It’s no surprise that many Wisconsinites are concerned about the affordability of their health insurance.
According to a new survey, an overwhelming majority of Wisconsinites believe healthcare isn’t affordable.
The Wisconsin Policy Forum conducted the survey. It revealed that a whopping 84% of people in the state believe healthcare and health insurance are too expensive. The remainder of the respondents shows as split evenly. It split between those who thought health insurance was “just right” and those who thought it was “too cheap.”
Health insurance affordability has long been a concern in Wisconsin. For many years, the state has had some of the highest insurance premiums in the country. In addition, Wisconsinites pay some of the highest deductibles, copays, and out-of-pocket costs. This makes it difficult for those who are uninsured or underinsured to get the care they need.
The survey also found that concerns about healthcare coverage affordability had risen dramatically in the last year. In 2020, only 47% of respondents said they worried about health insurance affordability. Compare this to the 84% who responded in 2021.
This is a troubling trend, and it’s one that shows no signs of slowing down. With healthcare coverage costs continuing to rise, it seems that Wisconsinites will be living with this worry for some time to come.
Fortunately, there are options available to help make health insurance more affordable.
For example, the federal government offers subsidies to help offset the cost of insurance premiums. Additionally, Wisconsinites can apply for Medicaid if they earn too little to pay for coverage.
By taking advantage of these programs, Wisconsinites can get the insurance they need without breaking the bank. This is an important step in ensuring everyone in the state can access quality coverage.
It’s clear that health insurance affordability is a major concern for Wisconsinites. We should not be take this lightly. With the right resources and support, we can make sure everyone in the state has access to the coverage they need.
There is a wide range of opinions on the current U.S. healthcare system. Some people believe that the health system in the U.S. is the best in the world. After all, our health system provides high-quality care to those who can afford it. However, others believe that the healthcare system is in need of significant reform. It is too expensive, complex, and unfair. Surveys have consistently shown that the cost of healthcare is a major concern for many Americans. A significant percentage of the population supports the idea of universal healthcare, where a single-payer system covers everyone. While many people oppose the idea of universal healthcare, most believe it would be too expensive. Meanwhile, others value the freedom to choose their own providers and plans.
There are a number of reasons why some Americans do not prefer the current U.S. healthcare system.
Some common concerns include:
High cost:
The cost of healthcare in the U.S. often gets cited as a major problem. Many Americans struggle to afford the high cost of insurance premiums, deductibles, and copays. Due to this, folks may be unable to access the care they need because of the cost.
Lack of access to healthcare:
Despite being the world’s wealthiest country, the U.S. has a high rate of uninsured citizens. Hence, many people still cannot enjoy access to affordable healthcare.
Complexity:
The U.S. healthcare system often gets criticized for its excessive complexity. The wide range of insurance plans, providers, and regulations that can be difficult for people to navigate.
Limited choices:
In some parts of the U.S., there may be a limited number of providers or insurance plans available. This can limit people’s options and make it difficult to find the care they need.
Shortage of primary care doctors:
Another concern? There is a shortage of primary care doctors in the U.S., which can make it difficult for people to access routine health services.
High administrative costs:
Last but not least, the U.S. health system struggles chronically with having high administrative costs. Unfortunately, this tends to drive up the overall cost of medical care.
Lack of transparency:
Some people may feel that the health system is not transparent enough, with prices for procedures and treatments often being unclear or hard to obtain.
Are you looking for more affordable health insurance? Healthedly’s mission is to connect people with an affordable health insurance plan. Whether you are an individual or a family, our agents will do everything possible to ensure you are set up with health coverage, regardless of income or employment.
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Are you wondering if you should invest in an eye checkup for your kids? You may be wondering, why spend the money if generally, children’s eyesight hasn’t begun to decline yet. But you may be surprised by the numerous benefits of getting your children in to see an eye doctor.
Children’s eyes are still developing
Eye checks for children are important because children’s eyes are still developing and can be easily damaged if not properly cared for. Regular vision checks can help identify potential problems early on, allowing for timely treatment and preventing long-term loss of eyesight.
Preventing vision problems
Untreated vision problems in children potentially leads to a number of negative effects, including difficulty with schoolwork, decreased ability to participate in sports and other activities, and social and emotional difficulties. Children who struggle with vision problems may have trouble seeing the board at school, playing with friends, or reading, which can impact their overall development and well-being.
