Frequently Asked Questions

Individual, Family, Small Business, Short Term, Student, Dental, Vision health insurance Frequently Asked Questions

Can I contact someone if I need help?
Yes. We believe in providing you with top-quality customer service. Our customer care center is staffed with licensed health insurance agents and knowledgeable representatives, ready to assist you.

INDIVIDUALS AND FAMILIES:
  • Call Us
    Our licensed insurance agents and knowledgeable representatives are ready to help you. Just call 800-872-1458 Mon - Fri, 6AM-9PM PT.

  • Email Us
    Click here to send us an email. One of our knowledgeable customer care representatives will reply to you soon. Please note that our licensed health insurance agents can discuss insurance plan benefits and rates only by phone.

  • Chat Online with Us
    Click here for a real-time, online chat session with one of our knowledgeable customer care representatives. Our chat option is available 24 hours a day, 7 days a week, excluding holidays. Please note that insurance plan benefits and rates can be discussed only by phone with one of our licensed health insurance agents.

SMALL BUSINESSES:

  • Call Us
    Our licensed insurance agents and knowledgeable representatives are ready to help you. Just call 800-872-1458 Mon - Fri, 6AM-5PM PT.

  • Email Us
    Click here to send us an email. One of our knowledgeable customer care representatives will reply to you soon. Please note that our licensed health insurance agents can discuss insurance plan benefits and rates only by phone.
How do I finish my application?

If you started an application for a health insurance plan but didn't complete it, you may complete it through the My Account link on our site. To access your account, click on the My Account link and sign in using your email address and password. Follow the instructions provided there to complete your application.

Can I check the status of my application?

You may check the status of your application at any time through the My Account link. In order to access your account from our site, just click on the My Account link and sign in using your email address and password.

If I apply for an insurance plan, am I obligated to buy?

No. You are under no obligation to buy a health insurance plan when using our site. After submitting your application you may cancel it at any time during the underwriting process. When you submit an application you will typically include your credit card number, bank account information, or a check for the initial premium payment. Most insurance companies will not charge your card, debit your account, or deposit your check until you are approved. If you are charged or your check is cashed and you are denied for coverage or cancel your application prior to approval, the insurance company will issue a refund to you.

A few insurance companies may charge an application fee. You will be notified in the application if the plan you chose requires an application fee. Please note that these fees are non-refundable.

How can I view quotes and shop online through your website?

Shopping with us is simple. After entering your zip code and some basic information about yourself, your family or your business, you'll be provided with a list of health insurance plans available in your area. You may refine these results or sort and organize them in various ways. You'll also have the opportunity to select several of them at a time to make more detailed plan comparisons. Once you've selected a plan, you'll fill out an application, providing more information about yourself, your family or your employees, and about your health history. Once your application is complete, HealthCoverageQuotes.com will work with the health insurance company to help you receive a quick coverage determination.

Do you offer the best prices?

Health insurance premiums are filed with and regulated by your state's Department of Insurance. Whether you buy from HealthCoverageQuotes.com, your local agent, or directly from the health insurance company, you'll pay the same monthly premium for the same plan. This means that you can enjoy the advantages and convenience of shopping and purchasing your health insurance plan through HealthCoverageQuotes.com and rest assured that you're getting the best available price.

Why should I shop with you rather than buying an insurance plan elsewhere?
By combining the localized knowledge of a neighborhood agent with the broad experience and comprehensive understanding of a leading online health insurance source, we are able to offer our customers:

  • Broad Selection. Because we are a health insurance agency and not a health insurance company, we can offer plans from multiple insurance companies in your area. We offer a broad selection of health insurance companies and plans, which allows you find the plan that best fits your needs. In fact, HealthCoverageQuotes.com is the leading online source of health insurance for individuals, families and small businesses.

  • Best Prices. Health insurance rates are filed with and regulated by your state's Department of Insurance. Whether you buy from HealthCoverageQuotes.com, your local agent, or directly from the health insurance company, you'll pay the same monthly premium for the same plan.

  • Fast Processing. HealthCoverageQuotes.com offers the fastest way to apply for health insurance because many of the plans offered on our website can be submitted and signed electronically, eliminating the need to manually print and mail applications. This reduces average processing time significantly.

  • Excellent Customer Care. We believe that you'll enjoy the best customer experience available in the health insurance industry. The licensed health insurance agents and knowledgeable representatives that staff our customer care center will help you make the most of your money with professional, unbiased advice
How do you protect my private information?
Shopping with HealthCoverageQuotes.com is safe. As your health insurance agent, we're committed to protecting your privacy and the information you provide to us. HealthCoverageQuotes.com will not sell, trade or give away your personal information to anyone, except those specifically involved in the referral or processing of your health insurance quote or application. We use industry leading technologies to ensure the security of all the information under our control.


We're proud to have received the privacy seal of approval from TRUSTe, the largest privacy advocacy organization on the Internet, and we encourage you to read our Privacy Policy online. If you have any questions about our privacy policy or how your personal information is protected at HealthCoverageQuotes.com, contact us by email at privacy@healthcoveragequotes.com.
Will using your service cost me anything?

All the services offered by HealthCoverageQuotes.com are provided at no extra cost to you, the consumer. If you buy a health insurance plan through HealthCoverageQuotes.com, you'll pay the regular monthly premium to the health insurance company you chose, but you'll pay nothing to us. Our fees are paid by the insurance companies in the form of commissions, which are built into the premium amount.

What kinds of products do you offer?
We offer a broad selection of health insurance products and options to choose from:
  • Individual and Family Health Insurance. Singles and families should take a look at our individual and family health insurance plans. If you don't get your health insurance coverage through an employer, an individual and family health insurance plan is your standard, private market option.
  • Small Business Health Insurance. We offer group health insurance plans for small businesses and organizations (2-50 employees).
  • Short-Term Health Insurance. If you're in need of temporary coverage, you'll want to take a look at our short-term health insurance plans. Obtaining short-term coverage is quick and easy and though it's not a long-term solution, short-term coverage can protect you while you're between jobs or after you graduate from college.
  • Student Health Insurance. Full-time college students and their parents will want to explore our student health plan options for valuable protection and savings.
  • Dental Insurance. We provide dental insurance options priced to fit most budgets.
  • Health Savings Accounts. At eHealthInsurance you'll also find Health Savings Accounts (HSAs) and HSA-eligible health insurance plans. Our website is one of the premier sources for HSA information and products online.
What kinds of services do you provide?

eHealthInsurance is a licensed health insurance agency and the leading online source for individuals, families and small businesses purchasing health insurance. We have insured over 800,000 customers nationwide. We offer a broad selection of health insurance plans from many of the nation's leading health insurance companies, and deliver a customer experience that can't be beat. Thanks to our innovative website, simple online tools, and the knowledgeable representatives and licensed health insurance agents that staff our customer care center, you'll discover that health insurance can be attainable and affordable.

Our website empowers individuals, families and small businesses by offering convenient access to affordable insurance plans and information to make the right choice in purchasing health insurance. After providing your zip code and some basic information about yourself, your family or your business, you'll receive free quotes, compare plans side by side, and apply for coverage online. Whenever you have a question or need personal assistance, you can contact one of our licensed health insurance agents for the answers and unbiased advice you need to make the most of your insurance dollars.

