I’ve recently been dealing with a lot of cases regarding husband and wife groups. I know you’re thinking, “How can I make a group with my spouse?”. Typically, with insurance, you can’t. But, if you have an LLC, and both the husband and wife are on the LLC, and they are employees of the company, there actually are some providers/carriers that allow husband/wife groups.
The two main carriers are Blue Cross Blue Shield and Humana.
They offer PPO plans, and HMO plans – there are actually a lot of different things we can do. And it’s really cool because they’re able to get some group coverage, at about the same price that they would pay for Marketplace coverage without a subsidy. With this group option, you can, most times, choose your deductible, choose your copay, and have a lot more options. I can assist you in designing the plan around your needs and what makes the most sense.
Another option that I always discuss with my client is Marketplace coverage. Marketplace may make sense for a husband/wife group if you qualify for a subsidy, your premium will be lower, and this may be a way to save money. Just remember, if you have a Marketplace plan and you don’t like it, you can cancel it, but you can’t get another Marketplace plan. In this case, group coverage or private PPO may be the way to go for you.
Finally, there is another way that’s possible. It’s really not a group at all, but it’s individual coverage, private insurance. That can also save you money if you don’t qualify for a subsidy. So then you have the choice of doing the private PPO option, or you can do a group PPO option. The cost is tremendously different. Depending on what your needs are, when I evaluate what you are actually going to use your insurance for and what you actually need, we will determine which plan makes the most sense for you.
What I do is, I go through what doctors you have, your medications, what your health concerns are, and try to make sure you have the right coverage and then give you appropriate choices. Once we have narrowed it down, I can help you get enrolled.
Whichever plan you decide, I truly try to help my clients find the right plan for them. If you have questions about whether you qualify for a group, reach out to me and go to my page. You can schedule an appointment with me and I’m happy to evaluate the coverage you have now.