
If you're a Maryland resident looking for health insurance options, you're in luck - the state offers a range of plans from various insurance companies.
There are currently 15 health insurance companies operating in Maryland, including UnitedHealthcare, Anthem, and CareFirst.
These companies offer a variety of plans, including HMOs, PPOs, and catastrophic plans, to fit different budgets and needs.
Some of the most popular health insurance companies in Maryland include Kaiser Permanente, which offers a range of plans with low out-of-pocket costs, and Cigna, which offers plans with a wide network of providers.
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Health Insurance Companies in Maryland
If you're looking for the best health insurance companies in Maryland, you've got several options to choose from. Kaiser Foundation Health Plan of the Mid Atlantic States, Inc. is one of the top-rated health insurance companies in the state, followed by John Hopkins US Family Health Plan.
CareFirst Blue Choice and Cigna Health and Life Insurance Company-Maryland are also highly-rated, according to the National Committee for Quality Assurance (NCQA). These ratings take into account Consumer Satisfaction, Preventive Care, and Medical treatment options.
Here are the top 5 health insurance companies in Maryland, as rated by the NCQA:
- Kaiser Foundation Health Plan of the Mid Atlantic States, Inc.
- John Hopkins US Family Health Plan
- Aetna Health Inc. (Pennsylvania)-Maryland
- CareFirst Blue Choice
- Cigna Health and Life Insurance Company-Maryland
United Care
United Care is a top-notch option for health insurance in Maryland. United Healthcare, a large health insurance provider in the US, offers a variety of healthcare plans in the state.
United Healthcare has a robust network of healthcare providers, including physicians and clinics, to ensure you have access to quality care. This network is a game-changer for those who value convenience and peace of mind.
Partnering with leading hospitals and healthcare systems, United Healthcare guarantees that its members receive exceptional care, whether it's a routine checkup or a complex medical procedure. This collaboration is a testament to the company's commitment to providing top-notch service.
United Healthcare's comprehensive coverage is designed to meet the diverse needs of its members. With coverage that's tailored to your specific needs, you can rest assured that you're protected in the event of an unexpected medical expense.
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Kaiser Permanente
Kaiser Permanente is a top-notch health insurance provider in Maryland. They offer a variety of health insurance plans, including HMO, PPO, and POS plans.
Kaiser Permanente has a large network of doctors and hospitals in Maryland, ensuring that members have access to quality care. This network is a significant advantage for those who prefer a more traditional healthcare experience.
One of the standout features of Kaiser Permanente is its commitment to innovation. They offer a range of online and mobile tools that make it easy for members to manage their healthcare. These tools can be a game-changer for those who want to stay on top of their health.
Here are some of the key benefits of Kaiser Permanente's health insurance plans in Maryland:
- HMO, PPO, and POS plans available
- Large network of doctors and hospitals in Maryland
- Innovative online and mobile tools for managing healthcare
Overall, Kaiser Permanente is a solid choice for those looking for health insurance in Maryland. Their comprehensive coverage and exceptional service make them a top contender in the state.
BlueCross BlueShield
BlueCross BlueShield is the biggest provider of healthcare services in Maryland. It offers plans through HMO and PPO networks, both of which provide access to a large network of physicians and hospitals in the state.
You can choose from these two network options depending on your needs. Both HMO and PPO networks have their own benefits and drawbacks, so it's essential to understand the differences before making a decision.
BCBS also offers vision and dental coverage as part of its package, making it an ideal choice for those who need comprehensive coverage. This can be a great option for families or individuals who want to have all their healthcare needs met under one plan.
Here are some key benefits of choosing BlueCross BlueShield in Maryland:
- HMO and PPO network options available
- Access to a large network of physicians and hospitals
- Vision and dental coverage available
- Comprehensive coverage for families or individuals
Body Mass Index
Body mass index plays a significant role in determining health insurance premiums in Maryland. A higher BMI often leads to higher insurance premiums.
According to the CDC, a high body mass can lead to several serious health conditions. Maryland had a 31 percent obesity rate in 2018, ranking 25th highest in the country.
Having a BMI in the obese range can be a concern for Maryland residents. Out of the many MD residents who used QuoteWizard to compare health insurance policies, 27 percent have a BMI in the obese range.
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Types of Plans
There are various types of health insurance plans available in Maryland. Employer-sponsored health insurance is the most prevalent type, where your employer contributes a portion of your premiums while you pay the remainder.
