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Health Insurance Agent Tulsa

What You Need To Know About Health Insurance

Have you ever found yourself stressed and confused over health insurance? If terms such as “Deductible”, “Copay” and “Out Of Pocket Maximum” have left you stumped, you need to reach out to Derby Insurance Solutions: the highest rated and most reviewed Health Insurance Agent Tulsa has to offer. With thousands of happy clients in over 20 years in business, the team at Derby Insurance Solutions can help you find the health insurance plan that is right for you. If you are confused on where to begin when looking into health insurance, we will outline some of the basics you need to give you a head start.


The Affordable Care Act

The Affordable Care Act aims to make health insurance affordable and accessible for a wider group of consumers. How is that relevant to you? Well, if you are under the age of 65 and your yearly income is within a certain range according to the Federal Poverty Guidelines, you could potentially enroll in a health insurance plan with little to no monthly premium. To find out if you qualify for Health Insurance Agent Tulsa, just give the team at Derby Insurance Solutions a call!


Deductible Versus Out Of Pocket Maximum

Two terms that we find often confuse people are “Deductible” and “Out Of Pocket Maximum.” But what are the differences between the two terms? The answer is more simple than you might expect! Once you hit your deductible you will get a good bit more help paying for your medical care from the health insurance company. Your Out of Pocket Maximum, on the other hand, is the most you would have to pay for medical care before your insurance company picks up the rest of the medical costs that are covered in the network. Even if you had a large amount of medical bills, you would only have to spend your Out of Pocket maximum. There is a lot more nuance to these terms however, so it may be in your best interest to call Derby Insurance Solutions, the Health Insurance Agent Tulsa trusts most with their health insurance needs.


Monthly Premium

Another thing that can often be confusing for those picking a plan is their monthly premium. Your monthly premium is the monthly fee you must pay in order to keep your health insurance active. It is important to note that your health insurance will not be active until your first month’s premium is paid. In addition, your monthly premium does not count towards your deductible or out of pocket maximum in a given year. To know how much your monthly premium will be, you should call the experts at Derby Insurance Solutions. After all, they are the Health Insurance Agent Tulsa can rely on for honest advice on their health insurance needs.



Some plans on the Health Insurance Marketplace have what is called a copay. Copays are a set price on a certain medical procedure or office visit. This can greatly reduce the stress that is too often involved with going to the doctor. On a copay plan, you will know exactly what you are paying for doctors visits, specialist visits, and generic drugs among others before you even set foot into the office or pharmacy. Picking a plan with copays could cost you more in monthly premium, so it is important to weigh what is more important for your situation between saving money on the monthly bill and saving money when you go to the doctor. For help making this decision, feel free to call the team at Derby Insurance Solutions to speak with the best Health Insurance Agent Tulsa has to offer.

Open Enrollment Period vs. Special Enrollment Period

When it comes to actually enrolling in a plan, it is very important to keep in mind the timing in which you get signed up. There are two options to consider before looking into health insurance: The Open Enrollment Period and a Special Enrollment Period. The Open Enrollment Period is a time to enroll which usually begins on November 1st of each year. During this time, any person who is Marketplace eligible can enroll in a plan. However, if you miss this period, you may still have a chance of signing up during a special enrollment period in which case you have a qualifying event. Some examples of a qualifying event are being a member of a Federally Recognized tribe, losing a qualified health plan through work, aging off of your parents qualified group health plan, losing Soonercare eligibility, having a child, getting married and several other choices. To get more information on Special Enrollment Period Qualifying Events or to see if you qualify, call Derby Insurance Solutions today to speak with the best Health Insurance Agent Tulsa has to offer.


Maintaining Your Marketplace Plan

Maintaining your Marketplace health insurance plan is fairly easy when you have an agent like Derby Insurance Solutions by your side. They will walk you through some of the basic routines of having a Marketplace plan such as sending in documents, reviewing your policy during each Open Enrollment Period, making sure you receive important identification and tax documents as well as informing you of changes pertinent to your policy. However, it is quite important to be in communication with your agent regarding impactful life changes such as changes to your income, household size, marital status, medicare and medicaid eligibility, as well as information about any other qualified health plan offered to you through work. You will also have to be sure to send in any required documents and pay your premium on time to keep your coverage in effect. While this may seem like a lot of information, health insurance agents like Derby Insurance Solutions will always do everything they can to make sure you are aware of what needs to be taken care of on your policy.



Health insurance can be extremely confusing, but learning resources are out there. The team at Derby Insurance Solutions will be here by your side to help lead and guide you through the process from your quote to the application and for years thereafter. Call today to get more information!