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Adverse Selection vs. Moral Hazard

You’re probably familiar with adverse selection because we’ve heard about it A LOT since the Affordable Care Act was signed into law. Adverse selection normally occurs when one party in a transaction has … See more

Actived: 6 days ago

URL: https://learn.ahcpsales.com/blog/adverse-selection-vs-moral-hazard

What you need to know about the ACA grace period

WebThree-Month Grace Period for people receiving an APTC. Once a policy is effective, the premium is typically due around the first of every month. If the premium is not paid by the …

Category:  Health Go Health

How much do doctor visits cost

WebIn Dallas, the average primary care physician would charge $189 for a 30-minute visit but would contract with the insurer for $88, which is what the member would …

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Individual Plan Offerings in 2024

WebAs you probably know, 2023 saw the introduction of several “standardized” individual health plans designed by the Department of Health and Human Services (HHS).

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When can individuals waive group coverage and get a subsidy

WebAs SHRM explains, that penalty in 2022 is $2,750 per full-time employee with the first 30 excluded. So, a company with 100 full-time employees that fails to offer …

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HSA and ACA Limits for 2024

WebThe Internal Revenue Service has announced the 2024 deductible, out-of-pocket, and contribution limits for Health Savings Accounts (HSA). Here they are: Compared with …

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How to Sell Health Insurance Over the Phone

Web7. Be sincere. Try to avoid sounding like you have a scripted sales pitch prepared when you speak to a client over the phone. Sincerity comes across in your voice, inflection, and …

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How to Determine When Medicare is Primary

WebThe 20 or more employee requirement is met if the employer employed 20 or more employees for each working day in each of 20 or more calendar weeks in the current or …

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Why People Find Health Insurance Confusing

WebThe problem is that the causes vary among different people—and sometimes there are multiple contributing factors. Here are just a few. 1. They learn about it infrequently. …

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How to Sell HMO Plans

WebIf the premium is $150 more per month for the broader network PPO plan which includes the preferred cardiologist that adds up to $1,800 per year. If the client sees the cardiologist …

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Why Slowing Down During Open Enrollment Is a Good Idea

WebDuring the busy open enrollment period, health insurance agents often find themselves racing against the clock, trying to assist as many clients as possible.

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What you need to know about Form 1095A

WebForm 1095-A contains important information about the Marketplace plans you or anyone in your household had in 2022, including premiums paid, premium tax …

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Medical Debt Remains a Big Issue for Consumers

WebIn 2019, the American Journal of Public Health published the results of an analysis about bankruptcies in the United States and concluded that medical bankruptcy is still common …

Category:  Medical Go Health

Can Employers Pay Their Employees’ Medicare Premiums

WebIn short, the government is saying that an employer cannot simply pay Medicare premiums for its active employees. However, if the employer offers group health insurance and …

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Understanding Facility Copayments

WebInstead, these facility copayments are fixed amounts that members are required to pay when they receive one of these more costly services. On some, but not all plans, the remaining …

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Health Insurance: Fixed vs. Variable Costs

WebA more likely scenario is that one family member would have a big claim, so we’ll also include that in our analysis. Best Case: $36,768 fixed costs + $0 variable costs = …

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How will Chat GPT change the health insurance industry

WebHealth insurance agents could benefit from ChatGPT in several ways. For one, ChatGPT could help agents handle a larger volume of customer interactions more efficiently. …

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Why You Should Work with an FMO (Part 1)

WebThis week, we’ll highlight reason number one that you should work with an FMO like AHCP: FMOs research and vet carriers and products for the agent. Imagine if you were opening …

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Four Different Types of Deductibles

WebIt gets even more confusing when a single term has multiple definitions that vary by the type of policy – and sometimes even within the same policy. For example, health insurance …

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