You can also opt for individual health insurance plans or family health insurance plans. Government-sponsored programs such as Medicare and Medicaid are also available.
The four 'metal' tiers - Bronze, Silver, Gold, and Platinum - define how you and your insurance company split your health care costs. Each tier has a different percentage of medical expenses you must pay besides your premiums, ranging from Bronze at 40% to Platinum at 10%.
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Varieties of Plans
In Maryland, you have a wide range of health insurance options to choose from. Employer-sponsored health insurance is the most prevalent type, where your employer contributes a portion of your premiums while you pay the remainder.
You can also opt for individual health insurance plans or family health insurance plans. Government-sponsored programs such as Medicare and Medicaid are also available.
There are four 'metal' tiers: Bronze, Silver, Gold, & Platinum. These 'metal' categories define how you and your insurance company split your health care costs.
Here's a breakdown of the costs for each metal tier:
The Silver plan is the most popular, often qualifying for Premium Tax Credits and insurance subsidies. It's suitable for families with mild conditions that require medication and specialist visits, but don't need close monitoring or frequent care.
Age
Age plays a significant role in determining health insurance costs. According to HealthCare.gov, older people pay up to three times more for health insurance than younger people.
Maryland residents who used QuoteWizard to shop for health insurance are, on average, 40 years old.
Insurance Brokers
Insurance brokers like TrueCoverage are certified to help you navigate Maryland's health insurance options. They operate without bias, searching for policies that best meet your needs.
TrueCoverage, for example, is a Certified Direct-Enrollment Partner of Healthcare.gov, offering more affordable health insurance plans than any other resource in Maryland. They use unique technology to quickly deliver the "BEST VALUE" insurance policies that address your needs.
Brokers like TrueCoverage are there for you throughout your contract, stepping in to help if a dispute arises with your insurer. They understand the Maryland health insurance options from the largest carriers to the smaller specialty health insurers.
About Brokers
As a friend, I'd want you to know that insurance brokers are there to help you navigate the complex world of health insurance. They will battle for you and all your health insurance needs.
Insurance brokers are professionals who specialize in matching individuals and families with the right health insurance plans. They have the expertise to guide you through the process and find a plan that fits your budget and meets your needs.
Brokers can help you compare different plans, explain the fine print, and answer any questions you may have. They're like having a personal advocate in your corner, fighting for you to get the best possible coverage.
Broker Services
Working with a health insurance broker can be a game-changer for finding the best insurance options. They operate without bias, searching for policies that best meet your needs.
TrueCoverage, a Certified Direct-Enrollment Partner of Healthcare.gov, offers more affordable health insurance plans than any other resource in MD.
Their unique technology quickly delivers the 'BEST VALUE' insurance policies that address your needs. This means you get the most for your money.
Brokers are there for you throughout your contract, including helping with disputes with your insurer. They'll step in to help resolve any issues that may arise.
TrueCoverage is familiar with Maryland's unique insurance rules and understands the health insurance options from the largest carriers to the smaller specialty health insurers.
Insurance Options
Maryland operates a state-run exchange, Maryland Health Connection, which offers affordable health insurance options.
Maryland has expanded Medicaid, making it easier for low-income residents to access health insurance.
There are several ways to get health insurance in Maryland, including individual and family plans, small business plans, self-employed health insurance plans, and college student health insurance.
If you're self-employed or without insurance from your employer, you might be looking for individual or family health insurance.
Here are some options to consider:
- Small business plans
- Self-employed health insurance plans
- College student health insurance
Typical small business policies are for 4-6 employees, and you can purchase qualifying coverage through the Small Business Health Option Program (SHOP) or a private insurance broker or insurance agent.
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Small Business
As a small business owner, you have several options for providing health insurance to your employees. You can purchase qualifying coverage through the Small Business Health Option Program (SHOP) in Maryland, which is designed for businesses with 2-50 full-time-equivalent employees (FTEs).
Typical policies for small businesses are for 4-6 employees.
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More Options Than You Think
In Maryland, you have more insurance options for your health than you think. If you're self-employed or without insurance from your employer, you might be looking for individual or family health insurance, but there's more to consider.
You can explore Affordable Care Act insurance, which is a great option. However, the state also offers other types of insurance products, including small business plans and self-employed health insurance plans.
