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Affordable Health Insurance in West Virginia

Health insurance in West Virginia has seen a number of changes brought about due mostly to the implementation of the Affordable Care Act. While individuals and families need to take a more proactive approach to healthcare, one thing remains consistent. Health insurance in West Virginia will remain a necessity for everyone. We would all like to go through life never getting sick or injuring oneself but we know at some point all of us will be sick or injured and in need of some form of medical attention. The one problem we all face is not knowing how bad our illness or injury will be. This is where a quality West Virginia health insurance plan comes in. What do you do if your employer doesn’t provide insurance and you need to get coverage on your own? Are your children about to be 26 or older and about to be kicked off your health insurance coverage? Could be that you’re a student who is too old to be covered by your parents plan any longer? Maybe you are a small business owner in West Virginia wanting to provide yourself and your employees with a quality medical insurance option. Instantly get matched with companies who offer some of the most affordable West Virginia health plans currently available online. Regardless of the type of coverage or amount of deductible you are looking for one thing is certain; having the best health insurance possible is not an option it is a necessity.

Key Health Insurance Terms

Health insurance is simply a legal contract between an insurance company and a business or individual. This policy, depending on the terms of the contract, can be renewed annually or monthly. Spelled out in advance will be the types of health care costs that are covered. When researching your West Virginia medical insurance options some of the terms you will want to concern yourself with include:

  • Premium: An insurance premium is the cost paid to the West Virginia insurance company in order to purchase the health coverage. This is usually paid monthly but in some cases could be paid annually.
  • Deductible: A deductible is the dollar amount an insured would have to pay out of pocket before the West Virginia health insurer start to pay their share of the costs. An example of this could be a $200 annual deductible where before an insurance company starts to pay for any services; the policy holder would have to pay the $200 deductible first. Typically a higher deductible will lower the premium needed to pay on a health insurance policy.
  • Co-payment: A co-payment in a health insurance plan is the amount of money an insured has to pay out of pocket for a specific service. $35 co-pay for a doctor’s visit or $15 co-pay for a drug prescription are two examples of co-pays common on most West Virginia health plans.
  • Coinsurance: Coinsurance is where the West Virginia insurance company and insured each pay a percentage of the medical costs. This may be with or without a co-payment in the beginning. An example of this might be an 80/20 plan in which the insured pays 20% of the cost and the insurance company pays the remaining 80%. In many cases there is an annual maximum out of pocket limit to protect the insured from large costs due to a catastrophic illness.
  • Exclusions: An exclusion is when a service or treatment is not included in the West Virginia health plan. In cases of an illness that is excluded from coverage the insured is typically expected to pay for the full cost of the medical services. For this reason, it is very important to make sure you understand what if anything is excluded from your coverage.
  • Coverage Limits: Some West Virginia health insurance plans may have annual and/or life time limits. While the Affordable Care Act has stopped insurance companies from placing yearly or lifetime coverage limits on new policies, West Virginia insurance companies may have grandfathered policies that still have coverage limits on individual and self-employed health plans so make sure you know what if any coverage limits exist with your current or new insurance.

Type of Health Insurance in West Virginia

There are many different types of West Virginia health insurance but most will fall into one of three types:

  • HMO’s (Health Maintenance Organization): HMO’s are a form of managed care organization that covers medical services and treatments done by those doctors and other medical professionals that have agreed to treat the patients following the HMO’s guidelines and restrictions in exchange for the increased customer referral base. Most HMO’s require the policy holder or member to pick a primary care physician. This doctor, usually someone like a family doctor, acts as a gatekeeper to specialists and other doctors. In order to see a specialist the member would be required to get a referral from their primary care doctor. Open access HMO’s are a form of insurance that does no require the use of a gatekeeper but this freedom of choice comes at a cost usually in the form of higher co-payments or coinsurance.
  • PPO’s (Preferred Provider Organizations): A PPO is a form of managed care organization in which doctors groups, hospitals and other health care professionals contract with an insurer or third part administrator to provide their customers with services at a reduced rate. The preferred providers enjoy increased business since the PPO’s members will use only those participating providers and the PPO is able to negotiate reduced fees well below what would normally be charged.
  • POS’s (Point of Service Plans): A POS plan combine characteristics of HMO and PPO plans together. When you enroll in a POS plan you will be required to choose a primary care physician that will be responsible for monitoring your health. This doctor must be an in network physician and then become your point of service. Your POS doctor has the ability to refer you outside the network for care but only a part of the treatment would be covered.

Find a Cheap West Virginia Health Insurance Plan

If you are like many individuals who have a health insurance plan you may have seen a steady rise in your rates over the years. The cost of insurance has increased dramatically over the past few years and it is more important than ever to make sure you have the best coverage and the lowest price possible. Get instantly matched with affordable West Virginia health insurance companies ready to provide cheap rate quotes on individual, family, student and group health insurance plans today. Buying affordable health insurance coverage has never been easier. Lowering your current rate just a few dollars a month could mean big savings each year. Compare West Virginia health insurance quotes online today and see how much you can save.

West Virginia Health Insurance Professionals:

1 College Ave Buckhannon WV 26201
(304) 472-1717
10 N Kanawha St Buckhannon WV 26201
(304) 472-8103
1 Carter Ln Summersville WV 26651
(304) 872-0383
104 E Main St Clarksburg WV 26301
(304) 622-5853 / (304) 622-6124 (Fax)
101 W Pike St Clarksburg WV 26301
(304) 622-3632 / (304) 624-6035 (Fax)
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Search for West Virginia Health Insurance Companies

Alum Creek Elkins Mineralwells Ronceverte
Amherstdale-Robinette Fairlea Montgomery Salem
Ansted Fairmont Moorefield Shady Spring
Barboursville Fayetteville Morgantown Shannondale
Beckley Follansbee Moundsville Shepherdstown
Belington Glen Dale Mount Gay-Shamrock Shepherdstown district
Bethlehem Glenville Mount Hope Shinnston
Blennerhassett Grafton Mullens Sissonville
Bluefield Granville New Haven South Charleston
Bluewell Harrisville New Martinsville Spencer
Bradley Hinton Nitro St Albans
Bridgeport Hooverson Heights Nutter Fort St Marys
Brookhaven Huntington Oak Hill Star City
Buckhannon Hurricane Paden City Stonewood
Ceredo Inwood Parkersburg Summersville
Charles Town Kabletown district Parsons Teays Valley
Charleston Kenova Pea Ridge Terra Alta
Cheat Lake Keyser Petersburg Upper Falls
Chesapeake Kingwood Philippi Vienna
Chester Lewisburg Pinch Weirton
Clarksburg Logan Pleasant Valley Welch
Coal City MacArthur Point Pleasant Wellsburg
Corporation of Ranson Madison Princeton West Liberty
Crab Orchard Mallory Prosperity Weston
Craigsville Mannington Rainelle Westover
Cross Lanes Marmet Rand Wheeling
Culloden Martinsburg Ravenswood White Sulphur Springs
Daniels McMechen Richwood Williamson
Dunbar Middletown district Ripley Williamstown
Eleanor Milton Romney Winfield