all plans to eliminate the duplication of payment.
Copayment — The set amount that you pay for a specific service, such as $25 for an office visit. You are usually responsible for payment at the time of service.
Covered Person — An individual who meets eligibility requirements and for whom premium payments are paid for specific benefits in the health insurance contract.
D
Deductible — The amount you pay each calendar year before insurance benefits are provided for covered medical expenses.
Dependent — A covered person who relies on another person for support or obtains health coverage through a spouse, parent or grandparent who is the covered person under a plan.
E
Effective Date — The date your insurance coverage begins.
Eligible Dependent — A dependent of a covered person (spouse, child, or other dependent) who meets all requirements specified in the contract to qualify for coverage and for whom premium payment is made.
Eligible Expenses — Either the reasonable and customary charges or the agreed-upon fee for health services and supplies covered under a health plan. Note: See “reasonable and customary” for definition.
Explanation of Benefits (EOB) — The statement sent to you by us that lists services provided, amount billed, eligible expenses and payment made by us.
I
Insured — A person who has obtained health insurance coverage under a health insurance plan.
L
Lifetime Maximum — The maximum amount a plan will pay while you are insured.
O
Out-of-Pocket Maximum — The total payments that must be paid by you (like your deductible and coinsurance) as defined by your contract. Once this limit is reached, covered health services are paid at 100% for health services received during the rest of that calendar year.
P
Participating Provider — A doctor, hospital or other medical facility that's made an arrangement with us to provide medical services or supplies to you at a pre-negotiated fee.
Preferred Provider Organization (PPO) — An arrangement that offers you access to participating providers at reduced costs. Insurers provide you with incentives, such as lower deductibles and copayments, to use providers in the network. Network providers agree to negotiated fees in exchange for their preferred provider status.
Provider — A physician, hospital, health professional and other entity or institutional health care provider that provides a health care service.
R
Reasonable and Customary (R&C) — A term used to refer to the amount that's commonly charged for a particular service within a geographic area. A fee is generally considered to be reasonable if it falls within the parameters of the average or commonly charged fee for a particular service within a specific community.
U
Underwriting — The process an insurance company uses to review and evaluate a potential customer for risk assessment and appropriate premium.
Contact: For more information about plans through Romero Wealth Management, please call (714) 547-8787 x 104.
Short Term Medical Plans
If you are between jobs, waiting for employer group coverage, laid off, on strike, a recent college graduate, seasonal employee, early retiree or are waiting for Medicare to start, you may be interested in Short Term Medical insurance. Short Term Medical is a temporary health insurance plan that offers coverage for 30-365 days.* Assurant Health is the nation's leading provider of Short Term Medical (STM) insurance. In fact, Assurant Health introduced the industry's first Short Term Medical plan in 1973.
Visit our Short Term Medical Web site* for more information, to receive a quote or apply online.
* Plans vary by state.
Contact: For more information please email or call Melissa : 714-547-8787 x 104
Senior Educators' Guide to Medicare Insurance Options
If you are just turning 65, and are newly eligible for Medicare, you are entering a brand-new world of health insurance options.
For most people, the insurance coverage available as a Medicare beneficiary is less expensive and/or more complete than what they were on before. Some retirees have their coverage completely covered by their former employer, with no premium to pay; Veterans also have inexpensive (if inconvenient) coverage. Most people though are best served by enrolling in either Medicare Supplement insurance or a Medicare Advantage plan.
There are two main types of Medicare insurance: Medicare Supplement plans, and Medicare Advantage plans.
Medicare Supplement insurance- long considered the best coverage available, this coverage covers the gaps that Original Medicare (having parts A and B only) leaves open. It provides tremendous flexibility with regards to physician and provider choice. Its "pay-once" structure, meaning you pay the monthly premium and nothing as you use most services, makes it very easy to use and virtually hassle-free. Has to be combined with a stand-alone "drug-only" Medicare Part D plan for prescriptions. Purchased mainly by those just turning 65, this is difficult to obtain after your first year of Medicare eligibility.
Medicare Advantage insurance- these plans vary tremendously in terms of coverage and healthcare provider restrictions. They represent more of a "pay-as-you-go" approach to healthcare, with very low premiums and moderate co-payments as you use services. These plans often include drug coverage, and sometimes include annual caps on your out-of-pocket costs.
Neither option is "best"- the choice of which type of plan is really up to an individual. We have helped seniors enroll in Medicare Supplement, Private Fee for Service, PPO, HMO and "drug-only" Medicare prescription drug plans. Because of our independent nature, we are uniquely positions to discuss a variety of options and find one that is appropriate.
For more information, contact Melissa Romero at (714) 547-8787x 104