Oklahoma City Health Insurance Agency
NEED HEALTH INSURANCE? HERE’S WHAT TO DO . . .
Perhaps you don’t currently have health insurance or you are about to lose your health insurance coverage for some reason. Maybe you have changed jobs or have just learned that you no longer qualify for Soonercare. Perhaps you are turning 26 and will no longer be able to keep coverage through your parents’ health insurance policy. You already know how important it is to have good coverage for yourself and for your family. What should do you do? You should call an Oklahoma City Health Insurance Agency! Preferably the highest rated and most reviewed Agency in Oklahoma—Derby Insurance Solutions!
All of our licensed agents are well-versed in the “ins and outs” of the health insurance industry, and are experts at finding the best possible plan for your budget. We specialize in all kinds of qualified individual health coverage, including group plans for large and small businesses and even Medicare supplements. If you are looking for health insurance, we can help you!
WHAT KIND OF INSURANCE IS AVAILABLE?
There are only four ways to get qualified, major medical coverage in Oklahoma. “Qualified” means that the health insurance plan provides coverage protection for at least ten categories of essential health benefits, as outlined under the Affordable Care Act, along with necessary preventive services. These “essential” benefits include emergency room care and urgent care, prescription drugs, maternity care, vaccinations, labwork, pediatric care, mental health services, hospitalization, and more.
Qualified major medical coverage also follows established guidelines for limits on the cost-sharing components of the plan, which include the individual and family deductibles and out-of-pocket maximum amounts—in other words, how much the plan will pay for and what your financial responsibility will be. This is very important because these limits protect you from the potentially devastating financial impact of healthcare. Those out-of-pocket maximums aren’t usually very exciting, but they are so much better than what other “plans” require. We have several clients who came to us because they purchased non-qualified plans elsewhere from companies that happily took their money but would not cover their medical care expenses. We often get calls from upset individuals owing thousands of dollars in bills because their “health insurance” wouldn’t pay anything toward their medical care. We don’t want this to happen to you! This is why having qualified coverage is so important and why you can benefit from the service provided by the best Oklahoma City Health Insurance Agency – Derby Insurance Solutions!
WHAT KIND OF QUALIFIED INSURANCE IS AVAILABLE IN OKLAHOMA?
First is Soonercare, otherwise known as Oklahoma Medicaid. Oklahoma residents voted in 2020 to expand Oklahoma Medicaid coverage, which raised the qualifying income level and opened up eligibility consideration for all adults ages 19-64. As a result, the expansion was implemented in 2021, and now there is no longer a “gap” where people are not able to qualify for health insurance coverage. Soonercare is only available to individuals with a household income that falls below 138% of the Federal Poverty Level. These numbers change on a regular basis, so if you would like to find out whether or not you meet the income guidelines to qualify for Soonercare, please call your Oklahoma City Health Insurance Agency – Derby Insurance Solutions, at 918-451-9783 and we can answer your questions!
The second type of Qualified Health Coverage in Oklahoma is Group Insurance Coverage available through an employer. Health insurance used to be almost exclusively obtained through employment, and while that has changed somewhat, many, many Oklahomans still receive this important benefit through their jobs. According to the Affordable Care Act, if you are offered “affordable” and “qualified” coverage through your employer, you would not qualify for a Premium Tax Credit. This would likely mean that employer-sponsored Group coverage is the best option for you.
However, there have been changes made recently that have helped many of our clients, particularly the elimination of the “Family Glitch.” If you are paying a lot of money to cover your family through your job-sponsored plan, give us a call and we might be able to help you save a substantial amount. We are also happy to assist with determining whether your employer-sponsored plan meets the “affordability” and “qualifying” guidelines that were established by the Affordable Care Act.
Also, if you are a business owner with at least one other active party, either a partner or an employee—we can help you set up your own Group Coverage plan. One of the reasons we are the best Oklahoma City Health Insurance Agency is because we happily serve small Oklahoma businesses that other agencies and insurance companies don’t make the time for. We are always interested in helping you find the best options for your health care and providing our top-rated customer service for you and your employees.
The third type of qualified health insurance in Oklahoma is through a Short Term plan. For some of our clients, utilizing Short Term plan coverage is a great option—even if only for a small window of time. The cost is often lower for Short Term coverage, although the cost-sharing components can be higher than other types of coverage, and they do not cover preexisting conditions. These plans can be carried for a matter of days up to a maximum of just under three years.
Finally, the fourth type of qualified health coverage in Oklahoma is through The Marketplace. Often referred to as “Obamacare,” the Marketplace is the Federal platform for qualifying medical coverage offered to Americans who meet necessary guidelines as established by the Affordable Care Act. For those that do qualify, the vast majority receive Premium Tax Credits from the federal government which offset the cost or monthly premiums of these plans. Many of our clients are able to obtain qualified health coverage at zero to very minimal cost.
Also, if you are Native American, with documented membership in a federally recognized tribe, there are amazing special provisions for Marketplace coverage that can reduce or eliminate the cost of your healthcare. We have many, many clients who are Native American and have incredible qualified plans with $0 deductible and $0 out-of-pocket maximums, often with a $0 monthly premium. These plans are truly outstanding and with more than 20 years’ experience serving Native Americans in Oklahoma, we are undoubtedly the best Oklahoma City Health Insurance Agency to advise you and help you determine if you qualify.