Baygroup Insurance

Maryland's premier Long-Term Care insurance agency

Frequently Asked Questions - Health Insurance

Why choose Baygroup Insurance?
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Baygroup Insurance has over 40 years of combined experience in the Long-Term Care insurance (LTCi), life, disability, and health insurance markets.  Baygroup Insurance is a brokerage, which means they offer a selection of top insurance carriers to choose from.  They have sold over xxx LTCi policies. Their track record on service and follow-through are second to none.  LINK TO TESTIMONIALS.   Baygroup Insurance makes educating prospective clients a priority so that they can make an informed decision when purchasing insurance products for themselves and their families.  

Within the group, Melissa Barnickel is a CPA as well as having a CLTC (Certified in Long-Term Care) designation.  With her financial background she is able to pick up where many agents leave off.  Her overall accounting knowledge helps clients feel comfortable with their financial decisions.  When prospective clients leave a meeting with Melissa, they have a better understanding of what LTCi is and how it provides the funding for a long-term care plan.  Melissa also educates and assists her clients with their health, disability, and life insurance needs to meet their financial goals. 

Ed Hutman has a CLTC designation.  Ed has a knack that allows people to truly understand the impact of not planning for a long-term care event and the details and options offered with LTCi. Ed has knowledge and experience with groups that have offered LTCi to their employees as a benefit option.  When working with Ed, employers and individuals gain an understanding of how LTCi will benefit them.  Ed also helps employers and individuals gain understanding about health, disability, and life insurance products.

Insurance provides the cash flow to pay for professionals to provide care in a variety of settings. Family members maintain their emotional and physical wellbeing by supervising the care rather than providing the care.  Retirement income can continue to fund the lifestyle planned, as opposed to setting aside funds, "just in case" an extended care event takes place.  Insurance also preserves financial commitments to family members.  

What is a health insurance deductible?
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The amount of money paid out-of-pocket before an insurance carrier begins to pay for your medical expenses.  For example, with a $200 deductible, and a $450 health care bill, the insured would pay $200 and the health insurance company would pay $250.

What does it mean if a doctor is "in network"?
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A network is a group of doctors, specialists, or health care venues that have agreed to take insurance from a particular company.  If you have particular doctors or hospitals that you prefer to use for your health care, it is a good idea to make sure that they are "in network" for the insurance plan that you are planning on purchasing.  Because your insurance company already has an agreement with "in network" providers, you pay less money for health care services provided by health care professionals that are "in network" than you would pay to see a professional that is "out of network."

Are there different types of plans for group health insurance?
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Yes, companies offer a variety of products within a few different employer size groups: small (2-50 employees), mid-sized (50-99 employees) or large (over 100 employees).  Benefit summaries provide an easy way to compare plan benefits.  

What health conditions and treatments will be covered for my employees under my group health plan?
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Federal and states mandate minimum benefit requirements for group health plans.  Beyond these, you will be able to elect plan designs from those offered carrier selected.  Baygroup Insurance can help you understand your options and cost.

How many employees must enroll in a group health insurance plan?
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A certain level of employee participation is mandated in many states in order for employers to offer a group health plan.  This number is usually around 75%.  This is required so the group plan is not covering only those employees who have health conditions requiring expensive treatment.

How much do employers pay for group health insurance?
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The amount will vary based on location, benefits, carrier and average age of employees.  The employers generally share some of the cost for each employee participating.

When is the best time to purchase a Medigap insurance policy?
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The best time to purchase a Medigap insurance policy is during your Medigap open enrollment period.  During this time, you are guaranteed the right to buy a policy regardless of your health status.  For more details on Medicare Enrollment Periods, see http://www.medicare.gov/Publications/Pubs/pdf/11219.pdf

When is the Medigap open enrollment period?
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The Medigap open enrollment period is different for everyone.  This is the period of time that begins on the first fay of the month that you are both 65 or older and enrolled in Medicare part B.  During your Medigap open enrollment period, the insurance company that you purchase Medigap coverage from cannot use medical underwriting when you purchase your policy.  This means that even if you have a health condition that may normally negatively affect your health insurance rating or premium, it will not be taken into consideration during your Medigap open enrollment period. 

Will my Medigap policy cover prescriptions?
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No, Medigap policies no longer offer prescription drug coverage.  Medicare Part D covers prescription drugs.

Can my Medigap policy be cancelled if my health changes?
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No.  Your Medigap policy is guaranteed renewable. As long as you pay your policy premiums on time, it cannot be cancelled by the insurance company.

Can my spouse and I purchase a Medigap policy together?
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No.  Each Medigap policy covers only one person.  If you and your spouse would both like Medigap insurance, you will have to purchase two separate policies.