Health Insurance
Property & Casualty
Additional Information
Privacy Policy
Employment
Legal & Disclaimer
Your out-of-pocket maximum is the most you’ll have to pay for covered services in a policy period (one year), each January 1st it starts over again, and that includes cost of medications too. After you reach this amount, your health insurance plan will pay 100% for covered benefits called “essential healthcare benefits”. Your out-of-pocket costs are NOT your health insurance premiums. Your monthly premiums are totally separate and are in addition to your medical costs like co-pays, deductibles, and out of pocket maximums.
Each plan can have a lower out-of-pocket maximum, these numbers are the worst-case scenario. Check your plans “Summary of Benefits” for details.
The maximum out-of-pocket limit for a health insurance plan for 2021 is $8,550 for an individual plan and $17,100 for a family plan.
In 2022 it is $8,700 for an individual plan and $17,400 for a family plan.
In 2023 it is $9,100 for an individual plan and $18,200 for a family plan.
Think of it like a game of baseball. Once you’ve paid all of your “deductible“, you are standing on 1st base. Now you’ll begin to move towards 2nd base – “Co-Insurance”. During this time, co-insurance is where you and the insurance company split the medical bills (co-insure), for example 70/30 or 80/20. Usually, the insurance company will pay the larger amount and you’ll pay the lesser amount.
Your next step is 3rd base or your “Out of Pocket Maximum”. Once you’ve met your “out of pocket maximum”, you are now done paying anything else. The insurance company will pick you up on 3rd base, and carry you to home plate (they are responsible for unlimited coverage after your out of pocket maximum).
Note: This is an annual accrual, meaning it starts January 1st and ends December 31st each year.
It is hard to budget for health expenses when you do not know what your cost-sharing responsibility will be. At Nevada Insurance Enrollment, our health insurance agents can help you review your policy or find reliable health coverage.
While your auto insurance provider bases your monthly premium on numerous factors, including where you live, how old you are and whether you rent or own your home, the factor that most significantly affects your premium is your driving record.
Whether you’ve had the same health insurance company for years or switched to a new health insurance company, the variance in cost is directly related to whether a healthcare provider is within your health insurance company’s network (if you have a PPO), if you have a deductible to satisfy first, or if you have a co-pay.
Many people don’t recognize the value of life insurance and health insurance until they actually use it and may even think they can work around high medical or funeral expenses.
By page visits (this month)
By page visits (this month)
Nevada is a “Supported State-Based Exchange” meaning, that despite the ruling in King vs. Burwell, Nevadan’s are able to keep their health insurance subsidies.
For the 2015 Health Insurance “Open Enrollment”, Nevada has moved to the Federal website technology for its online enrollments.
Come fill out your paper application and we will handle the rest. Meet with a licensed Health Insurance Agent that will help you complete your application.
Each year, you can only buy Health Insurance during “Open Enrollment“, which is November 1st through December 15th. With Open Enrollment for Individual and Family Health Insurance coming again in November, we wanted to share another educational (but entertaining) video from the Kaiser Family Foundation.