In addition, some eye problems, such as amblyopia (lazy eye) or strabismus (crossed eyes) can only be effectively treated if caught early. By having regular vision checks, parents ensure that their child’s eyes are developing properly and that any potential problems are detected and treated promptly.
Overall, regular vision checks for children are important for ensuring healthy ocular development and preventing long-term vision problems.
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There are a few key factors to consider when deciding whether to enroll in an ACA (Affordable Care Act) plan or a short-term health plan.
First and foremost, it’s important to understand the differences between the two types of plans. ACA plans, also known as “Obamacare” plans, provide comprehensive coverage for a wide range of medical services. This includes preventative care, hospitalization, and prescription drugs. These plans must meet certain requirements set by the federal government, such as covering pre-existing conditions. They also offer a minimum level of coverage.
On the other hand, short-term medical plans provide temporary coverage for unexpected medical expenses. These plans typically have lower premiums and offer more flexibility than ACA plans. However, they provide much less comprehensive coverage. Short-term plans typically exclude coverage for pre-existing conditions. They may not cover certain types of care, such as maternity or mental health services.
What are your health and medical needs?
One major factor to consider when deciding between an ACA plan and a short-term medical plan? Your current health and medical needs. For example, you have a chronic condition or expect to need a lot of medical care in the near future. An ACA plan is likely to be a better choice because of its comprehensive coverage. On the other hand, if you’re healthy and just want some protection against unexpected medical expenses, a short-term plan may be a good option.
Another important factor to consider is your budget. ACA plans can be more expensive than short-term plans, if you don’t qualify for subsidies to help lower your premiums. If you’re on a tight budget and need to save money on your health insurance, a short-term plan is a good option. However, keep in mind that you’ll likely end up paying more out of pocket for medical care if you have a short-term plan. These plans provide less comprehensive coverage.
Think long-term vs short-term when it comes to your health plan
It’s also important to think about the long-term implications of your decision. ACA plans seem more stable and predictable than short-term plans. They provide continuous coverage and can’t be canceled for reasons like getting sick or making a claim. If you’re looking for a long-term solution for your health insurance needs, an ACA plan may be a better choice.
Whether you choose an ACA plan or a short-term medical plan will depend on your individual circumstances and needs. ACA plans provide comprehensive coverage, but can be more expensive. Short-term plans are less expensive, but provide less comprehensive coverage.
Ultimately, the right choice for you will depend on your health, budget, and long-term needs. Healthedly offers a variety of plans, from
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As a young adult, chances are you have questions about your health insurance. So, here’s a rundown of how long a child or young person can stay on their parent’s health insurance, and what happens when your coverage runs out.
When Can I Stay on My Parent’s Health Insurance?
Thanks to the Affordable Care Act (ACA), you can stay on your parent’s health insurance until you turn 26. This is the case even if you have kids, qualify for another plan, start school, or live elsewhere. You don’t need to be dependent on your parents financially, either – it all comes down to age.
Can I Stay on My Parent’s Health Insurance After Age 26?
Not typically, but some states may have different age limits. New York, for example, allows under-29s to remain part of their parent’s health insurance plan if they can’t get employer-sponsored insurance. There’s also a nationwide exception for disabled persons aged 26 or over if:
They are mentally or physically disabled;
This disability means they cannot support themselves; and
The disability began before they turned 26.
Otherwise, your coverage ends when you turn 26. The coverage may not end immediately – it could be during your birthday month or the calendar year. This gives you time to shop around for your own insurance plan without leaving a gap in your coverage.
Can You Stay on Your Parent’s Health Insurance if You’re Married?
Yes. So long as you’re under 26, you can normally stay on your parent’s health insurance plan even if you’re married. However, you might opt to choose your own insurance plan instead – it depends on you and your family’s needs.
Should I Stay on My Parent’s Health Insurance?
It’s a personal choice. On the plus side, staying on your parent’s health insurance means there’s one less thing for you to worry about. You can rest easy knowing your healthcare needs are taken care of.
However, your parent’s plan might not actually be the best option for you financially. And if you live away from home, you might prefer to have more control over your own healthcare.