Maryland has a state-run exchange, the Maryland Health Connection, which operates like a marketplace for health insurance. This exchange is a great resource for finding affordable health insurance options.
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Maryland also limits short-term health insurance plans to just three months, with no option to renew. This means you'll need to explore other options if you're looking for temporary coverage.
If you're a small business owner in Maryland, you can purchase qualifying coverage for your employees through the Small Business Health Option Program (SHOP) or through a private insurance broker or insurance agent. Typical policies are for 4-6 employees.
Here are some of the insurance options available in Maryland:
- Small business plans
- Self-employed health insurance plans
- College student health insurance
Maryland has actively supported the Affordable Care Act, and is not party to the Texas-led attempt to invalidate it. This means that health insurance plans for 2021 will not be affected by the ongoing court case.
Insurance Plans and Coverage
In Maryland, you can choose from various health insurance plans that cater to different needs and budgets. The Affordable Care Act (ACA) mandates that all qualifying plans cover 10 core health services, including emergency services, prescription drugs, and maternity care.
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To determine the best plan for you, consider your level of coverage requirements. Do you need comprehensive coverage for routine doctor's visits and hospital stays, or just basic coverage for doctor's visits and prescriptions? Once you've determined your needs, compare plans from different insurers to find the one that best aligns with your requirements.
The Metal Tier system can help you choose the right plan. Silver plans are the most popular, often qualifying for premium tax credits and insurance subsidies. They're a good choice if you or a family member has a mild condition that requires medication and specialist visits.
Here are some key factors to consider when choosing a health insurance plan in Maryland:
Remember to evaluate the provider network associated with each plan, ensuring it includes healthcare providers and facilities you feel comfortable using. Additionally, compare prices to ensure you're getting the best value for your investment.
Dental
Dental coverage is an essential part of a comprehensive insurance plan. Maryland Health Insurance Brokers offers dental coverage options to support clients' needs.
You can choose a dentist from your preferred network with our help. We'll assist you in finding coverage for a dentist that you like to go to.
Don't have a dentist? We can guide you through available options in your area.
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Plans for Coverage
If you're looking for a health insurance plan that fits your needs, there are several options to consider. You can choose from various levels of coverage, including comprehensive plans that cover everything from routine doctor's visits to hospital stays.
To determine the right level of coverage for you, consider your health needs and budget. If you're relatively healthy and only need basic coverage for doctor's visits and prescriptions, a more basic plan might be sufficient. On the other hand, if you have ongoing health needs or require frequent medical attention, a more comprehensive plan is likely a better choice.
When comparing plans, pay attention to out-of-pocket costs such as deductibles, copayments, and coinsurance. These costs can add up quickly, so it's essential to choose a plan that fits within your budget.
Here are the 10 core health services mandated for all ACA-compliant plans:
- Emergency services
- Prescription drugs
- Ambulatory patient services (hospital services that don’t need an overnight stay)
- Hospitalization
- Laboratory services
- Maternity and newborn care
- Pediatric services (for children), including dental and vision care
- Mental health and substance abuse services
- Preventive and wellness services, including chronic disease management
- Rehabilitative/habilitative services and devices
If you're eligible for Medicare, you can choose from a range of plans that cater to your specific needs. Medicare plans are designed for individuals who are 65 or older, or those under 65 who may qualify due to a disability or another special situation.
In Maryland, there are four 'metal' tiers: Bronze, Silver, Gold, and Platinum. These tiers define how you and your insurance company split your health care costs. Each tier has its own set of costs, so it's essential to choose a plan that fits within your budget.
Here's a breakdown of costs for each metal tier:
Keep in mind that these costs are averages and can vary depending on your insurance company and plan. It's essential to review the costs associated with each tier before making a decision.
Insurance Companies and Rates
Choosing a health insurance company in Maryland can be overwhelming, but it's essential to make an informed decision. TrueCoverage can help you navigate over 50,000 plans.
The top 5 health insurance companies in Maryland, as rated by the National Committee for Quality Assurance (NCQA), are Kaiser Foundation Health Plan of the Mid Atlantic States, Inc., John Hopkins US Family Health Plan, Aetna Health Inc. (Pennsylvania)-Maryland, CareFirst Blue Choice, and Cigna Health and Life Insurance Company-Maryland.