Once you've submitted your application for coverage, we'll work with the health insurance company you've selected to expedite the approval process. Even after you purchase a health insurance plan, we'll continue to address your questions and concerns, to serve as your advocate with the health insurance company, and to help you with all your future health insurance needs. At eHealthInsurance you've found your health insurance solution.

Where are the other dental insurance plans that I am familiar with?

Some dental health insurance providers (such as Delta Dental and Aetna) only provide dental coverage to businesses or groups, rather than to individuals and families.

What's the difference between Dental insurance and Discount Cards with dental discounts?
In addition to dental insurance, we carry Discount Cards that provide discounts for dental care. Although these cards are not a form of insurance, they will provide you with discounts for dental services when you visit a participating dentist.
 
Key Differences
Dental Insurance
Discount Cards with Dental Discounts
Who pays for services
You pay monthly premiums, deductible and co-pay/coinsurance (see below); the insurance company pays dentist directly for remainder of charges.
You must pay the dentist directly at the time dental services are rendered. The Discount Card does not pay any money to the provider. You also pay a monthly membership fee to the discount program in exchange for discounted rates at participating dental providers.
Discounted Rates at Selected Providers
PPO plans have pre-negotiated discounted rates with selected providers.
 
Indemnity plans allow you to see any dentist, and, as such, do not have discounted rates at selected providers.
Offers discounted rates at participating dental providers.
 
Note: Can be used in conjunction with Dental Insurance Indemnity plans.
Deductible
Typically has a deductible, i.e., insurance company may not start paying for services until your dental expenses reach a certain dollar amount.
No deductible - Discounts are available at first visit to dentist.
Co-Pay/Coinsurance
After deductible is met, you may need to pay a nominal amount (e.g., $10) per office visit or a percentage (e.g. 20%) of the cost of a larger procedure. Insurance company typically pays for remainder of charges.
Not applicable - For a given service, participating dentists will charge you the contracted discounted rate that has been pre-negotiated.
Waiting Period
Many dental insurance plans require you to be a policyholder for 6 to 18 months before paying for major dental services.
Not applicable - Since no waiting periods apply.
Annual Maximum Benefit
Most dental insurance plans will only cover up to certain amount per member per year (e.g., $1,000). After that cap is reached, you are responsible for all dental expenses.
Not applicable - You and your family members can use your discount program membership as often as you need.
What is the difference between and in-network and an out-of-network dentist?

An in-network dentist is one contracted with the dental insurance company to provide services to plan members for specific pre-negotiated rates. An out-of-network dentist is not contracted with the insurance company. Typically, if you visit a dentist within the network, the amount you will be responsible for paying will be less than if you go to an out-of-network dentist. Though there are some exceptions, in many cases, the insurance company will either pay less or not pay anything for services you receive from non-network dentists.

As a general rule, Dental PPO (and other managed care) plans utilize provider networks. Dental Indemnity plans typically do not utilize a network of providers.

How can I insure just my child?

When getting quotes for your child(ren) only, enter the child's gender and birth date in the "Applicant" or first row. Additional children should be entered below in the "Child" rows, but not the "Spouse" row.

However, many health insurance companies require one policy per child. So if you have more than one child, try entering just one child to see a larger selection of plans and prices. You are free to apply for each child separately.

What is a Dental Indemnity plan?

Dental Indemnity plan is commonly known as a fee-for-service or traditional plan. If you select an Indemnity plan you'll likely have the freedom to visit any dentist you wish. You typically will not be required to obtain referrals; however, some plans may require you to obtain preauthorization for certain procedures. Most Dental Indemnity plans require you to pay a deductible. After you have paid your deductible, Indemnity policies typically pay a percentage of "usual, customary and reasonable (UCR) rates" for covered services. For instance, the insurance company may pay 80% and you may be required to cover the remaining 20% of the UCR.

What is a Dental PPO plan?

Dental PPO (Preferred Provider Organization) plans are perhaps the most common type of managed care dental insurance plans. Most Dental PPO plans require you to pay a deductible. With a Dental PPO plan the patient typically obtains care through a network of dental providers who agree to serve the plan's members at reduced rates. When you use a network provider, you will typically pay a certain percentage (e.g. 20%) of the reduced rate, and the insurance company will pay the remaining percentage (e.g. 80%).

As a member of a Dental PPO plan, you may use dentists outside of the Dental PPO plan network, but you will typically only be reimbursed based on the amount that a network dentist would have accepted as payment in full. The rest of the total charges will be considered the patient's responsibility.

What is the best dental insurance plan for me?
Although there is no one "best" dental insurance plan, some plans may work better for you and your family than others. Plans differ primarily in how much you'll have to pay monthly for your coverage and how much you'll have to pay when dental services are rendered. Some plans will require that you pay a certain co-payment for services, or meet a specific deductible before the dental insurance company begins payment. Other plans may limit coverage to a specific dollar-amount maximum per year.
 
When reviewing your dental insurance options, here are a few questions to ask yourself:
  • How much will it cost me on a monthly basis?

  • Will I be required to meet a deductible? Once the deductible is met, how much will the dental insurance provider pay for my services?

  • What dentists participate in the plan's network? Are these dentists that my family and I would like to see?

  • If I used a dentist outside the plan's network, how much will I have to pay?

  • Are there waiting periods for certain procedures?
What kinds of dental insurance plans are available?

Like health insurance plans, dental insurance plans are usually categorized as either Indemnity or managed-care plans (Dental PPO plans fit in this latter category). Put broadly, the major differences concern choice of dental care providers, out-of-pocket costs and how bills are paid. Typically, Indemnity plans offer a broader selection of dental care providers than managed-care plans. Indemnity plans pay their share of the costs for covered services only after they receive a bill (which means that you may have to pay up front and then obtain reimbursement from your insurance company).

Managed-care plans typically maintain dental provider networks. Dentists participating in a network agree to perform services for patients at pre-negotiated rates and usually will submit the claim to the dental insurance company for you. In general, you'll have less paperwork and lower out-of-pocket costs with a managed-care dental plan and a broader choice of dentists with an Indemnity plan.

How does dental insurance work?

Dental insurance works in much the same way that medical insurance works. For a specific monthly rate (or "premium"), you are entitled to certain dental benefits, usually including regular checkups, cleanings, x-rays, and certain services required to promote general dental health. Some plans will provide broader coverage than others and some will require a greater financial contribution on your part when services are rendered. Some plans may also provide coverage for certain types of oral surgery, dental implants, or orthodontia.

What if a network provider won't accept my card?

Ask the provider to call the provider service number listed on your Discount Card. We recommend that you confirm your provider's acceptance of the Discount Card at the time you make your appointment.

How can I find a dentist near me?

Take a look at the online provider directory by clicking the "Find Provider" link. You'll be able to search for dentists, and see if your favorite is part of the network of participating dentists.

Are the discounted rates the same at all network providers?

No. Discount Card preferred rates will vary depending on the provider, type of healthcare service, and your geographic area.

Is there a transaction fee to use my Discount Card?