What Should I Do if I’m No Longer Covered by My Parent’s Health Insurance?
Turning 26 triggers a Special Enrollment Period (SEP). At this point, you can choose your own health insurance policy, whether it’s through your employer or the open marketplace.
Think about what type of coverage you need for your health.
If you have dependents or a family, consider a family health plan.
Can My Parents Remove Me From Their Health Insurance?
Yes. By law, health insurance issuers must offer coverage to under-26’s as part of their parent’s plan, but your parents can remove you from the plan before this date. At Healthedly, we can help you find, compare, and enroll in the best available individual and family health plans – call us today on (855) 522-2201.
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While you might be happy with your existing health insurance plan, it’s never a bad idea to explore your options and consider whether you might benefit from changing your coverage.
If you’re looking to update your health plan, you can make changes during certain months of the year known as “enrollment periods”. But how do the enrollment periods work, and when can you amend your existing coverage? At Healthedly, we understand the terminology can seem daunting, so here’s a breakdown of the difference between open and annual enrollment periods so you can see how they might apply in your situation.
Open Enrollment Period
The open enrollment period (OEP) is a time when you can change your health insurance. When is the open enrollment period? Well, the exact time frame depends on your provider, but it usually falls around October, November or December. Open enrollment for the ACA in 2022 runs from November 1st, 2022 to January 15th, 2023.
During the OEP, you can:
open a new policy
switch plans
amend your level of coverage
Who can use the OEP? Typically it applies to individuals who don’t have an employee-sponsored healthcare plan; for example, the self-employed. So, if you don’t have employee-sponsored health insurance and you want to change your plan to suit your evolving health needs, then this is your window of opportunity.
Medicare’s Annual Open Enrollment Period
Medicare has its own annual open enrollment periods. Here’s everything you need to know about it!
Medicare open enrollment period: If you have a Medicare policy, you can switch, change, or cancel your plan between October 15 and December 7.
Medicare Advantage open enrollment period: Individuals with Medicare Advantage plans can change, cancel, or switch their coverage between January 1 and March 31.
You could switch from Medicare Advantage to Original Medicare during this special enrollment period for Medicare customers.
Switch from a Medicare Advantage plan without prescription coverage to a Medicare Advantage with a Prescription Drug plan (or vice versa).
Switch to a new plan with a different provider
Annual Open Enrollment Period
The annual enrollment period (AEP) applies to individuals with employer-sponsored health insurance. During this window – which, again, usually falls between November and December – you can change your policy, join a new plan, amend your coverage, or cancel your insurance.
Check with your employer if you’re unsure when your annual enrollment period is.
Your employer may require you to take some affirmative action to renew your coverage each year, so double-check your policy to see if there’s anything you should do before the window ends.
Open Enrollment vs. Annual Enrollment
While you might sometimes see OEP and AEP used interchangeably, they are slightly different.
Anyone with an employer-sponsored health insurance plan can change their coverage during the annual enrollment period.
If you don’t have an employer-sponsored healthcare plan, you can change your coverage during the open enrollmentperiod.
Finally, if you have a Medicare plan, you can change it during the annual enrollment period which typically runs from October to December. And if you have a Medicare Advantage plan, you can make a one-time policy change between January and March.
Open Enrollment or Annual Enrollment: Which Is Right for You?
Ultimately, this comes down to your personal circumstances. Whether you use an open enrollment or annual enrollment period depends on:
what health insurance coverage you already have;
whether your employer covers your health insurance; and
what changes may be required to ensure your health insurance covers your needs.
At Healthedly, we know how confusing the health insurance market can be, and we’re committed to helping our clients choose the right coverage at the right time. Our friendly, experienced team can walk you through a range of health plans to suit your budget and your long-term care needs – and we can offer you free enrollment support when you need it most.
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Everyone understands the importance of protecting both your physical and financial health. There’s no better feeling than waking up in the morning knowing that you’re healthy, confident, and secure. A sound peace of mind can definitely be attributed to expecting the unexpected and being prepared for all obstacles life throws at you. However, a major health issue such as heart attack, strokes, and heart attacks never come at a good time, often leaving a substantial financial burden long after recovery. Even with a personal health plan, out-of-pocket costs can start to add up.
