Scope Of Services

Below are the services we provide to clients we’ve enrolled in a plan or have paid our an annual consulting fee. Services are provided throughout the policy year.

Initial Enrollment appointment

Our appointments are all about finding the best fit for you. Everyone’s situation is different. During our meeting we can help:

  • Estimate your income for the upcoming year.
  • Explain the benefits and consequences of your income estimation.
  • Estimate what tax credits you may owe or get back for this year.
  • Determine the most cost effective arrangement of family members in one plan or multiple.
  • Help form a game plan for addressing specific medical needs.
  • Look up doctors and prescriptions to determine cost.
  • Enroll you in a plan.
  • Take your payment for the plan and possibly set up auto bill pay

All decisions related to your insurance choice are made by you and you assume the sole responsibility. We are here to help you make the best decision possible.

Answer any questions related to insurance

We are available to help with most anything insurance related. If you have simple or questions about your plan, big problems, or just want to talk something out we are quick to respond.  

We have seen and solved so many different problems that arise from dealing with doctors, hospitals, and insurance companies. We have better contacts with the insurance companies that allow us to solve complex problems a bit faster than calling the call center reps.

Denied Claims

If you get a denied claim from the insurance company, we will look it over for any inaccuracies and call the insurance company and/or the doctors office on your behalf to try to reduce your cost.

Submitting documents to healthcare.gov

After we enroll you in a plan you may have to submit documents proving your income, citizenship or that you lost coverage.  Send these documents to us how ever it is convenient for you and we will upload them and email you to confirm its been done.   

Re-instatement

If you get canceled through no fault of your own, we will help get you re-instated.

Tax credit taken away

If your tax credit gets taken away, we can help put it back, if possible, and submit any proof Healthcare.gov needs.

Employer Coverage

If you are moving to an employer based plan, we can analyze it and compare it to your other options.  90% of the time the employer plan is the best option.   We also help employers manage their benefits so we know the ins and outs of that world as well. 

If your employer is looking to offer benefits we can sit down with them and explain all the variables and options in an educational manner and not in a salesy “buy this now” kind of way.

Help finding an in-network doctor

We check if your doctors in network or help you find one that is.  Please call 911 in an emergency. Not us. If its an emergency goto the closest hospital.