There are no card transaction or usage fees. You just pay your monthly membership fee to continue using your Discount Card as often as you like.

How often may I use my Discount Card?

As often as you like. There are no restrictions on how frequently you use your card.

How soon can I start receiving discounted rates?

Your membership will become active as soon as you receive your discount card in the mail. Depending on the company, this may be one to two weeks after completion of the application.

How much money will I save?

Discounts may vary across company and provider, but here are some examples of how much you can save on dental care by obtaining a Discount Card.


 
Procedure Discount Cost Retail Cost * You Save
Office Visit $20 $35 $15
Bitewing X-Ray $10 $19 $9
Cleanings $35 $65 $30
Simple Extraction $55 $100 $45
Filling $40 $73 $33
Full Cast Crown $380 $689 $309
Root Canal $258 $471 $213
Orthodontics $2500 $4255 $1755


*These fees represent the C15 schedule for services performed by a participating General Dentist. Retail cost is based on the 80th percentile of the National Dental Advisory Service Comprehensive Fee Report for 2001. The Plan Fee Schedule and actual savings will vary by region. General Dentists and Specialists may not be available in all areas.
Is a Discount Card an insurance plan?

No. Discount Cards are not health insurance policies. They are strictly discount programs that give you and your family preferred rates from selected health care providers. However, Discount Cards may provide you with a valuable, inexpensive alternative or supplement to a standard health insurance plan.

What's the difference between Dental insurance and Discount Cards with dental discounts?
In addition to dental insurance, we carry Discount Cards that provide discounts for dental care. Although these cards are not a form of insurance, they will provide you with discounts for dental services when you visit a participating dentist.
 
Key Differences
Dental Insurance
Discount Cards with Dental Discounts
Who pays for services
You pay monthly premiums, deductible and co-pay/coinsurance (see below); the insurance company pays dentist directly for remainder of charges.
You must pay the dentist directly at the time dental services are rendered. The Discount Card does not pay any money to the provider. You also pay a monthly membership fee to the discount program in exchange for discounted rates at participating dental providers.
Discounted Rates at Selected Providers
PPO plans have pre-negotiated discounted rates with selected providers.
 
Indemnity plans allow you to see any dentist, and, as such, do not have discounted rates at selected providers.
Offers discounted rates at participating dental providers.
 
Note: Can be used in conjunction with Dental Insurance Indemnity plans.
Deductible
Typically has a deductible, i.e., insurance company may not start paying for services until your dental expenses reach a certain dollar amount.
No deductible - Discounts are available at first visit to dentist.
Co-Pay/Coinsurance
After deductible is met, you may need to pay a nominal amount (e.g., $10) per office visit or a percentage (e.g. 20%) of the cost of a larger procedure. Insurance company typically pays for remainder of charges.
Not applicable - For a given service, participating dentists will charge you the contracted discounted rate that has been pre-negotiated.
Waiting Period
Many dental insurance plans require you to be a policyholder for 6 to 18 months before paying for major dental services.
Not applicable - Since no waiting periods apply.
Annual Maximum Benefit
Most dental insurance plans will only cover up to certain amount per member per year (e.g., $1,000). After that cap is reached, you are responsible for all dental expenses.
Not applicable - You and your family members can use your discount program membership as often as you need.
What are Discount Cards?

Discount Cards provide you with a great way to save money on your dental, vision, and/or chiropractic needs. Depending on your Discount Card company, you can enjoy discounts of up to 60% with a national network of leading service providers.

Getting your Discount card is easy. Simply fill out an application and you will receive your card in the mail soon after.

When it's time to use your card, simply locate a service provider in the network, present your card to the provider at the time of service and get instant discounts.

How do the tax savings work?
HSAs make it easy to save on your taxes:
  • At the end of each year, you will be sent a statement showing the amount you contributed to your HSA that year. You can deduct this amount provided it is less than or equal to the maximum allowable contribution.

  • Much like an IRA, HSA deductions are "above-the-line" and thus can be taken even if you do not itemize.

  • If you are self-employed, in addition to deducting your HSA contributions, you may be able to deduct 100% of your health insurance premiums, provided that:

    • You are not eligible to participate in a subsidized health plan offered by an employer or your spouse's employer.

    • The deduction does NOT exceed the amount of net income from your business.

Note: Check with your accountant or tax advisor for the specific federal and state tax benefits that apply to you.
How do I use the funds in my HSA?
Using funds in your Health Savings Account is easy:
  • Typically an HSA will provide you with a checkbook or debit card. When you pay for a qualified medical expenses, use the debit card or check to make the payment.

  • You do not need to get approval from the HSA administrator when you use funds in your account.

  • You do not need to submit receipts to the HSA administrator, although you should save them just as you keep receipts for other items that are deducted from your taxes.

NOTE: You must establish the HSA before you incur medical expenses otherwise the expenses will not qualify.
Is my money safe?
Funds in an HSA are held in a trust and are administered by a bank, insurance company, or other approved Trustee. This institution is often referred to as your HSA Administrator.
 
Funds in your HSA are invested at your discretion. Typically an HSA will allow you to choose from one or more of the following investment options:
  • Interest-bearing account
  • CDs
  • Money market funds
  • Mutual Funds
If you are looking to minimize your investment risk, you may want to consider an interest-bearing account; these accounts are FDIC insured. On the other end of the spectrum, mutual funds may provide a greater return, but are more risky, and are not FDIC insured.
Can I roll over funds from other accounts into my HSA?

You can make a one-time distribution from an IRA to fund your HSA, provided it doesn't exceed HSA contribution limits. Employees have the opportunity for a one-time, tax-free transfer of funds from their flexible spending account (FSA) or health reimbursement arrangement (HSA) to their HSA.

How much can I contribute to my HSA?
Maximum yearly contributions (and associated tax deduction) are determined as follows:
 
For individuals, it is $2,900, and for families it is $5,800.
 
You do not have to contribute the maximum each year, although some HSAs require a small minimum monthly contribution.
 
Note: If you are between the ages of 55 and 65, you can make an additional annual "catch up" contribution (of up to $900 in 2008.)
What insurance plans are HSA-eligible?
In order to have a Health Savings Account, you must get an HSA-eligible health insurance plan. This type of insurance plan is often referred to as a High Deductible Health Plan, and typically has lower premiums than plans with lower deductibles.
 
A health insurance plan must meet the following criteria to be considered HSA-eligible:
  • The health insurance plan must have an annual deductible of at least $1,100 for individuals and at least $2,200 for families.