Maryland residents spend an average of $8,602 per year on health care expenditures, which is only a few hundred more than the national average.
Humana
Humana is a prominent health insurance provider in Maryland. They offer affordable and comprehensive health insurance plans for individuals and families.
One of the key benefits of Humana is their wide network of healthcare providers, hospitals, and specialists. This means you'll have access to a large pool of doctors and medical facilities, making it easier to find the care you need.
Humana prioritizes customer satisfaction and strives to make healthcare more accessible through innovative digital tools and personalized support. They're committed to delivering affordable and reliable health insurance options.
Rate Factors
Maryland residents spend an average of $8,602 per year on health care expenditures, which is only a few hundred more than the national average.
Health care costs differ quite a bit from person to person, based primarily on these factors: age, health status, and the type of insurance plan chosen.
Age is a significant rate factor, with older individuals typically paying more for health insurance.
Health status is also a major factor, with individuals with pre-existing conditions or chronic health issues often facing higher premiums.
The type of insurance plan chosen can also impact costs, with more comprehensive plans generally costing more than basic plans.
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Insurance Laws and Regulations
Insurance laws and regulations in Maryland are designed to protect consumers and ensure they have access to quality healthcare. The Affordable Care Act (ACA) prohibits insurance companies from charging more to people with pre-existing conditions.
Maryland state law requires insurance companies to provide at least some coverage for certain services, including hearing aids for children, diabetes education, and prosthetic devices.
Insurance companies can't charge men and women different premiums for the same plan, as mandated by the ACA. This means that women will no longer pay more for health care due to their gender.
There's a cap on how much you'll be paying out-of-pocket for a marketplace plan, which is $8,150 for an individual plan and $16,300 for a family plan in 2020.
Insurance companies are also prohibited from analyzing factors such as previous medical problems or lapses in insurance to price your policy. This means that you won't be penalized for having a medical history or a gap in coverage.
Here are some essential services that insurance companies in Maryland are required to cover:
- Hearing aids for children
- Diabetes education
- Prosthetic devices
- Ambulance services
- Emergency services
- Pregnancy and maternity services
- Prescription drugs
Insurance Marketplace
In Maryland, you can sign up for health insurance using private insurance exchanges, which offer more choice of ACA-compliant plans than the state exchange.
TrueCoverage is one such marketplace that provides access to a wide range of plans, including ancillary insurance options like dental, vision, and life insurance.
You can also explore UnitedHealthcare Individual & Family ACA Marketplace plans in Maryland, which may offer lower or $0 monthly premiums due to recent legislation.
To get started, call 1-800-273-8095 or TTY 711 to talk to a licensed insurance agent.
Shopping for health insurance in Maryland can be overwhelming, but it's essential to consider factors beyond just the lowest monthly payment.
Lower deductibles, co-pays, and other factors like premium tax relief and state contributions can significantly lower your total medical expenses.
If you're 65 or older, you may be eligible for Medicare, which has around 14% enrollment in the USA, and 13% in Maryland, with 25% of those enrolled in Medicare Advantage plans.
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TrueCoverage is a Certified Direct Enrollment Partner of Healthcare.com, offering one of the largest selections of health insurance plans, with over 50,000 options available.
To find the best value plan for your specific needs, TrueCoverage's licensed insurance advisors can help you navigate the options and filter plans to find the most suitable one for you.
Here are some examples of ancillary insurance options available through TrueCoverage:
- Dental
- Vision
- Accidental Death
- Critical Illness
- Disability
- Life
- Medicare Advantage, Medicare Supplemental
Frequently Asked Questions
What is the best health insurance in Maryland?
According to HealthCare.gov, Kaiser Permanente has the highest-rated health insurance in Maryland with a perfect 5-out-of-5-star plan quality rating. Learn more about Kaiser Permanente's coverage and benefits.
Who are the top 5 health insurance companies?
The top 5 health insurance companies are UnitedHealth Group, Anthem, Kaiser Permanente, Ambetter, and Humana. Learn more about these leading health insurance providers and find the best plan for your needs.
Sources
- https://apollo-insurance.com/best-health-insurance-companies-maryland/
- https://truecoverage.com/maryland-affordable-health-insurance/
- https://quotewizard.com/health-insurance/maryland
- https://www.marylandhealthconnection.gov/health-coverage/choose-a-plan/
- https://www.uhc.com/individuals-families/maryland
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