Families
Learn more about health insurance coverage for you and your entire family.
Family Plans
You can cover your entire family under one policy, but sometimes, a customized approach offers better benefits.
Family health insurance has evolved significantly since the introduction of the Affordable Care Act. While traditional family plans keep everyone under the same policy, there are now strategic advantages to tailoring coverage for individual family members based on their specific healthcare needs—without changing the overall cost.
For example, if one family member anticipates high medical expenses due to a planned surgery or pregnancy, they can be placed on a plan with lower deductibles and better coverage. Meanwhile, other family members who require less frequent care can opt for a more cost-effective plan with a higher deductible, leading to overall savings.
We’re here to help you find the best setup for your family’s unique needs. Contact us to explore your options.
Benefits of a Family Health Insurance Plan
Choosing a family health insurance plan can offer key financial and practical advantages:
1. Family Deductible & Out-of-Pocket Maximum
One major benefit of a family plan is the shared deductible and out-of-pocket maximum (OOP). If your family has four or more members, this can be especially valuable. Generally, the family deductible and OOP max out at three times the individual amount, up to a government-set limit.
If multiple family members (typically three or more) reach their individual maximums, your family may meet the overall deductible and OOP limit. Once that happens, the insurance company covers 100% of eligible expenses for the rest of the year—helping you save significantly on medical costs for additional family members.
2. Simplified Billing & Administration
Keeping your family on one policy streamlines the process:
- One bill instead of multiple separate payments
- One set of ID cards for all covered members
- Easier tracking of claims and payments
With separate policies, each family member has their own billing and insurance details, which can become complex to manage.
3. Family Accident Plans for Extra Protection
Some insurance companies offer family accident plans that help cover emergency room visits, ambulance services, and related expenses like X-rays and medical supplies. These plans are an affordable add-on and can be particularly useful for active families involved in sports or outdoor activities.
By pairing a family accident plan with a higher-deductible health plan, you can often reduce overall costs while maintaining excellent coverage.
Want to explore the best health insurance setup for your family? Contact us today!
We Are Here To Help Illinois Families Get Health Insurance Coverage.
A consultation costs nothing. Contact us today to see how we can help provide coverage for your employees and reduce expenses for your business.