  • The sum of the annual deductible and the other annual out-of-pocket expenses required to be paid under the plan (other than premiums) does not exceed $5,500 for individuals and $11,000 for families.
What are qualified medical expenses?
HSAs can be used to pay for many types of medical expenses, even some that are often excluded on health insurance plans. These include:
  • Health insurance plan deductibles, copayments, and coinsurance

  • Prescription and over-the-counter drugs

  • Dental services, including braces, bridges, and crowns

  • Vision care, including glasses and lasik eye surgery

  • Psychiatric and certain psychological treatments

  • Long-term care services

  • Medically-related transportation and lodging

Typically HSAs cannot be used to pay health insurance premiums, although there are exceptions for:
  • Health insurance premiums if you are receiving federal or state unemployment benefits

  • Premiums for COBRA qualified health insurance

  • Certain qualified long-term care insurance premiums

  • Premiums for a health plan (other than a Medicare supplemental policy) for an individual age 65 or older

Note: You must establish an HSA before incurring any expenses or the expenses will not qualify.
Why should I consider getting an HSA?
You may save money in the short and long term by:
  • Deducting 100% of your HSA contributions from your taxable income

  • Having the money in your HSA accrue interest and/or gains on a tax-free basis

  • Paying no penalties or taxes when you use your HSA to pay for qualified medical expenses

  • Having a high-deductible HSA-eligible health insurance plan, which typically has a lower premium than a plan with a lower deductible

Note: Some HSAs charge a small monthly maintenance fee.
What is an HSA?
"HSA" stands for Health Savings Account. HSAs allow consumers to pay for qualified medical expenses with pre-tax dollars—meaning income-tax free—and save for retirement on a tax-deferred basis.
 
An HSA is tax-favored savings account that is used in conjunction with a high-deductible HSA-eligible health insurance plan to make healthcare more affordable and to save for retirement.
 
 
HSAs are similar to individual retirement accounts (IRAs), but even better:
  • Pre-tax money is deposited each year into an HSA and can be easily withdrawn at any time with no penalty or taxes to pay for qualified medical expenses. Withdrawals can also be made for non-medical purposes, but will be taxed as normal income and are subject to a 10 percent penalty if done prior to age 65.

  • Any HSA funds not used each year remain in the account, and earn interest tax-free to supplement medical expenses at any time in the future.

  • Like an IRA, the account belongs to you, not your employer. But unlike an IRA, your employer CAN contribute to your HSA.
If I apply for an insurance plan, am I obligated to buy?

No. You are under no obligation to buy a health insurance plan when using our site. After submitting your application you may cancel it at any time during the underwriting process. When you submit an application you will typically include your credit card number, bank account information, or a check for the initial premium payment. Most insurance companies will not charge your card, debit your account, or deposit your check until you are approved. If you are charged or your check is cashed and you are denied for coverage or cancel your application prior to approval, the insurance company will issue a refund to you.

A few insurance companies may charge an application fee. You will be notified in the application if the plan you chose requires an application fee. Please note that these fees are non-refundable.

When I buy an insurance plan, how do I make payments?

In most cases, when you complete your application you'll provide a credit card number or a check written to the health insurance company for the first premium payment. Typically, your credit card will not be charged nor will your check be cashed until you are approved for coverage. If you are not approved for coverage, or if you cancel your application, your card will not be charged and any check payment you made will be returned or refunded.

Once you've been approved for coverage, your ongoing premium payments are paid to your health insurance company typically on a monthly or quarterly basis. Insurance companies typically offer several payment options including monthly billings to be paid by check or credit card, automatic bank drafts or automated credit card charges. Please note that credit card billing of premiums is optional and you can obtain coverage without using that method of payment.

How do you protect my private information?
Shopping with HealthCoverageQuotes.com is safe. As your health insurance agent, we're committed to protecting your privacy and the information you provide to us. HealthCoverageQuotes.com will not sell, trade or give away your personal information to anyone, except those specifically involved in the referral or processing of your health insurance quote or application. We use industry-leading technologies to ensure the security of all the information under our control.
 
We're proud to have received the privacy seal of approval from TRUSTe, the largest privacy advocacy organization on the Internet, and we encourage you to read through our Privacy Policy online. If you have any questions about our privacy policy or how your personal information is protected at HealthCoverageQuotes.com, contact us by email at privacy@healthcoveragequotes.com.
Why should I shop with you rather than buying an insurance plan elsewhere?
By combining the localized knowledge of a neighborhood agent with the broad experience and comprehensive understanding of a leading online health insurance source, we are able to offer our customers:
  • Broad Selection. Because we are a health insurance agency and not a health insurance company, we can offer plans from multiple insurance companies in your area. We offer a broad selection of health insurance companies and plans, which allows you find the plan that best fits your needs. In fact, HealthCoverageQuotes.com is the leading online source of health insurance for individuals, families and small businesses.

  • Best Prices. Health insurance premiums are filed with and regulated by your state's Department of Insurance. Whether you buy from HealthCoverageQuotes.com, your local agent, or directly from the health insurance company, you'll pay the same monthly premium for the same plan.

  • Fast Processing. HealthCoverageQuotes.com offers the fastest way to apply for health insurance because many of the plans offered on our website can be submitted and signed electronically, eliminating the need to manually print and mail applications. This reduces average processing time significantly.

  • Excellent Customer Care. We believe that you'll enjoy the best customer experience available in the health insurance industry. The licensed health insurance agents and knowledgeable representatives that staff our customer care center will help you make the most of your money with professional, unbiased advice
How can I insure just my child?

When getting quotes for your child(ren) only, enter the child's gender and birth date in the "Applicant" or first row. Additional children should be entered below in the "Child" rows, but not the "Spouse" row.

However, many health insurance companies require one policy per child. So if you have more than one child, try entering just one child to see a larger selection of plans and prices. You are free to apply for each child separately.

When can my coverage start?

You can request that your Individual and Family health insurance plan start anytime between 1 and 90 days in the future. However, the insurance companies will typically need some time to process your application so keep in mind that the actual date for the start of your coverage may vary depending on the underwriting process and the availability of your medical records. (Underwriters will receive your application much faster if you "eSign" your application.)

What's the best health insurance plan for me?
Choosing between different health insurance plans isn't always easy. There is no one "best" plan for everyone. The best match for you and your family may be different than the best match for someone else. In order to help you answer this question, here are a few things to consider:
 
1) Are you going to need long-term coverage or just something for the short-term?
If you're between jobs for 1-6 months, you may want to look into our short-term coverage options. Alternatively, if you have no prospects of receiving group health insurance coverage through an employer, you may value the stability and increased benefits offered through an individual and family health insurance plan which will provide longer term coverage.
 
2) Are you looking for basic coverage or more comprehensive coverage?
Some insurance plans offer basic coverage (i.e., primarily inpatient hospitalization and outpatient surgery coverage) to cover you in case of a major accident or illness. These insurance plans typically have a lower monthly premium than plans with more comprehensive coverage, and may be appropriate for people who intend to use their insurance primarily in the event of a serious accident or illness.
 
Other insurance plans, in addition to offering coverage in case of a major accident or illness, offer more comprehensive coverage which MAY include benefits such as: preventative care, physician services, prescription drug benefits and routine office visits. These insurance plans typically have a higher monthly premium than plans that only offer basic coverage, and may be appropriate for people who intend to use their insurance on a regular basis.
 
3) Would you rather pay for your services before you use them or when you use them?
Typically, the higher the monthly premium that you pay, the less you will pay per doctor's visit in co-payments and deductibles. If you choose a health insurance plan with a low monthly premium, you're likely to have a higher co-payment or deductible. If you don't anticipate making frequent use of your health insurance coverage, a higher-deductible plan with a lower monthly premium may suit you best.
 