Although less common amongst younger people, a dramatic health event can still take place. According to the American Stroke Association, the incidence of stroke among adults ages 49 and younger in the U.S. has continued to increase over the last 30 years.[1]
Planning ahead can remedy much of the financial burden a major health problem can put on you. A supplement health policy is one way you can alleviate some of that strain.
Cancer’s effect on bodies, minds, and finances:
1.9 Million new cases of cancer will be diagnosed in 2022[2]
40% of men in the U.S. are at risk of getting cancer[2]
One-third of women in the U.S. are at risk of getting cancer[2]
$174 Billion Total projected cost of cancer care in 2020 [3]
Not only can this insidious disease be incredibly detrimental to the patient’s physical health but also their financial health. Moreover, preventative screenings are one way to avoid costs building up, by catching risk factors early can save you money in the long run.
Cervical Cancer– recommend screening age starting at age 25
Breast Cancer– recommended screening age starting at age 45, starting at 40 optional
Colorectal Cancer– recommended screening age starting at 45
Lung Cancer– recommended screening age starting at 50
Prostate Cancer– talk to your doctor starting at 45
Cardiovascular disease is one of the main causes of heart attacks and strokes. Taking control of one’s own health includes getting the recommended screenings and taking steps to control your financial wellbeing.
Every 40 seconds someone in the U.S. suffers from a heart attack [5]
The #1 cause of death for all people in the U.S. is heart disease. [2]
~805,000 people in the U.S. each year have a heart attack [5]
Every 36 seconds someone in the U.S. dies of cardiovascular disease. [6]
There’s an increasing trend in the occurrence of strokes at younger ages, which is of great public health concern. Strokes in younger patients can lead to the potential for disability resulting in a greater lifetime burden for the patients and their loved ones.[7]
An example of one of those burdens are medical bills which can exceed the costs of any other monthly living expenses.
66.51% of bankruptcies are caused by medical issues [9]
2+ million people are adversely affected by medical issues [10]
~530,000 families go bankrupt due to medical debt [11]
If you are uninsured or looking for low cost options on individual or family insurance,Get a quote here!
For information about Cigna Flexible Choice Cancer and Heart Attack & Stroke policies,click here!
Sources Cited:
1)American Stroke Association Newsroom, February 3, 2022; https://newsroom.heart.org/news/u-s-stroke-rate-declining-in-adults-75-and-older-yet-rising-in-adults-49-and-younger
2)Cancer Facts & Figures 2022, American Cancer Society;
3) Projections of the Cost of Cancer Care in the United States: 2010–2020;www.nih.gov
4) American Cancer Society Screenings by Age, American Cancer Society; https://www.cancer.org/healthy/find-cancer-early/get-screened.html?gclid=EAIaIQobChMImJD3qsfD9wIV8hHnCh1rgQSAEAAYASAAEgKp0_D_BwE#age
5) Fryar CD, Chen T-C, Li X. Prevalence of uncontrolled risk factors for cardiovascular disease: United States, 1999–2010 pdf icon[PDF-494K]. NCHS data brief, no. 103. Hyattsville, MD: National Center for Health Statistics; 2012.
6) Centers for Disease Control and Prevention. Underlying Cause of Death, 1999–2018. CDC WONDER Online Database. Atlanta, GA: Centers for Disease Control and Prevention; 2018.
7) Yahya, Tamer, et al, Stroke in Young Adults – Current trends, opportunities for prevention and pathways forward, American Journal of Cardiology, June 2020; https://www.sciencedirect.com/science/article/pii/S2666667720300854
8) “Medical debt is the leading cause of bankruptcy, data shows: How to reduce your hospital bills”, Fox Business.com, October 25, 2021; https://www.foxbusiness.com/personal-finance/medical-debt-bankruptcy-hospital-bill-forgiveness.
9) David U. Himmelstein, et al. “Medical Bankruptcy in the United States 2007: Result of a National Study”, pubmed.gov; https://pubmed.ncbi.nlm.nih.gov/19501347/
10) “Medical Bills: The Leading Cause of Bankruptcy in the U.S., Apex EDI, May 25, 2018; https://apexedi.com/medical-bills-the-leading-cause-of-bankruptcy-in-the-united-states/.11) American Public Health Assoc study,”Medical Bankruptcy: Still Common Despite the Affordable Care Act”, aphapublications.org, March 2019.
