Brought to you by Alison Gordon Insurance Services, Inc. CA license #0780178

Claim

When you go to see an in-network doctor, they submit your medical bills (a claim for benefits) to the insurance company.   Or if you see an out-of-network doctor you submit the claim yourself (if you’re on a PPO).  Once received, the insurance company pays its portion and you might get an invoice from the doctor… Continue reading Claim

Metallic Tiers aka Minimum Coverage / Bronze / Silver / Gold / Platinum

Post Obamacare, all health insurance companies have to offer the same metallic tiers.  You can purchase these plans directly from the insurance company OR from your state exchange – but always contact an experienced broker to help you figure it out!  All companies have to offer these policies without a lot of differences (which might… Continue reading Metallic Tiers aka Minimum Coverage / Bronze / Silver / Gold / Platinum

Platinum / Minimum Coverage / Bronze / Silver / Gold aka Metallic Tiers

Post Obamacare, all health insurance companies have to offer the same metallic tiers.  You can purchase these plans directly from the insurance company OR from your state exchange – but always contact an experienced broker to help you figure it out!  All companies have to offer these policies without a lot of differences (which might… Continue reading Platinum / Minimum Coverage / Bronze / Silver / Gold aka Metallic Tiers

Gold / Platinum / Minimum Coverage / Bronze / Silver aka Metallic Tiers

Post Obamacare, all health insurance companies have to offer the same metallic tiers.  You can purchase these plans directly from the insurance company OR from your state exchange – but always contact an experienced broker to help you figure it out!  All companies have to offer these policies without a lot of differences (which might… Continue reading Gold / Platinum / Minimum Coverage / Bronze / Silver aka Metallic Tiers

Silver / Gold / Platinum / Minimum Coverage / Bronze aka Metallic Tiers

Post Obamacare, all health insurance companies have to offer the same metallic tiers.  You can purchase these plans directly from the insurance company OR from your state exchange – but always contact an experienced broker to help you figure it out!  All companies have to offer these policies without a lot of differences (which might… Continue reading Silver / Gold / Platinum / Minimum Coverage / Bronze aka Metallic Tiers

Bronze / Silver / Gold / Platinum / Minimum Coverage aka Metallic Tiers

Post Obamacare, all health insurance companies have to offer the same metallic tiers.  You can purchase these plans directly from the insurance company OR from your state exchange – but always contact an experienced broker to help you figure it out!  All companies have to offer these policies without a lot of differences (which might… Continue reading Bronze / Silver / Gold / Platinum / Minimum Coverage aka Metallic Tiers

Minimum Coverage / Bronze / Silver / Gold / Platinum aka Metallic tiers

Post Obamacare, all health insurance companies have to offer the same metallic tiers.  You can purchase these plans directly from the insurance company OR from your state exchange – but always contact an experienced broker to help you figure it out!  All companies have to offer these policies without a lot of differences (which might… Continue reading Minimum Coverage / Bronze / Silver / Gold / Platinum aka Metallic tiers

Benefits

All the things your health, disability or Long Term Care insurance plan covers.

Actuarial value

What did God say when he created actuaries?  He scratched his head and said “Go figure!”  They took him literally.  Jokes aside, actuaries calculate the percentage that the insurance company covers versus what you cover.  So an 80/20 plan means they pay 80% of expenses and you pay 20%.  That’s the (very) short answer.