4) How important to you is easy access to specialists?
Health insurance plans that require you to coordinate your care through a primary care physician typically require that you obtain a referral before seeing a specialist. Thus, if you prefer easier access to specialists, you may wish to consider a different type of plan.
 
5) Do you have a specific doctor or hospital that you would like to visit for healthcare?
Some insurance plans utilize provider networks. Pay special attention to the network of doctors or facilities that each health insurance plan utilizes. You'll want to make sure that your favorite doctor or hospital is included on the list for the health insurance plan you choose. Also note that networks utilized by health insurance plans can change, so there is no guarantee that your doctor will always be contracted with your chosen health insurance plan.
 
6) What is the most you could pay out in case of a serious illness or injury?
Health insurance plans typically place limits on how much a member is required to pay out per year for his or her healthcare. This limit is often referred to as an out-of-pocket maximum. Once you've contributed this maximum amount toward your healthcare, the health insurance company typically covers all other costs for the remainder of the benefit year. If you're concerned about what may happen to you in case of a serious illness or injury, you may wish to pay special attention to the out-of-pocket maximums for the health insurance plans you're considering.
What is the difference between in-network and out-of-network providers?

An in-network provider is one contracted with the health insurance company to provide services to plan members for specific pre-negotiated rates. An out-of-network provider is one not contracted with the health insurance plan. Typically, if you visit a physician or other provider within the network, the amount you will be responsible for paying will be less than if you go to an out-of-network provider. Though there are some exceptions, in many cases, the insurance company will either pay less or not pay anything for services you receive from out-of-network providers.

As a general rule, PPO, POS, and HMO plans make use of provider networks. Indemnity plans typically do not.

What is coinsurance?

Coinsurance is the term used by health insurance companies to refer to the amount that you are required to pay for a medical claim, apart from any co-payments or deductible. For example, if your health insurance plan has a 20% coinsurance requirement (and does not have any additional co-payment or deductible requirements), then a $100 medical bill would cost you $20, and the insurance company would pay the remaining $80.

What is a deductible?

A "deductible" is a specific dollar amount that your health insurance company may require that you pay out-of-pocket each year before your health insurance plan begins to make payments for claims. Not all health insurance plans require a deductible. As a general rule (though there are many exceptions), HMO plans typically do not require a deductible, while most Indemnity and PPO plans do.

What is a co-payment?

A "co-payment" or "co-pay" is a specific charge that your health insurance plan may require that you pay for a specific medical service or supply. For example, your health insurance plan may require a $15 co-payment for an office visit or brand-name prescription drug, after which the insurance company often pays the remainder of the charges.

How does an HSA work?
Legislation establishing Health Savings Accounts (or "HSAs") took effect on January 1, 2004. HSAs and HSA-eligible health insurance plans are becoming more and more popular. Here are the basics:
  • An HSA is a tax-favored savings account that may be used in conjunction with an HSA-eligible high deductible health insurance plan to pay for qualifying medical expenses.

  •  Choosing an HSA-eligible health insurance plan may help you save money. Typically, the monthly premium on an HSA-eligible high deductible plan is less expensive than the monthly premium for a lower-deductible health insurance plan.

  •  Contributions to an HSA may be made pre-tax, up to certain annual limits.

  •  Funds in the HSA may be invested at your discretion. Unused funds remain in the account and accrue interest year-to-year, tax-free.

Not all high-deductible plans are eligible for use in conjunction with an HSA.
How does an Indemnity plan work?

A traditional Indemnity plan offers a great deal of freedom in choosing which doctors and hospitals to use, but will probably involve higher out-of-pocket costs and more paperwork.

Under an Indemnity plan, you may see whatever doctors or specialists you like, with no referrals required. Though you may choose to get the majority of your basic care from a single doctor, your insurance company will not require you to choose a primary care physician.

However, this kind of freedom will cost you. You'll likely be required to pay an annual deductible before the insurance company begins to pay on your claims. Once your deductible has been met, the insurance company will typically pay your claims at a set percentage of the "usual, customary and reasonable (UCR) rate" for the service. The UCR rate is the amount that healthcare providers in your area typically charge for any given service.

An Indemnity plan may also require that you pay up front for services and then submit a claim to the insurance company for reimbursement.

How does a POS plan work?

A POS (Point of Service) plan combines some of the features offered by HMO and PPO plans. As with an HMO, members of a POS plan are required to choose a primary care physician (PCP) from the plan's network of providers. Services rendered by your PCP are typically not subject to a deductible. Also, like HMOs, POS plans typically offer coverage for preventive care visits.

Typically, however, you will only receive a higher level of coverage for services rendered or referred by your PCP. Services rendered by a non-network provider may be subject to a deductible and will likely be covered at a lower level. If services are rendered outside of the network, you'll likely have to pay up-front and submit a claim to the insurance company yourself.

How does an HMO plan work?

Though there are many variations, HMO (Health Maintenance Organizations) plans typically enable members to have lower out-of-pocket healthcare expenses but also offer less flexibility in the choice of physicians or hospital than other health insurance plans. As a member of an HMO, you'll be required to choose a primary care physician (PCP). Your PCP will take care of most of your healthcare needs. Before you can see a specialist, you'll need to obtain a referral from your PCP.

With an HMO you'll likely have coverage for a broader range of preventive healthcare services than you would through another type of plan. You may not be required to pay a deductible before coverage starts and your co-payments will likely be minimal. With an HMO plan, you typically won't have to submit any of your own claims to the insurance company. However, keep in mind that you'll likely have no coverage whatsoever for services rendered by non-network providers or for services rendered without a proper referral from your PCP.

How does a PPO plan work?

As a member of a PPO (Preferred Provider Organization) plan, you'll be encouraged to use the insurance company's network of preferred doctors and hospitals. These healthcare providers have been contracted to provide services to the health insurance plan's members at a discounted rate. You typically won't be required to pick a primary care physician but will be able to see doctors and specialists within the network at your own discretion.

You will probably have an annual deductible to pay before the insurance company starts covering your medical bills. You may also have a co-payment for certain services or be required to cover a certain percentage of the total charges for your medical bills.

With a PPO plan, services rendered by an out-of-network physician are typically covered at a lower percentage than services rendered by a network physician.

What kinds of individual and family insurance plans are available?

Individual and family health insurance plans are usually described as either "indemnity" or "managed-care" plans. Put broadly, the major differences concern choice of healthcare providers, out-of-pocket costs and how bills are paid. Typically, indemnity plans offer a broader selection of healthcare providers than managed care plans. Indemnity plans pay their share of the costs for covered services only after they receive a bill (which means that you may have to pay up front and then obtain reimbursement from your health insurance company).

There are several different types of managed-care health insurance plans. These include HMO, PPO, and POS plans. Managed-care plans typically make use of healthcare provider networks. Healthcare providers within a network agree to perform services for managed-care plan patients at pre-negotiated rates and will usually submit the claim to the insurance company for you. In general, you'll have less paperwork and lower out-of-pocket costs with a managed care health insurance plan and a broader choice of healthcare providers with an indemnity plan.

What is individual and family health insurance?

