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Express Financial & Insurance Services

3222 Santa Monica Blvd
Santa Monica, CA 90404

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How Does Health Insurance Work?

There are many people in Santa Monica, CA who know they need insurance and even some that have insurance that really do not understand how it works. We here at Express Financial & Insurance Services hope this simple guide can help clear up some of the confusion, starting with common insurance terms. 

Insurance Terms to Know

Premium

The premium is basically your monthly bill to keep your insurance. 

Deductible

This is the amount you must pay each year before your insurance actually begins to cover you. The premium and the deductible tend to go hand-in-hand. Often, the higher the deductible, the lower the premium.

Copay

Most insurance plans require that you pay a flat fee for covered things, such as $20 for a doctor’s visit or $10 for a prescription. 

Covered Costs

These are quite simply the items and services that your insurance will pay for, such as certain medical tests or specific operations.

Network

These are the doctors and pharmacies you can go to in order for your insurance to cover you.

Formulary

This is a specific list of prescription drugs that your insurance covers.

How It Works

Health insurance is very similar to auto insurance in many ways. Every month, you pay your premium. For most people, insurance is not needed every month, but it is there when you do need it. You might not have an auto accident for a decade, but if you do, your auto insurance is there to help you get back on the road. If we had to pay for the damage out of pocket, most of us would be stuck without a vehicle.

The same is true with health insurance. You might not break a bone every day, but if it suddenly happens, that health insurance is there to help you carry the burden. 

If you are in the Santa Monica, CA area and have any further questions, stop by or give Express Financial & Insurance Services a call today!