Insurance terms like “coinsurance” or “formulary” shouldn’t leave you confused. Our agents explain benefits and costs in plain language, so you understand exactly what you’re paying for and how to use your plan.
Health insurance is more than just premiums and deductibles — it’s about making sure you and your family can access care when you need it. At Mediqwest, we go beyond showing you plan prices. We take the time to explain how coverage works, walk you through options, and help you choose a plan that makes sense for your health and your budget.
Insurance terms like “coinsurance” or “formulary” shouldn’t leave you confused. Our agents explain benefits and costs in plain language, so you understand exactly what you’re paying for and how to use your plan.
Choosing a plan is just the start. With Mediqwest, you’ll have an agent by your side long after enrollment. We’re here to answer questions about claims, coverage changes, and renewals — year after year.
HMOs typically require you to see doctors in-network and get referrals. PPOs offer more flexibility, often at a higher cost.
We can help you explore Marketplace plans and determine if you qualify for subsidies to lower your monthly cost.
We’ll help you compare how different plans cover out-of-network care, so you know the trade-offs before you choose.
Most plans automatically renew, but reviewing your coverage each year ensures you’re still getting the best fit.
Click to read the definition of each term.
A specified amount of money that the insured must pay before an insurance company will pay a claim.
The percentage of an insurance claim that is the responsibility of the insured, once the deductible is met.
A relatively small fixed payment to be paid by the insured for covered care at a health care provider or pharmacy.
A list of drugs covered by a health insurance plan.
Routine healthcare, including check-ups and screenings to prevent illness and disease.
Doctors and other health care providers that have agreed to accept a contracted rate as payment in full for services billed to your insurance company.
Doctors and other health care providers that HAVE NOT agreed to accept a contracted rate as payment in full for services billed to your insurance company.
Health maintenance organization, a health insurance structure that manages patient care by coordinating the relationship between patient, health care provider and insurance company.
Preferred provider organization, coverage is provided to policyholders through a network of clinics and hospitals. Policyholders may obtain care outside the network but will pay higher out-of-pocket costs.
Health reimbursement account, employer funded account used to reimburse employees for qualifying medical expenses.
Health savings account, tax favored, individually owned savings accounts available to US taxpayers enrolled in high-deductible health plans (HDHPs). HSA deposits may be used to pay for qualifying medical expenses.
Patient Protection Affordable Care Act, the sweeping healthcare bill signed into law by President Barack Obama on March 23, 2010.
A major element of Obamacare. These federal and state websites and call centers are utilized to determine federal tax credit eligibility. These tax credits are used to reduce health insurance plan premiums.