Individual and family health insurance is a type of health insurance coverage that is made available to individuals and families, rather than to employer groups or organizations. Given the option, most people would prefer to have their employer provide group health insurance coverage. But, if this is not an option for you, it is still important for you to seek coverage. You may be pleasantly surprised with the variety and afford ability of the individual and family health insurance options available.

Will purchasing a short-term insurance plan make it harder for me to get coverage in the future for a pre-existing medical condi

If you recently lost health insurance coverage through an employer, purchasing a short-term medical insurance plan will make you ineligible for any guaranteed issue, individual health insurance plans commonly referred to as HIPAA plans. Oftentimes, HIPAA plans are quite expensive but may be appropriate for those whose pre-existing conditions make it difficult to obtain health insurance in the private market. Therefore, if you wish to maintain your eligibility for HIPAA plans, you should not purchase a short-term health insurance plan. Please consult your benefits advisor to discuss your rights under the Health Insurance Portability and Accountability Act (HIPAA) and other rights under state law.

What if I get a standard, longer-term insurance policy at a future date?

Once you receive written confirmation that the health insurance company you selected approved your application for a standard longer-term health insurance policy, you should contact the insurance company that issued your short-term health insurance plan and cancel the short-term policy.

How can I insure just my child?

When getting quotes for your child(ren) only, enter the child's gender and birth date in the "Applicant" or first row. Additional children should be entered below in the "Child" rows, but not the "Spouse" row.

However, many health insurance companies require one policy per child. So if you have more than one child, try entering just one child to see a larger selection of plans and prices. You are free to apply for each child separately.

Should I pay monthly or make a single payment up front?
Most short-term health insurance plans give you the option of paying in monthly installments, or in a single up-front payment. Often, single payment plan costs may be lower than monthly plan costs.
 
We recommend you select "Monthly", if you:
  • don't know exactly how long you will need coverage, or
  • don't want to make a single up-front payment
We recommend you select "Single Up-front Payment", if you:
  • know exactly how long you will need coverage for,
  • want lower plan costs, and
  • don't mind paying your whole premium up-front
If you select " Single Up-Front payment" you will need to specify the duration of your coverage (30-185 days). Also, if you select " Single Up-Front payment" payment, you will enjoy the convenience of not having to manually cancel your plan at the end of your coverage period, although typically you will not be able to get a refund once coverage starts. If you need short-term health insurance after your specified duration, you will need to re-apply for a new short-term plan. (Note: most short-term health plans will only allow you to re-apply once.)
 
Note: Some insurance companies only offer the "Single Up-Front payment" option, thus selecting this option may give you a greater selection of plans to choose from.
Do short-term health insurance plans include dental and vision benefits?

No. Short-term health insurance plans are designed to protect you in the event of an unexpected illness or injury and are not intended to cover dental and vision care. Short-term health insurance plans are for temporary coverage only and therefore do not include some of the benefits offered by standard, longer-term heath insurance plans.

If I apply for an insurance plan, am I obligated to buy?

No. You are under no obligation to buy a health insurance plan when using our site. After submitting your application you may cancel it at any time during the underwriting process. When you submit an application you will typically include your credit card number or a check for the first premium payment. Most insurance companies will not charge your card or deposit your check until you are approved. If you are charged or your check is cashed and you are denied for coverage or cancel your application prior to approval, the insurance company will issue a refund.

A few insurance companies may charge an application fee. You will be notified in the application if the plan you chose requires an application fee. Please note that these fees are non-refundable.

If I don't qualify for short-term coverage, will my credit card still get charged?

No. If you choose to use a credit card, your card will only be charged if you qualify for short-term coverage. Please note that credit card billing of premiums is optional and you can obtain coverage without using that method of payment.

How will I know if I qualify for short-term health insurance coverage?

In most cases, as soon as you complete your application, we will be able to let you know if you do not qualify for short-term coverage.

How soon can my coverage start?

Coverage for many short-term health insurance plans can start as soon as 24 hours after the application is submitted. In order for coverage to start promptly, you can make your first premium payment by supplying a valid credit card number with your application. Please note that credit card billing of premiums is optional and you can obtain coverage without using that method of payment.

If you would prefer to have your coverage start later, you can select a date up to 30 days in the future.

What if I only need coverage for less than 30 days?
Most short-term health insurance plans have a minimum coverage period of 30 days. Even if you only need coverage for less than 30 days, you can either:
  • Make a single payment upfront for 30 days of coverage, or

  • Select the monthly payment option, and then cancel your coverage when you no longer need it. Please note that you will not be refunded for partial months of coverage
What happens when I reach the end of my coverage period?

At the end of your coverage term, most health insurance companies will allow you to re-apply for another short-term plan. These plans do not typically constitute an automatic continuation of your first plan. Many short-term health insurance plans only allow you to re-apply once.

Why would I want coverage for a limited amount of time?

If you're between jobs, waiting for coverage from another health insurance plan to start, laid off, on strike, a recent college graduate or seasonal employee and know that you only need coverage for a specific period of time, short-term health insurance may be a great option for you.

What is short-term health insurance?

Short-term health insurance plans provide you with coverage for a limited period of time, and may be an ideal solution for those between jobs or those waiting for other health insurance to start. Typically, short-term plans offer coverage up to six months, although some plans may offer coverage up to 12 months. If you think you'll need coverage for a longer period of time, you may want to look at a standard, longer-term health insurance option like our individual and family health insurance plans.

The application process for short-term health insurance is usually simpler than standard, longer-term health insurance. Short-term health insurance plans are designed to protect against unforeseen accidents or illnesses, rather than to provide comprehensive coverage, and, as such, typically do not include coverage for preventive care, physicals, immunizations, dental or vision care.

Purchasing a short-term medical insurance plan will make you ineligible for any guaranteed issue individual health plans commonly referred to as HIPAA Plans. HIPAA plans are usually very expensive and are generally intended for people with pre-existing medical conditions who would have trouble getting health insurance otherwise. If you wish to maintain your eligibility for HIPAA plans, you should not purchase a short-term plan. Please consult your benefits advisor to discuss your rights under the Health Insurance Portability and Accountability Act (HIPAA) and other rights under state law.

Short-term health insurance plans typically do not cover pre-existing medical conditions. The definition of a pre-existing condition varies by state, but, in general, short-term health insurance policies exclude coverage for conditions that have been diagnosed or treated within the previous 3 to 5 years. If you have an existing medical condition, you may want to research whether you can extend your current insurance. Employer-sponsored insurance can be extended under a government-regulated option commonly referred to as COBRA, which you should seriously consider if you have an existing medical condition.

Can I contact someone if I need help?
Yes. We believe in providing you with top-quality customer service. Our customer care center is staffed with licensed health insurance agents and knowledgeable representatives, ready to assist you.
  • Call Us
    Our licensed health insurance agents and knowledgeable representatives are ready to help you. Just call 800-872-1458 Mon - Fri, 6AM-5PM PT.

  • Email Us
    Click here to send us an email. One of our knowledgeable customer care representatives will reply to you soon. Please note that our licensed health insurance agents can discuss insurance plan benefits and rates only by phone.
How do ZIP codes affect group health insurance rates?

