Best Health Insurance Agencies in Sioux Falls

Frequently Asked Questions

• Introduction

  If you're looking for health insurance for yourself or your family, an agent can help you save time, understand your options, and manage your costs. Insurance agents must be licensed in the state where they operate. They can provide information about on- and off-exchange plans to help you weigh all of your options, and they can see if you qualify for tax credits that can lower your monthly premiums. There's no cost to work with an agent, and they can help you save quite a bit by recommending the best plan for your needs. Here's what you should know before you get started.
  

• What is an explanation of benefits in Sioux Falls?

  An explanation of benefits, also known as EOB, is a statement sent by your health insurance company in Sioux Falls to explain the services and treatments paid on your behalf. It also includes the bill your health insurance company paid, the amount each provider charged, and the amount you owe to each one.

• What are the mandated benefits in Sioux Falls?

  According to South Dakota's codified law, the mandated benefits of health insurance are emergency services, alcoholism treatment, mammogram screening, prostate screening, dental anesthesia, breast reconstruction, applied behavior analysis, diabetic supplies, and mental health parity. Other benefits include formula for PKU, minimum maternity stay, off-label drug use, and any willing pharmacy in Sioux Falls.

• What should you do with your health insurance policy after the birth of your child in Sioux Falls?

  After your child is born in Sioux Falls, you should immediately notify your health insurance company of the birth and submit a request to add your child to your health insurance policy. However, if your health insurance coverage is a group health plan sponsored by your employer, then you should notify your employer instead.

• How long do you have to return an individual health insurance policy in Sioux Falls?

  According to South Dakota's health insurance laws, you generally have 10 days from the date of the delivery of your individual health insurance policy to return the policy in Sioux Falls. If you return your policy within this free look period, you can get a full refund of the premium you paid.

• What do you generally need to file a health insurance claim in Sioux Falls?

  In Sioux Falls, you generally need an itemized bill from your healthcare provider and your personal information. An itemized bill includes the services you received, the date you received the care, and a description or billing code for each service. Your personal information includes your health insurance ID number, social security number, and employment status if your injury or illness took place at work.

• How can you find affordable health insurance? 

  Affordable insurance is available through employers, Medicare, Medicaid, and the federal Health Insurance Marketplace, which offers subsidies in the form of tax credits. You can also purchase coverage through private insurance companies and independent agents. Nearly half of all Americans have employer-sponsored health insurance, and about 10% of the population is uninsured.