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Real Agent Benefits FAQ - Major Medical vs Healthshare

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For more information about Real Agent Benefits, or to schedule your consultation, visit www.realagentbenefits.com.

Visit the articles below to answer all of your questions!

  1. Real Agent Benefits FAQ - General Info
  2. Real Agent Benefits FAQ - Major Medical vs Healthshare
  3. Real Agent Benefits FAQ - Networks & Plan Structure
  4. Real Agent Benefits FAQ - Consultations & Enrollment
  5. Real Agent Benefits FAQ - Coverage, Add-ons & Benefits
  6. Real Agent Benefits FAQ - Support & Contact

Major Medical vs Healthshare

Question: What is the difference between Major Medical and Healthshare plans?

Answer: Major Medical plans are traditional insurance regulated by the ACA; Healthshare plans are membership-based programs where members share medical expenses. Major Medical are for profit entities while Healthshare companies are charitable not for profit organizations.

Question: Which plan is right for me—Major Medical or Healthshare?

Answer: Major Medical may be better if you want full ACA protections. Healthshare is ideal if you're healthy individuals who want lower monthly costs. It depends on certain pre-existing condition and medications the individual is taking, the Healthshare plan may not be suitable, and the best option is a Major Medical plan.

Question: What types of coverage do Major Medical plans include?

Answer: They include hospitalization, preventive care, prescriptions, maternity, mental health, emergency services, and ACA-required essential benefits.

Question: What are Healthshare plans and how do they work?

Answer: Members contribute a monthly “share amount.” When someone has eligible medical needs, members’ contributions help pay for those expenses.

Question: What kind of medical expenses do Healthshare plans cover?

Answer: Typically doctor visits, diagnostics, hospital care, surgeries, urgent care, and major medical needs—depending on the plan guidelines.

Question: Can I use these plans for preventive care or routine doctor visits?

Answer: Yes. The Major Medical and Healthshare options include preventive care benefits, routine visits, and low-cost or $0 virtual care.

Question: Are telemedicine services included in any plans?

Answer: Yes. Many plans include $0 virtual visits for primary care and urgent care.

Question: What are the differences between LifeX, PSM, and Vault Captive Plans?

Answer:

  • LifeX: LifeX offers health coverage as an alternative to traditional insurance, providing PPO plans for eligible participants.
  • PSM: an organization that provides access to group health benefits for self-employed individuals, 1099 workers, and small business owners. 
  • Vault Captive: A group captive Major Medical alternative offering employer-style benefits with lower premium volatility.

Question: Are any plans not available in certain states?

Answer: Yes. The Healthshare plans aren’t available in Washington or Vermont. The Lifex plans are not available in AK, HI, MD, MN, NH, OR, VT, WA.

Question: Are there nationwide PPO network options available?

Answer: Yes—several plans offer PHCS, Cigna, or BCBS PPO networks nationwide.

 

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