Since the cost of medical care varies from area to area, health insurance rates also vary from area to area. This variance is due to the general cost level of the area, differences in medical practices, the degree of specialization of services and the amount of competition in the area. Most small group plans vary rates by ZIP code. The employer's business address is normally used to determine rates.

What is "term life insurance?"

Term life insurance is sometimes offered as a benefit rider available when you buy a group health insurance plan.

Term life insurance is a type of life insurance that has become very popular in recent years. Term life insurance provides protection for a specific period of time, typically 5, 10, 15, 20, 25 or 30 years (this is called the coverage term). The person to be insured selects the coverage term, and a death benefit is paid to the beneficiary if the insured dies within the specified period. Term life insurance works well for people who need coverage for a specific period of time; for example, when a child is born a parent may take out a 20 or 25-year term life policy to ensure that in the event of their death, the child will be provided for through his or her college years.

What is a "Risk Adjustment Factor (RAF)?"

Small group health insurance companies use a Risk Adjustment Factor (RAF) to assess and issue a group's monthly insurance premium. In California, for example, all small group health insurance companies must establish and publish a Standard Rate with the State of California. Standard Rates have a RAF of 1.00. By California law, a health insurance company is limited to issuing a small group employer (generally 2-50 employees) a rate no more than 10% below (0.90 RAF) or 10% above (1.10 RAF) their Standard Rate. Group size, pre-existing medical conditions and the number of COBRA enrollees may affect a group's RAF in California. Outside of California, RAFs vary by health insurance company. If you have any questions regarding your rate or RAF, please feel free to contact our Customer Care Center Mon - Fri, 6AM-5PM PT at 800-872-1458 or via email.

What are "benefit riders?"

Benefit riders are add-on insurance policies that cover health-related services that are not typically covered by your health insurance plan. Dental services, for example, are not typically covered under a health insurance plan but are available at an additional charge as a benefit rider. Usually, benefit riders are only available when you buy a group health insurance plan. If you are interested in purchasing a dental, vision, life insurance, or chiropractic plan as a separate plan, please contact our Customer Care center at 800-872-1458 or via email.

What is the best health insurance plan for my company?
At HealthCoverageQuotes.com we know it can be confusing and frustrating trying to find the right group health insurance plan for your business. Many people may not understand exactly how health insurance works and may not be familiar with health insurance terminology.
 
The best way to help yourself decide which plan is best for your business is to understand the health care needs and financial constraints that you and your employees face. To get started, you and your employees should answer these questions:
  • How often do you utilize medical services?

  • Will you need coverage for benefits such as prescription drugs, chiropractic care or maternity?

  • Is coverage for preventive care checkups important to you or are you more concerned about coverage in case of a major injury or illness?

  • What kind of monthly premium can you afford?

  • What kind of deductible, if any, are you willing to pay on an annual basis before your coverage begins?

  • Is it important to you to be able to see any doctor you want to, or are you willing to work within a provider network or through a primary care physician?

Once you have an understanding of your health care needs and your financial constraints, you'll be more prepared to examine the benefits and costs of the plans offered in your area. For example, you may want to avoid a health insurance plan that offers benefits that you and your employees never use since these unnecessary benefits may translate into higher premiums. If you're looking at a health insurance plan that requires you to use the insurance company's network of doctors and hospitals, you may want to make sure that your current doctor --if you have one-- is on the list and that network facilities are located near your home or office.
 
If you're looking for an answer to a specific question, or if you just want some advice to help you narrow down your options, please contact our Customer Care Center. We have licensed professionals available to help you with just this kind of issue. You can reach a Customer Care representative Mon - Fri, 6AM-5PM PT at 800-872-1458. If you prefer, you can also send us an email.
What types of group health insurance plans are available?

Group health insurance plans are categorized as either indemnity plans (also known as "traditional indemnity," "fee-for-service," or "FFS" plans) or managed care plans. Indemnity and managed care plans differ in their basic approach. Put broadly, the major differences concern choice of providers, out-of-pocket costs for covered services, and how bills are paid. You will typically have a broader choice of doctors (including specialists, such as cardiologists and surgeons), hospitals, and other health care providers with an indemnity plan while you will typically have less out-of-pocket costs and paperwork with a managed care plan.

Indemnity plans once dominated the American health insurance market, but are no longer as popular as they used to be. They are most common on the east coast. Managed care plans now take up a much larger share of the general health insurance market and are especially dominant in the western parts of the country. There are three basic types of managed care plans: PPOs, HMOs, and POS plans.

How do I know if my company qualifies for group health insurance?
Your company will probably be eligible for a small business plan if it meets the following criteria:
  1. Your company consists of at least two full-time owners, officers, partners and/or employees, as verified by officially-filed state quarterly wage and tax statements (e.g., NYS-45 in New York and DE-6 in California) or annual federal tax return documents;

  2. Your company is a legitimate business entity (i.e., your company was formed for a purpose other than to obtain insurance), as verified by one of the following documents:

    • A business license or fictitious name filing (proprietorships and partnerships);

    • Articles of incorporation (corporations); or

    • Articles of organization (limited liability company).

  3. Your company meets the minimum employer contribution percentage set by the insurance company.

Please note that eligibility criteria may vary among insurance companies and by state. If you have any questions about your company's eligibility for a particular small business plan, please call one of our licensed representatives Mon - Fri, 6AM-5PM PT at 800-872-1458.
Is buying group health insurance tax deductible?

Significant tax advantages may be available to employers who offer group health insurance coverage to their employees. Employers can generally deduct 100% of the health insurance premiums they pay on qualifying group health plans. Providing health insurance coverage to employees as part of a total compensation package may also result in reduced payroll taxes for employers. Additionally, when the employer offers group health coverage, it's possible for an employee's share of the premium to be paid with pre-tax dollars, resulting in tax savings for the employee. Check with your accountant or tax adviser for specific tax benefits for your business and employees.

How are costs typically split between the employer and the employee?

Typically, an employer is required to cover 50% of the employee's monthly premium. In these cases, the employee covers the remainder of his or her own premium and then covers the full premium for any of his or her dependents. Minimum employer contribution levels may differ from state to state and from one insurance company to the next. Also, some employers opt to cover a higher percentage of the employee's monthly premium and sometimes a portion of the premium costs for an employee's dependents.

During the application process, you'll be able to indicate how much of your employees' (and their dependents') monthly premiums you would like to cover.

What are the benefits of providing group health insurance to my employees?

It's no secret that employees value health insurance benefits. Surveys have shown that workers value health insurance coverage second only to monetary compensation. By offering group health insurance benefits to your employees, you may find it easier to hire and retain the best workers for your company.

As a business owner, you may not have health insurance coverage yourself. Perhaps you've considered shopping for an individual health insurance plan for yourself and your family, but did you know that by obtaining insurance through a company, you may get better rates than through the individual market?

Additionally, there are various tax incentives available to you and your employees when you participate in a group health insurance plan. For example, businesses can generally deduct 100% of the premiums they pay on qualifying group health plans and, by offering group health insurance as part of a total compensation package, you may be able to reduce payroll taxes. Plus, your employees can pay their portion of the monthly insurance premium with pre-tax dollars. Make sure that you take these incentives into consideration when determining the affordability of a health insurance plan for you and your employees.

