Purchasing health insurance can be complicated and confusing. With so many plan options, insurance carriers, coverage types, and costs to evaluate, it’s easy to feel overwhelmed. This is where working with a knowledgeable health insurance broker can prove invaluable for residents of St. Louis, Missouri and surrounding areas.
An experienced local broker simplifies the process of finding the right health plan for your needs and budget. They provide expertise you likely lack on topics like plan benefits provider networks premium subsidies, and more. Read on to learn why using a broker is recommended and how to pick the best one for you.
Why Use a Health Insurance Broker?
Here are some of the key advantages of utilizing a health insurance broker
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Save time by having them research plan choices rather than doing it yourself
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Gain know-how to understand confusing health insurance terminology and concepts.
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Receive unbiased guidance based on your specific situation, not a one-size-fits-all approach.
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Have an advocate to help with enrollment, coverage questions, and claims issues.
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Access more plan options since brokers work with multiple insurance companies.
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Avoid mistakes that could lead to suboptimal coverage or unnecessary costs.
For personalized assistance tailored to your needs, a broker is very worthwhile.
Key Types of Health Insurance Brokers
There are a few main categories of health insurance brokers to be aware of:
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Independent brokers – Work with multiple insurance carriers and recommend the best fit for you regardless of company.
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Captive brokers – Represent a single insurance provider (e.g. BlueCross BlueShield). Limited to one company’s plans.
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Online brokers – Offer services through digital platforms and apps instead of local offices. Can be independent or captive.
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Specialist brokers – Focus on specific types of plans like Medicare, Medicaid, or group coverage.
Unless you have a strong carrier preference, independent brokers often provide the most options.
How Brokers Get Paid
Health insurance brokers are typically paid in one of three ways:
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Commission – Earn a percentage of plan premiums when you enroll. This cost is included in your rates.
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Fee – Charge a flat service fee paid directly by you for assistance.
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Salary – Paid a set wage by an agency or insurer to sell plans.
It’s important to confirm how your broker gets compensated upfront to avoid surprises. Most earn commissions. Their compensation does not negatively impact your rates.
Finding the Top Health Insurance Brokers in St. Louis
With numerous brokers to pick from, use these tips to narrow down the best options:
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Ask for referrals from healthcare providers, business owners, or contacts who’ve purchased individual/family plans.
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Search broker review sites like Trustpilot and Google to see feedback from current clients.
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Look for brokers who specialize in the type of coverage you need (e.g. Medicare, group).
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Verify the broker is licensed in Missouri to sell health insurance.
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Consider larger broker agencies that employ numerous agents.
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Interview multiple brokers before deciding on representation.
Checking credentials and speaking with a few brokers before committing maximizes your chances of success.
Questions to Ask Prospective Brokers
Here are some smart questions to ask potential brokers before agreeing to work together:
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What types of health plans and insurance carriers do you have access to?
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How many years have you been a licensed broker and assisted clients with enrollments?
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What is your process for assessing my coverage needs and finding suitable options?
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Is there a cost for me to use your broker services? If so, what fees are involved?
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Can you provide references from current clients I could speak with?
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Will you be available to support me after enrollment if I have questions or issues?
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Do you specialize in any specific market like Medicare or group plans?
Using a Broker to Enroll in Health Insurance
Once you select a broker, here is a general overview of what you can expect during the enrollment process:
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You’ll provide details on health history, doctors, medications, and more so the broker understands your needs.
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The broker will research suitable plan options available and discuss recommendations.
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You’ll go over choices together and select the optimal carrier and health plan for your situation.
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The broker can assist you in applying for coverage and subsidies as applicable.
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They will ensure proper completion of all required paperwork and forms.
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Your broker will be your continuing contact for questions, changes, renewals, etc.
Key Benefits of Having Health Insurance
Beyond following legal requirements, here are some of the major benefits of maintaining adequate health insurance:
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Pay less for doctor visits, prescriptions, hospital stays and other medical care.
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Avoid unexpected medical bills that could lead to financial hardship or bankruptcy.
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Gain coverage for preventive wellness exams, vaccines and screenings.
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Obtain peace of mind knowing you’re protected if faced with a serious injury or illness.
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Eliminate delays in receiving necessary care due to affordability concerns.
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Access group health benefits if your employer provides this coverage.
What Health Insurance Typically Covers
Standard health plans cover a wide variety of medical services and care, including:
- Doctor office and specialist visits
- Hospitalization
- Emergency room treatment
- Prescription medications
- Pregnancy and childbirth
- Surgeries
- Laboratory tests and imaging
- Preventive care and immunizations
- Mental health and substance abuse treatment
However, benefits can vary, so review details carefully before enrolling.
Factors That Determine Health Insurance Costs
Health insurance premiums are based on a range of influencing factors:
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Age – Older individuals generally pay higher premiums.
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Location – Rural areas often have lower premiums than cities.
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Lifestyle – Habits like smoking can increase your costs.
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Plan type – Comprehensive plans cost more than catastrophic coverage.
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Income – Higher earners who don’t qualify for subsidies pay more.
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Dependents – Adding family members increases premiums.
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Deductible – Plans with higher deductibles usually have lower premiums.
A broker can walk you through specifics for your situation.
Mistakes to Avoid When Choosing Health Insurance
Use these tips to sidestep common mistakes individuals make when selecting health plans:
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Don’t assume you can keep your current doctors. Verify they are in-network before enrolling.
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Don’t buy more coverage than you need. Avoid unnecessary benefits to save money.
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Don’t select a plan with too high deductibles. Make sure you can afford out-of-pocket costs.
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Don’t rely on plan names alone when comparing options. Check benefit details.
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Don’t wait until you have a health issue to enroll. Sign up during Open Enrollment or after a qualifying event.
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Don’t assume marketplace plans always offer the lowest rates. Compare all options.
Partner with a Top St. Louis Health Insurance Broker
Finding and enrolling in suitable health coverage on your own can be extremely frustrating. But working with a reputable local broker simplifies the process and sets you up for success. Their expertise saves you time while guiding you to the optimal plan for your health needs, budget, and peace of mind.
Why choose this provider?
MB health is an independent health insurance agency that serves clients in St. Louis and the surrounding areas. Its health insurance plans cater to individuals, self-employed, families, and small businesses. It provides more than just health insurance. It also provides life insurance, dental and vision insurance, travel insurance, and Medicare. The agency assists clients in creating customized insurance plans through consulting, administration, and implementation. It has access to various carriers, including Cigna, Anthem, and Principal Financial Group.
- Individual Plans
- Medicare
- Group Plans
2031 South Big Bend Boulevard, St. Louis, MO 63117
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