Finding the right health insurance plan can feel like a maze. Whether you’re searching for coverage just for yourself or for your entire family, understanding your options is crucial. Let’s dive into the world of individual and family health insurance plans, with a special focus on what’s available to Minnesotans in 2024.
Health insurance plans come in two main flavors: individual and family.
Individual Plans cover just one person. If you’re flying solo, this is your go-to. You’ll need to meet your deductible before your insurance kicks in to help pay for your healthcare costs.
Family Plans cover at least two people, whether that’s you and a spouse, you and a child, or a whole brood. These plans come with two types of deductibles:
Family Deductible Plans have a single deductible for the entire family. Once the combined healthcare costs of all family members meet this deductible, coinsurance kicks in for everyone.
Family Plans with Individual Deductibles (Embedded Deductibles) give each family member their own deductible, alongside a family-wide deductible. If one person hits their individual deductible, coinsurance starts for them. If the combined costs meet the family deductible, coinsurance applies to everyone.
Choosing between these plans often comes down to your family’s health needs. High-deductible plans are great if your family is healthy and mostly needs preventive care. They come with lower premiums but higher deductibles and out-of-pocket maximums. They often offer Health Savings Accounts (HSAs) to help manage costs. On the flip side, low-deductible plans are better if you expect more frequent doctor visits or have ongoing medical needs. They have higher premiums but lower deductibles and out-of-pocket maximums.
No matter which type of plan you choose, there are some universal benefits you can count on:
You should check with a broker to ensure these essential services are included in your coverage.
Now, let’s zoom in on what’s specific to Minnesota. If you’re living in the Land of 10,000 Lakes, here’s what you need to know for 2024.
The individual health insurance market is designed for those without employer-based coverage and who aren’t eligible for public programs like Medicare, Medicaid, or MinnesotaCare. This means if you fall into these categories, there are plans out there tailored just for you.
In 2024, Minnesotans can choose from five approved health insurers offering a total of 22 networks. Seventeen of these networks are available through MNsure, Minnesota’s official online health insurance marketplace.
You can purchase individual and family health coverage through MNsure, via insurance agents or brokers, or directly from the health plans themselves. MNsure is a fantastic resource because it allows you to compare different plans and is the only place to apply for financial help to lower your premiums and out-of-pocket costs. They also offer free in-person assistance through a network of certified navigators and brokers.
The Minnesota Department of Commerce oversees the rates for individual market products. They ensure that the rates are fair and justified. For detailed information on how rates are determined, you can visit their website.
Health insurers in Minnesota must meet certain geographic access standards to ensure you have adequate access to care. In cases where they can’t meet these standards, they must submit a Provider Network Waiver request. You can review these waivers on the Minnesota Department of Commerce’s website.
Choosing the right health insurance plan is a big decision, but with the right information, you can make a choice that best fits your needs. Here’s a quick recap:
Understand the difference between individual and family plans.
Know the benefits and coverage you’re entitled to.
If you’re in Minnesota, take advantage of MNsure for comparing plans and applying for financial assistance.
Consider your family’s health needs when deciding between high-deductible and low-deductible plans.
For further information and personalized assistance, don’t hesitate to reach out to MNsure or your local insurance agent. They’re there to help you navigate the maze of health insurance and find the plan that’s right for you.
Remember, informed decisions are the best decisions. Reach out to us for more information on MNSure, Individual and Family plans, or health insurance in general.
We are glad to be afforded the opportunity to assist residents of Minnesota, Wisconsin, and North Dakota in the selection of a health plan. Note that if you fall outside of this service area we hope to still be able to assist you in finding someone who can help.
We do not offer every plan available in your area. Currently we represent 10 organizations which offer 64 products in your area. Please contact Medicare.gv or 1-800 MEDICARE or your local State Health Insurance Program to get information on all of your options.