There’s no question about it — you need health insurance, but you also want to find the best, most affordable health insurance possible. 

So, what’s health insurance for and why do you need it? A few reasons:

  • Accidents or health problems can happen at any time. 
  • Medical expenses are so high and can even lead to bankruptcy. 
  • You safeguard your family’s physical and financial health.

Health insurance allows you to gain access to a network of doctors and hospitals that have negotiated lower rates with insurance companies. We’ll guide you to help you learn more about health insurance and walk you through the steps to get it.

What is Individual Health Insurance? 

Health insurance covers medical expenses for illnesses, injuries and medical conditions. But unlike a plan through an employer, you select individual health insurance and pay for it on your own. 

What is Group Health Insurance? 

Group health insurance covers employees or members of a company or organization. A group health insurance plan offers health insurance coverage to its members at a lower cost since the risk spreads across the members of the group health plan.

How Does Health Insurance Work?

The simple answer is that health insurance protects your assets from high medical bills. You could wipe out your life savings with one accident. We’ll go into more details on how it works and how to get it, step by step, later on in the article.

How much does an individual policy typically cost per month?

In 2020, the average national cost for health insurance was $456 for an individual and $1,152 for a family per month, according to ehealthinsurance.com.

What does health insurance typically cover or not cover?

Health insurance typically covers most doctor and hospital visits, prescription drugs, wellness care and certain medical devices. However, it’s up to you to check your coverages. Most health insurance will not cover elective or cosmetic procedures, beauty treatments or other specific procedures not medically necessary.

How Do Claims and Payouts Usually Work?

Let’s say you choose an in-network doctor for a medical procedure. If that doctor is in your plan, he or she will submit the claim for you. Next, your doctor will send a bill to your insurance company for services he or she provided. A claims processor at the insurance company will check it for complete accuracy and coverage under the plan. 

Depending on your benefits, the insurance company will process it and pay the amount agreed upon in your plan. You receive an explanation of benefits (EOB) that goes over how the insurance company paid in your plan. You’ll have to pay for any remaining coverage. The insurance company keeps tabs on your copay, deductible and out-of-pocket maximum (we’ll define a few of these terms in a second).

Tip: Only pay your health care provider after you compare the services listed on the final bill with your EOB.

Ksenia Yudina, CFA, MBA

Founder and CEO

Ksenia is the Founder and CEO of U-Nest, the first mobile app that makes it easy for families to save for college. As an entrepreneur and finance professional, Ksenia has focused on alleviating the impact of student debt on families across the economic spectrum. Previously, Ksenia was a Vice President atCapital Group/American Funds, the largest 529 provider in the U.S. In this role, she played a leadership role in helping parents plan and manage their finances, with a focus on the future well-being of their children. Prior to Capital Group/American Funds, she was founder of a residential real estate company. Ksenia earned her bachelor’s degree in finance from CaliforniaState University Northridge, and an MBA from UCLA’s Anderson School of Management.

Mike Van Kempen

Chief Operating Officer

Mike joined U-Nest in September 2019 as COO. He was previously at Acorns, a financial wellness platform, where he spearheaded the analytics and growth initiatives. Mike successfully expandedAcorns’ paid acquisition strategy, adding over 4.5 million investment accounts. Mike began his career in strategy & analytics at Belly, a Chicago-based loyalty startup in 2012. At Belly, Mike led projects that fueled growth across all aspects of the business, growing the customer base from1,000 to over 11,000 merchants, and accumulating a membership of over 2 million customers.Mike holds a B.B.A. in Finance from Loyola University of Chicago.

Steve Buchanan

Chief Technology Officer

Steve has over 20 years of experience in delivering digital innovations in the financial sector. Steve previously orchestrated product architecture and innovation as a Solutions Architect/ Fintech consultant at Union Bank. Prior to Union Bank, he was Chief Architect and Director of Engineering at Calypso, a Silicon Valley startup, where he architected and built multiple financial solutions. He was also Head of Global Integrations at Globe One in Vietnam where he integrated its Peer-to-Peer lending products into core banking solutions. Steve also built the first ever electronic Equities &Equity Options trading systems for Scottish stock brokers Wood Mackenzie (acquired by CountyNatWest). He is a graduate of Edinburgh University.

Peter Mansfield

Chief Marketing Officer

Peter has built an impressive track record in multiple financial industry segments including payments, credit/prepaid cards and lending. He has played an instrumental role at a succession of financial industry leaders, co-founding companies such as Brand3 (acquired by American Express) and PropertyBridge (acquired by Moneygram), and, as the early stage marketing lead at Marqeta (where he was team member number two), BillFloat and WallabyFinancial (acquired by Bankrate).He has helped fast-growth companies reach an aggregate market value of close to $8 billion. Peter holds a bachelor’s degree in economics from the University of Angila, UK.

Sonya Kidman

Client Relationship Manager

Sonya Kidman is a Customer Success professional with a decade of experience in advocating for consumer through user research and genuine empathy. Sonya specializes in user behavior and regularly attends national and global training sessions in wellness and people analytics tools. Sonya is a true global citizen was born in Russia, grew up in Israel, lived and worked in Canada and NewZealand. That global expertise along with an undergraduate degree in Sociology from Tel AvivUniversity have helped to shape a bullet-prof Sonya's framework to develop a winning customer strategy.

Frank Mastrangelo

Board Member

One part banker and one part technologist, Frank spent his early days with the Annenberg Foundation and PNC Bank. His career path led him to Jefferson Bank, where he led the build-out of its electronic banking platforms, and where he would forge a powerful alliance with The Bancorp co-founder Betsy Z. Cohen. As President and COO of The Bancorp from its inception in 1999 Frank played a critical role in helping the organization become an industry bellwether for branchless financial services and a global leader in payments. For this, he has become a widely respected fintech expert, and thought-leader. Frank was recognized in 2013 by Banking Innovation, a leading industry journal, as an “Innovator to Watch.” and as one of the innovators shaping the future of banking. Frank is a graduate of West Chester University of Pennsylvania.

Disclosure

College Savings Calculator is a hypothetical tool that demonstrates how monthly contributions, age-based asset rebalancing, and tax savings may impact the long-term value of your account, and do not take into account a portfolio’s underlying investment management fees. Calculations assume the private institution cost inflation is 2.8%, public out of state cost inflation is 3.9%, public in state cost inflation is 2.7%. Portfolio is assumed to have only stocks and bonds. Monthly equity returns are based on the historical data from the 10-year track record of the stock market (SPY). Monthly fixed income returns are based on the historical data from the 10-year track record of the bond market index (AGG). The current college expenses are provided by the collegeboard.org. Actual account performance may differ due to market fluctuations, changes in recurring investments, and asset allocation. The information provided here is for illustrative purposes only and does not represent actual or future performance of any investment option and is not intended to predict or project the investment performance of any security or index.