
Portal Center
What type of coverage are you looking for?
A+ rated carriers
Supplemental
Accident & Injury
Cancer | Heart | Stroke
Critical Illness

Key Factors
What you need to focus on when finding a health policy
Your ticket to peace of mind!
What is it?
The regular payment you make to keep your health insurance active.
Key details
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Covers medical care access.
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Varies by age, health, plan, & geographic location.
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Due monthly to avoid lapses; can be paid quarterly or annually.
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Why it matters
Keeps your coverage running smoothly & active.

Finally, insurance starts to contribute!
What is it?
The percentage of medical costs you pay after your deductible is met
Key details
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Example: 20% co-insurance = you pay 20%, insurance pays 80%.
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Applies to covered services.
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Why it matters
It splits costs with your insurer, impacting your expenses.
$2,500
$5,000
MAX
OUT OF POCKET
Health Deductible
Co-Insurance Ex.:
Insurance Co pays 80%
Insurer pays 20%
Health Deductible
What is it?
The amount you pay out-of-pocket for medical services before insurance kicks in.
Key details
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Varies by plan.
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Higher deductible = lower monthly premium.
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Lower deductible = higher monthly premium.
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Resets annually.
Why it matters
You cover initial costs, so choose a plan that fits your budget.
$0
$2,500
$5,000
Providers & Facilities for you.
What is it?
A group of doctors, hospitals, and providers contracted with your plan for discounted care.
Key details
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In-network providers have pre-negotiated lower rates.
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Out-of-network care often costs more or isn’t covered.
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Check your plan’s directory to find network providers.
Why it matters
Staying in-network maximizes savings and ensures your care aligns with plan benefits.

Pharmacy bills made lighter!
What is it?
Insurance that reduces the cost of prescription medications. Depending on the policy, most aren't covered at 100%.
Key details
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Tiers: Generic (lowest cost, e.g., $10 co-pay), preferred brand (mid-range, e.g., $30), non-preferred brand (higher, e.g., $60), and specialty (highest, often $100+ or coinsurance).
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May require a separate deductible.
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Co-pays or coinsurance vary by tier.
Why it matters
Lowers drug expenses, with tiers encouraging cost-effective choices while ensuring access to needed meds.
You're covered the rest of the year.
What is it?
The yearly limit on what you pay for covered medical costs.
Key details
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Includes deductible, co-insurance, co-pays.
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After hitting it, insurance covers 100%.
Why it matters
Caps your financial risk for healthcare. God forbid the worst happens, there's a limit or 'Max' for what you could be responsible for per year.
Max Out-of-Pocket Achieved
Flat rates, no surprises!
What is it?
Fixed fees you pay for specific healthcare services, like doctor appointments or prescriptions.
Key Details
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Examples: $15 for a primary care visit, $50 for a specialist.
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Determined by your plan’s structure.
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Often apply even before meeting your deductible.
Why it matters
Co-pays offer predictable costs, making healthcare visits easier to budget for without surprise bills.

Summary of benefits
Before Deductible
After Deductible
$15
$15
Primary Care Doctor
$50
$50
Specialist Visit
Urgent
Care
$75
$75
ER Visit
$300
$300











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