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Special Enrollment Periods (SEPs) are a specific time frame during which individuals and families can enroll in a health insurance plan outside of the standard open enrollment period. SEPs are typically triggered by certain life events, such as getting married, having a baby, or losing employer-sponsored coverage.
It’s important to understand that SEPs have strict eligibility requirements and time frames, and failing to enroll during an SEP can result in a gap in coverage or a tax penalty. Here’s what you need to know about SEPs:
Eligibility Requirements
SEPs are only available to individuals and families who experience a qualifying life event, such as:
Marriage
Divorce
Birth or adoption of a child
Loss of employer-sponsored coverage
Moving to a new area with different health plan options
Gaining citizenship or legal resident status
Leaving incarceration
It’s important to note that SEPs are not available to individuals who simply decide they want to change health plans outside of the open enrollment period. You must have a qualifying life event in order to be eligible for an SEP.
Time Frames
SEPs have strict time frames during which you must enroll in a health plan. The time frame begins on the date of the qualifying life event and typically lasts for 60 days. However, the exact time frame can vary depending on the specific life event and the state in which you live.
For example, if you get married, the SEP begins on the date of your marriage and lasts for 60 days. If you have a baby, the SEP begins on the date of your child’s birth and lasts for 60 days. It’s important to enroll within this time frame, as failing to do so may result in a gap in coverage or a tax penalty.
Coverage
SEPs allow you to enroll in a health insurance plan outside of the standard open enrollment period. This means that if you experience a qualifying life event, you can enroll in a health plan even if the open enrollment period has already ended.
It’s important to note that SEPs do not guarantee coverage. If you enroll in a health plan during an SEP, the plan may still have a waiting period before coverage begins. This means that you may have a gap in coverage between the date of your qualifying life event and the date that your coverage begins.
Plan Options
During an SEP, you have the option to enroll in any plan that is available through the marketplace. This includes both individual and family plans. It’s important to compare different plan options and consider factors such as premiums, deductibles, and out-of-pocket costs before making a decision.
It’s also important to note that SEPs do not guarantee that you will be eligible for subsidies, such as premium tax credits or cost-sharing reductions. If you are eligible for subsidies, you must enroll during the open enrollment period in order to receive them.
Enrolling in a Plan
To enroll in a health plan during an SEP, you must complete an application through the marketplace. The application will ask for information about your qualifying life event, as well as your personal and financial information.
You will also need to provide proof of your qualifying life event, such as a marriage certificate or a birth certificate. It’s important to provide all required documentation in order to ensure that your application is processed smoothly.
If you are approved for coverage, you will receive a notice of eligibility. This notice will include information about your premium, deductible, and out-of-pocket costs. You will then have the opportunity to select a plan and enroll in coverage.
If you have any questions about SEPs or the enrollment process, you can contact the marketplace or a licensed insurance agent for assistance. It’s important to get the help you need to make an informed decision about your health coverage.
In summary, SEPs are a specific time frame during which individuals and families can enroll in a health insurance plan. This period is outside of the standard open enrollment period. SEPs are triggered by certain life events, such as getting married or having a baby. These events have strict eligibility requirements and time frames. It’s important to understand SEPs and to enroll within the designated time frame to avoid gaps in coverage or tax penalties.
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Currently, Medicaid is at an all-time high in terms of enrollment.
Medicaid is a federally funded health insurance program that provides coverage to low-income individuals and families. It is administered by the states, and each state has its own eligibility requirements and benefits. Medicaid is a crucial safety net for millions of Americans. This provider gives access to healthcare services that otherwise may not be affordable.
According to data from the Centers for Medicare and Medicaid Services (CMS), there are currently more than 73 million people enrolled in Medicaid. This is an increase of nearly 10 million people since the beginning of the COVID-19 pandemic.
There are several factors contributing to the high increase in Medicaid enrollment.
One of the main factors is the economic impact of the COVID-19 pandemic.
Many people have lost their jobs or seen their hours reduced. This has led to a loss of employer-sponsored health insurance. These individuals may be eligible for Medicaid coverage. Many have turned to the program as a way to ensure that they have access to healthcare.
