I am in the process of launching a new business and started to look at individual health insurance plans and need advice.
One of the issues that I am concerned about is that I am on a required medication that costs $400. each month. I looked at individual plans and the deductibles are over $5k, and a monthly fee of between $500-$850.
There must be better alternative solutions these days given the number of freelancers, influencers, creators, consultants, and startups. Does a group plan or community exist that I am unaware of?
These are the sites that I used to get the estimates that I mentioned above:
Any advice will be much appreciated!
Hello,, There are numerous options out there for small self-employed just like the large corporations. Your just looking at the package deals on your lists above. I've been a broker/ consultant for 20+ yrs and own a national brokerage amongst my other entrepreneurial endeavors. If you own a business there are other avenues and if you have W2 staff there are even more.
Shoot me an email through this site and I can help direct you to options.
A few options you may not have considered:
Health Sharing Ministries - https://wellkeptwallet.com/health-sharing-plans/
These are not insurance, but serve some of the same purpose, and are much less expensive, thanks in part to being voluntary non-profit organizations relatively free of regulation.
You can see an example of how this might help with your prescription costs - Christian Healthcare Ministries partners with Ageility for prescription discounts, you can see the prices listed here: http://chm.agelity.com/pharmacy_tools.aspx
ICHRA - if facing the same question for employees, consider providing an ICHRA instead of directly providing insurance https://www.takecommandhealth.com/ichra-guide
ICHRAs are new as of 2020, and they allow you to provide a tax-advantage Health Reimbursement Account that can be used to buy personal insurance by your employees. This enables more choice for the employees - they can decide how to prioritize their health care spending, and what manner of car is appropriate to them.
Shop Around for prescriptions
The importance of shopping around to decrease you large recurring costs can not be overstated - a small $10/month savings will add up to thousands of dollars over your life. The online discount pharmacy space is really picking up, check our services such as:
Justworks is a good option
Let's have a chat and we'll get you situated into a plan that will take care of your specific requirements. Jose@StartupsShowcase.com
I took the opposite approach - found a much lower priced PPO plan from Blueshield of California with $5,000 deductible and $6,500 out-of-pocket max for in-network providers. Also, $45 for in-network doctor visits and tests. The annual savings in premium is over $10,000 which pays for the deductible and more.
I suspect that much of your frustration is that you're attempting to solve the insurance problem yourself instead of taking up the assistance of an insurance broker (or multiple brokers). This is the purpose of someone who is an insurance professional that can do the hard work of evaluating options for you. It doesn't cost extra. And they answer this question every single day, whereas you're starting from scratch.
Stop the heavy lifting on your own, engage a broker or two to listen to your concerns and who will offer you many options. It will be much easier than you learning the insurance business. @Ben had some other non-traditional suggestions, but your broker can also talk to you about these approaches compared to more traditional options.
It's literally what they're out there to do, help you find a plan that you can afford with the benefits you want. Don't be your own broker. You will never know as much as someone who does it for a living. They get paid by the insurers, so it costs you nothing to talk to them.