How many times can the insurance plan be renewed?

Student health insurance is renewable as long as you need it. Whereas most college plans only cover you until you graduate or very shortly thereafter, the Student plans offered on our site can be renewed as long as they're needed... as long as your premiums are paid.

When does my coverage begin?
It depends on how you pay for your coverage. If you are submitting your application:
  • Through the Internet, using a credit card - The earliest your coverage can begin is the day following transmission, provided that all other eligibility criteria have been met. Please note that credit card billing of premiums is optional and you can obtain coverage without using that method of payment.

  • By mail, writing a check - The earliest that your coverage can begin is the day following the US Postal Service postmark, if all other eligibility criteria have been met.

You also have the option of selecting a coverage start date up to 60 days in the future. But please note that the coverage cannot start on the 29th, 30th, or 31st of a month.
How far in advance of the beginning of school can I apply?

You can apply as soon as you are enrolled as an eligible student. But, keep in mind the full premium must be paid with the application. The policy will be sent out as soon as it is issued. We would prefer that the application not be completed more than 60 days prior to the requested effective date.

If I graduate or drop out of school, will I lose my coverage?

No, provided that you attended school full-time for 31 days after the policy effective date, your Student policy stays with you for as long as you need it and, of course, as long as premiums are paid.

Will coverage be in jeopardy if I drop a class?
No, not as long as:
  • You met the definition of an eligible student on the date the application was signed;

  • You attended school full-time for 31 days after the policy effective date; and

  • The premium is paid in full.
What happens if I transfer schools?

If you need to transfer schools, your Student coverage moves with you. Student coverage is not tied to any one school. There's no need to change coverage or re-apply. In fact, you're covered when traveling anywhere in the United States, its possessions, or Canada.

Will I be covered when I go out of state?

A Student insurance plan travels with you anywhere in the United States, its possessions, and Canada. And, although it does not cover you in a foreign country, a Student plan does cover you for an emergency medical evacuation to the home country or a facility operating within its laws.

Am I covered year-round, or just while school is in session?

With a Student insurance plan you're covered year-round, not just during the school term. And, if for some reason, you have to leave school, your coverage stays with you for the remainder of the policy year... and then it's guaranteed renewable.

As a parent, should I purchase a Student insurance plan for my child, or cover them through my standard medical plan?
An informed answer depends on several factors. You may want to consider a separate Student plan for your child if one or more of the following apply to you:
  1. The HMO or PPO network for your insurance plan does not have physician or hospital coverage in the area around your child's college.


  2. Your child is nearing the age at which he or she can no longer be covered under your plan. Often times this is around 24 years of age, but you should check with your insurance company to find out the specific age limits for your current policy.


  3. The cost savings of removing your child from your insurance plan is greater than the cost of the separate Student insurance plan. To determine if this is the case, get a quote on this website for a Student plan for your child, and then compare that to the cost savings of removing your child from your standard medical plan (you may need to contact your insurance company to determine this amount).


On the other hand, a separate Student plan may not be appropriate if:
  1. You are currently satisfied with the coverage, cost, and benefits of your current medical plan


  2. Your child has a pre-existing medical condition. In most cases, expenses relating to pre-existing conditions will not be covered by the Student plan until the policy has been in effect for 12 months.
Can I add my family members (spouse and dependents) to my policy?

The Student insurance plans are designed for individual college students only and do not cover spouses and/or dependents. Student plans do, however, comply with any state requirements for the coverage of newborns.

If you have a spouse who is also a full-time college student, a separate application can be submitted for that person.

Are foreign exchange student eligible for coverage?

Yes, as long as you are attending school in the United States and meet the eligible student requirements defined above.

If I apply for an insurance plan, am I obligated to buy?

No. You are under no obligation to buy a health insurance plan when using our site. After submitting your application you may cancel it at any time during the underwriting process. When you submit an application you will typically include your credit card number or a check for the first premium payment. Most insurance companies will not charge your card or deposit your check until you are approved. If you are charged or your check is cashed and you are denied for coverage or cancel your application prior to approval, the insurance company will issue a refund.

A few insurance companies may charge an application fee. You will be notified in the application if the plan you chose requires an application fee. Please note that these fees are non-refundable.

Who can purchase Student health insurance?

You must be an eligible college student between the ages of 17 to 29 to purchase a Student health insurance plan.

An eligible undergraduate student is defined as a person carrying at least nine credit hours. An eligible graduate student must meet the graduate student guidelines of the college or university for full-time student status. Students must attend a state-accredited college or university in the United States.

NOTE: Some schools operate on a quarterly schedule where full-time undergraduate status is considered to be six to eight credits per term. If this is the case, you should tell us in writing (attached to the application) that you are attending a school with a quarterly class schedule and are meeting the school's definition of full-time status.

Which doctors or hospitals can I visit?

Since a Student health plan (e.g. a Student Select plan offered by Fortis Health) is not an HMO or PPO plan, you can visit the doctor or hospital of your choice. No referrals are needed, no out-of-network penalties are incurred ... the choice is yours!

How can college students meet their needs with a Student insurance plan?
No matter what your specific needs, a Student health insurance plan can provide you with a valuable health insurance solution. Here are some examples illustrating how a Student health plan (e.g. the Student Select plan offered by Fortis Health) might help you:
 
Situation #1 (College-Sponsored Plan too "Bare-Bones"):
Jack is heading off to college in the fall. At college, he'll be outside of the HMO network region of his parents' health insurance plan, but Jack's parents want to make sure he has adequate health coverage. They did some research and found that the health insurance plan offered through the college is too "bare bones," with lots of limitations on coverage.
 
Jack's Solution:
Jack's situation is ideal for Student Select. It was designed specifically for students who need greater coverage at an affordable rate while attending college. The Student Select plan offers a choice of deductibles, and because it is not an HMO or PPO plan, Jack can pick the doctor or hospital he wishes to visit. The plan allows for up to $1 million in protection for eligible expenses, including in-hospital and outpatient services, emergency care and surgery.
 
***
 
Situation #2 (Can't Afford a Traditional Individual Health Insurance Plan):
Amy will be attending college next semester. Her school requires that she have some type of health insurance prior to the start of school. However, Amy doesn't have health insurance through her parents. And, she just can't afford the cost of a traditional individual health insurance plan. She can't risk going without coverage, but she needs a plan that will fit her tight budget.
 
Amy's Solution:
In many cases, Student Select costs less than a traditional individual health insurance plan. It was designed specifically for students who need quality coverage at an affordable rate while attending college.
 
***
 
Situation #3 (Graduate Student No Longer Eligible for Parents' Plan):
Bob is in graduate school and is about to turn 24-years old. He just found out that once he does, he will no longer be covered under his parents' health plan. His parents are worried about him not having health insurance.
 
Bob's Solution:
Student Select is ideal for Bob's situation. The plan is available to full-time graduate students and coverage can be obtained as early as the next day. Enrollment is simple and premiums are affordable. Best of all, Student Select is guaranteed renewable. This means that, provided that Bob attended school full time for 31 days after the policy effective date, Bob can keep the plan as long as he needs i