I'm healthy and barely use my coverage, but I'm still paying more every year. Why isn't there a discount for people like me?
Answered by 14 licensed agents
Answered by Valentina Gatewood on April 15, 2025
Broker Licensed in CA, AZ, ID & NJ
Answered by Misty Bolt on May 12, 2025
Agent Licensed in TN, AL, AR & 45 other states
Premiums can be increased over time because of several factors, including:
1) Risk Pooling - premiums of many individuals, both healthy and unhealthy, are pooled together to cover the healthcare costs of everyone in the group.
2) Rising healthcare costs, inflation, and administrative costs.
Discounts for healthy people are not allowed because of adverse selection. Insurance companies are not allowed to discriminate or offer extra benefits to anyone.
Answered by Diana Garner on May 27, 2025
Broker Licensed in KY, FL, IN, OH & TN
Answered by Dionisio Guillermo on May 30, 2025
Agent Licensed in HI
Risk Pooling: Health insurance operates on the principle of risk pooling. This means that the premiums paid by all insured individuals contribute to a fund that covers the healthcare expenses of those who need it. Healthy individuals subsidize the costs for those who are less healthy.
Community Rating: The Affordable Care Act (ACA) requires community rating. This means that insurance companies generally cannot charge individuals different premiums based on their health status or pre-existing conditions.
Age: Age is a factor in determining premiums. Older individuals generally pay more because they are statistically more likely to have health issues and require more healthcare services.
Inflation and Healthcare Costs: Healthcare costs have consistently increased due to factors like the rising prices of medical services, prescription drugs, and technology.
Coverage and Benefits: The scope of coverage and the benefits offered by a health insurance plan also affect the premium costs. Plans with more comprehensive benefits tend to have higher premiums.
Cost-Sharing: Plans have cost-sharing features like deductibles, copayments, and coinsurance. These require the insured to pay a portion of their healthcare costs, which affects the overall premium.
It's important to note that, while a healthy individual may feel they are subsidizing others, the system is designed to spread risk and ensure access to care for everyone.
Answered by Fred Manas on May 14, 2025
Agent Licensed in NY, CT, DC & 7 other states
Give me a call at 737-530 -4626 pick option two. That is my direct number and if I'm busy leave a message and I'll call you back
Answered by Gary Henderson on April 10, 2025
Agent Licensed in TX, AK, AL & 46 other states
Answered by Suzanne Lamperti on April 16, 2025
Broker Licensed in MD
Answered by Andre Cabral on April 16, 2025
Agent Licensed in NJ
Answered by Rachael Metcalf on April 10, 2025
Agent Licensed in TN, FL, GA & 5 other states
I explain all the options and risks both medically and financially so you can make an educared decision.
Answered by Robert Remin on May 19, 2025
Agent Licensed in NY, CT, FL & NJ
Answered by Ceranes Lejulus on April 10, 2025
Broker Licensed in FL, AL, AR & 19 other states
Whether you have a Medicare Supplement plan or a Medicare Advantage plan, it’s extremely important to work with a broker who takes the time to do a thorough comparison. I meet with clients every day who think they have a great plan—until we sit down and go over the details. That’s when the surprises start. Often, they’re shocked by what their current broker never told them, or just plain confused about the fine print.
If you have a few minutes, I’d love to do a no-cost, no-obligation comparison for you. It won’t cost you anything, and it might just save you a lot.
Give me a call anytime at 929-639-4663 — I’m here to help.
David Alelishvili
Answered by David Alelishvili on April 14, 2025
Broker Licensed in NY
Answered by Todd Poe on April 9, 2025
Agent Licensed in FL, AL, AZ & 30 other states
Answered by Michael Claunch on April 28, 2025
Agent Licensed in TN
Tags: The Medicare System
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