What Happens When You Meet Your Deductible But Not Your Out-Of-Pocket Maximum?

Understanding how deductibles and out-of-pocket maximums work with your health insurance plan is key to knowing what to expect to pay when you need medical care. Meeting your annual deductible is a common occurrence for many people. But reaching your out-of-pocket maximum generally only happens in years when you have significant medical expenses. So what … Read more

What is the Difference Between an Insurance Agent and Producer?

If you work in insurance sales, you may have noticed the terms “insurance agent” and “insurance producer” used interchangeably. What exactly is the difference between the two titles? Do they refer to different roles? While there are some nuances, insurance agent and insurance producer largely refer to the same occupation. However, understanding the subtle differences … Read more

The Two Main Sources of Revenue for Insurance Companies

Insurance companies provide a vital service by managing risk and providing financial protection. But how exactly do they bring in the income to sustain their large and complex operations? There are two primary revenue streams that allow insurers to remain profitable enterprises: Premiums Investment income By understanding these dual income sources, you’ll gain insight into … Read more

Can a Single Member LLC Deduct Health Insurance Premiums?

Single member LLCs are increasingly popular business structures for freelancers, consultants, and solo entrepreneurs. A key question for many single member LLC owners is whether they can deduct health insurance premiums for themselves and their families. The answer depends on several factors related to the LLC’s tax status, who the premiums cover, and what type … Read more

Does Long-Term Care Insurance Have a Surrender Value?

Long-term care insurance can be an excellent way to prepare for potential care needs later in life. However, it does come with a significant financial commitment. This leads many considering long-term care insurance to wonder – if I ultimately don’t end up needing care, will I have lost all the money I put into premiums? … Read more

Who are PPO Plans Best For?

Preferred provider organization (PPO) health plans offer more flexibility and freedom of choice than other options like HMOs. But the convenience comes at a cost. Weigh the pros and cons to see if a PPO is right for your healthcare needs. What is a PPO Health Insurance Plan? A PPO is a type of medical … Read more

What is an Insurance Payer?

When you receive medical care, someone has to foot the bill. The entity that pays your medical costs is known as the insurance payer. Payers play a critical role in healthcare by providing coverage and reimbursing providers. But what exactly is an insurance payer? And what different types of payers are there? This article will … Read more

Does the Health Insurance Marketplace Offer PPO Plans?

The health insurance marketplace established by the Affordable Care Act (ACA) offers consumers a range of plan options from various insurance carriers. One common question is whether preferred provider organization (PPO) plans are available on the marketplace. The short answer is yes – PPOs are one of the plan types offered through the insurance marketplace. … Read more

Who Pays for Healthcare in the US & Who Should Pay?

Healthcare financing in the United States involves a mix of private and public funding through employers, government programs, and out-of-pocket payments by individuals. But there is ongoing debate around who should bear the costs of healthcare. This article examines the current US healthcare funding model, its pros and cons, and arguments around who should foot … Read more