Is Simple Health Insurance Legit? A Complete Review

Acquiring appropriate health insurance holds significant importance for the majority of people. However, navigating through the multitude of available options, each presenting its own advantages and disadvantages, can be an overwhelming task.

Enter Simple Healthcare, a company that asserts to deliver cost-effective and comprehensive coverage tailored for both individuals and families.

This blog post endeavors to evaluate the credibility of Simple Health Insurance by examining its pros and cons through personal research and experience.

Furthermore, we will offer guidance on comparing various health insurance plans, aiding individuals in identifying a suitable plan that aligns with their requirements and financial constraints.

To address common queries about Simple Health coverage and health insurance in general, we will also delve into frequently asked questions on these topics.

Founded in 2014 in Florida, Simple Health Insurance is a brokerage connecting customers with various health insurance carriers.
Simple Health, a disputed service, purportedly provides cheap health insurance but faces a Federal Trade Commission lawsuit over alleged sales of inadequate coverage omitting essential benefits and pre-existing conditions: Photo source (Healthline)

Overview of Simple Health Insurance

Is Simple Health Insurance Legit?
Image source (Canva)

Founded in 2014 in Florida, Simple Health Insurance is a brokerage connecting customers with various health insurance carriers.

Dedicated to the mission of delivering “simple, affordable, and quality health insurance,” Simple Health Insurance collaborates with major carriers such as Blue Cross Blue Shield, Aetna, Cigna, and UnitedHealthcare.

This collaboration ensures customers have access to diverse health insurance plans.

The plans offered by Simple Health Insurance include:

  1. Short-term Health Insurance:
    • Temporary coverage for unexpected medical expenses lasting from 30 days to 12 months.
    • Cost-effective but comes with limitations, excluding pre-existing conditions, preventive care, and essential health benefits.
  2. Health Benefit Insurance:
    • Supplementary plans that offer fixed cash benefits for specific medical services.
    • Designed to complement standard health insurance by covering out-of-pocket costs, albeit with some limitations and waiting periods.
  3. Major Medical Insurance:
    • Comprehensive plans compliant with the Affordable Care Act.
    • While these plans are more expensive, they provide reliable coverage for preventive care, essential health benefits, and pre-existing conditions.

Pros and Cons of Simple Health Insurance

Advantages:

  1. Variety of Plan Choices:
    • Simple Heathcare provides a diverse range of plans, enabling customers to select options that align with their specific needs and financial considerations.
  2. User-Friendly Digital Interface:
    • The company offers a user-friendly website and mobile app, streamlining the process of accessing accounts, understanding plan details, and managing payments.
  3. Extensive Healthcare Network:
    • Simple Health Coverage boasts a nationwide network comprising over 1 million doctors and hospitals, ensuring that customers have access to quality healthcare services.
  4. Referral Program with Financial Incentives:
    • Customers have the opportunity to earn rewards, up to $100, by referring friends and family, providing an additional financial benefit.

Drawbacks:

  1. Brokerage Model Complexity:
    • Simple Health Coverage operates as a broker, connecting customers with carriers, which may lead to potential confusion and inconvenience due to the involvement of two separate entities.
  2. Limited Coverage Options:
  3. Mixed Customer Reviews:
    • Simple Health Insurance has received mixed reviews, encompassing complaints about misleading information, hidden fees, and difficulties in canceling plans. This may impact the overall satisfaction and trust among customers.

How to Compare Different Health Insurance Plans and Find the Best one for you?

Choosing the right health insurance plan involves navigating through a complex array of factors and choices. To simplify this process, here are some clear-cut guidelines for comparing health insurance plans and identifying the most suitable one:

  1. Define Your Needs and Budget: Before you start your search, articulate the coverage you need and establish a budget. Consider your health status, medical history, family size, lifestyle, and future plans. Assess the frequency of doctor visits, required services, pre-existing conditions, dependents, and your financial capacity for premiums, deductibles, copays, and coinsurance.
  2. Compare Plan Types: Once you understand your needs and budget, compare different plan types, such as short-term, health benefit, or major medical plans. Each plan type has its own advantages and disadvantages, so carefully assess them to find the one that aligns with your specific requirements. Utilize online tools like HealthCare.gov or Progressive.com for plan and price comparisons. Seeking guidance from licensed agents, such as those at Simple Health coverage, can also be valuable in finding a suitable plan.
  3. Review Details and Fine Print: Narrow down your options and scrutinize the details and fine print of each plan. Examine coverage, exclusions, limitations, and terms and conditions. Evaluate the network, ratings, and reviews of both the plan and carrier to gauge their performance and customer satisfaction. Additionally, check eligibility and enrollment requirements, including open enrollment periods, special enrollment periods, and qualifying life events. Understand cancellation and renewal policies to make informed decisions about continuing or ending your coverage.

FAQs

Is Simple Health Insurance legitimate?

Yes, Simple Health coverage is a legitimate company offering health insurance plans in the United States.

It operates as a broker, connecting customers with health insurance carriers.

While legitimate, customers should be aware of dealing with two entities, which may lead to confusion and inconvenience.

Discrepancies between information provided by Simple Health Insurance and actual policies and claims from carriers may also occur.

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