Oregon Health Insurance Plans

As an Oregon resident you will have access to two types of insurance plans:

  • Individual Health Insurance: If you’re not covered by an employer’s group health insurance plan this type of health insurance policy is purchased directly for you and your family. Insurance companies cannot deny coverage for preexisting medical conditions, and premium tax credits are available through the Affordable Care Act (ACA) for those who qualify.
  • Group Health Insurance: This is sometimes called employer-sponsored coverage or group medical or group health coverage. This type of plan is purchased by business and offered as an employment benefit for an employer’s eligible employees and eligible dependents. The employer selects the plan, or plans, to offer to employees. The employer is required to cover at least 50% of the lowest priced plan.

How to Design Your Oregon Health Insurance Plan

There are many ways to design a health insurance plan hence once the process begins adjustments are made to tailor coverage for your specific needs. When comparing health insurance plans, a business and family’s medical needs to be put under a microscope. We will evaluate and look at the amount and type of treatment you’ve received in the past. Though it’s impossible to predict every medical expense, being aware of trends can help you make an informed decision.

Main components to consider when evaluating a health insurance plan are its coverage and cost. Here are four questions to ask yourself and employees before a plan is decided on:

  1. Do you already have a favorite doctor or medical team? Eliminate plans that exclude your doctor.
  2. Make sure any plan you choose will pay for your regular and necessary care, like prescriptions and specialists.
    1. Does anyone take expensive medications on a regular basis? Are your prescriptions covered? Most plans divide prescriptions into cost tiers, so your cost may vary. If you’re taking prescription drugs, you can call the health insurance provider to confirm what your out-of-pocket cost will be.
    2. Do you or anyone have pre-existing conditions, is anyone planning to have children, is anyone expecting to undergo surgery, does anyone have a chronic condition?
  3. Where do you need coverage? Most HMO plans and PPO plans are regional networks, meaning they cover smaller geographic areas. If you travel consider POS or EPO plans. Eliminate plans that won’t service where you might be travelling.
  4. Costs are split between monthly premiums, and your out of pocket cost sharing (Deductible, Coinsurance, Copays and Out of Pocket Maximums). 

Purchasing Oregon Health Insurance Plans require guidance as insurance carriers offer many plan options. As an insurance broker I work with you to explore the amount and type of treatment you’ve received in the past and use this information to help you make an informed decision on what medical plan is right for you.

I will provide you with comparative Oregon Health Insurance Plan quotes from multiple insurance carriers so you can get the best possible rate.

As an insurance broker I help businesses and individuals throughout Oregon and the Pacific Northwest manage risk.