Another factor contributes to the increase in Medicaid enrollment. This factor is expansion of the program under the Affordable Care Act (ACA).
Prior to the ACA, Medicaid was only available to certain low-income individuals and families. For example, it was available to individuals such as pregnant women, children, and disabled adults. The ACA expanded Medicaid to cover all adults with incomes up to 138% of the federal poverty level. As a result, more people became eligible for Medicaid coverage, leading to an increase in enrollment.
Despite the increase in Medicaid enrollment, there are concerns about the future of the program. One concern is the potential for Medicaid funding to be cut. Medicaid is a jointly funded program. The federal government provided a portion of the funding and the states providing the rest. If the federal government reduces its funding, it could lead to cuts in Medicaid benefits or the reduction of services.
There are also concerns about the potential for Medicaid to be transformed into a block grant program.
Under a block grant program, the federal government would provide a fixed amount of funding to each state, rather than funding based on the number of people enrolled in the program. This could lead to states having to make tough decisions about who is eligible for Medicaid coverage and what benefits are available.
Despite these concerns, it is important to remember the vital role that Medicaid plays in providing access to healthcare for millions of Americans.
Medicaid has been a lifeline for many people during the COVID-19 pandemic. It is crucial that the program is protected and maintained.
One way that Medicaid can be protected is through advocacy and activism. If you are concerned about the future of Medicaid, consider contacting your elected officials and expressing your support for the program. You can also get involved in advocacy organizations or groups that are working to protect Medicaid and other safety net programs.
In conclusion, Medicaid is at an all-time high in terms of enrollment, but there are concerns about the future of the program. It is crucial that Medicaid is protected and maintained, as it plays a vital role in providing access to healthcare for millions of Americans. If you are concerned about the future of Medicaid, consider getting involved in advocacy and activism to protect the program.
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Deductibles are an important aspect of insurance coverage, and it’s important to understand how they work in order to make the most of your insurance policy. Here’s what you need to know about deductibles:
What is a deductible?
A deductible is the amount of money you agree to pay out of pocket before your insurance company will cover the rest of the expenses. For example, let’s say you have a $1,000 deductible and a medical bill for $10,000. You would be responsible for paying the first $1,000 and your insurance company would cover the remaining $9,000.
Why do deductibles exist?
Deductibles serve two main purposes. First, they help reduce the overall cost of insurance. They require policyholders to pay a certain amount out of pocket before the insurance company covers the rest. This helps to lower the premiums that policyholders pay. Second, deductibles help to ensure that policyholders are more careful about using their insurance coverage. If policyholders know that they’ll have to pay a certain amount out of pocket before the insurance company covers the rest, they may be more hesitant to use their insurance for minor issues and only use it for major expenses.
How are deductibles calculated?
Deductibles are usually calculated based on a percentage of the policy’s coverage limit. For example, if you have a policy with a coverage limit of $100,000 and a deductible of 10%, your deductible would be $10,000. However, some policies may have a fixed deductible amount, regardless of the coverage limit.
Can deductibles be waived or reduced?
In some cases, deductibles can be waived or reduced. For example, you have a high deductible health plan (HDHP) and you meet certain criteria, such as having a certain level of preventive care services. In this case, your deductible may be waived or reduced. Additionally, some insurance policies may offer deductible waivers or reductions. Especially if you have a history of good driving or no claims on your policy.
How do deductibles affect my insurance coverage?
The higher your deductible, the lower your premiums will generally be. However, this means you’ll have to pay more out of pocket before your insurance company covers the rest of your expenses. On the other hand, if you have a lower deductible, your premiums will generally be higher. But, you’ll have to pay less out of pocket before your insurance company covers the rest of your expenses.
It’s important to carefully consider your deductible when choosing an insurance policy. If you’re comfortable with paying more out of pocket in exchange for lower premiums, a higher deductible may be a good option for you. However, let’s say you’re not comfortable with the idea of paying a large amount out of pocket. In this case, a lower deductible may be a better option.
Overall, understanding how deductibles work is an important aspect of insurance coverage. You need to know how they’re calculated and how they can affect your insurance policy. Therefore, you can make an informed decision about the right deductible for your needs.
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