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Limited Plans

The online health insurance website eHealthinsurance continues to be one of the best sources for self employed health insurances options in our opinion. 

When is Medical Insurance not Health Insurance?


Many Self-Employed Individuals and Small Business Owners are Desperate for Affordable Health Coverage

Due to the faltering economy and deepening recession, self employed individuals and small business owners may be experiencing a decrease in overall sales. Health insurance premiums have never been higher.  That deadly combination of factors has many established self employed entrepreneurs and small business owners frantically searching for more affordable health insurance coverage.

These established business people find them selves joined by the swelling ranks of recently unemployed individuals and families that have no health insurance coverage in force at all.


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A growing number of these self employed people are turning to 'limited benefit medical insurance plans'.  These increasingly popular and often controversial plans are sold on the basis of affordability but may provide a false sense of security.

The limited benefit policies cost far less than major medical health insurance plans. The reduced premiums come at a cost to the insured however. Some limited benefit medical plans cap what the insurer will pay toward the medical bills. Some of the cheapest plans may cover as little as $1000.00 annually and others may pay just a few hundred dollars per day if you are admitted to the hospital. Major medical health insurance, in contrast, generally covers most medical expenses in a given year once plan health insurance  plan deductibles and co-payments are satisfied.

The limited benefit medical plans are gaining favor with employers with contract workers, part time workers and lower paid hourly employees. Some limited benefit medical plans cost a young single male between $9 and $15 a week.

Problems most often arise when the insured individuals find out their 'medical plans' are not true health insurance.  It may be too late at that point -- the realization will set in that the insured might have already amassed thousands of dollars in health care costs that are not covered by the limited benefit plan.

Our own research into the limited benefit medical plans drew immediate red flags when we saw them being aggressively marketed as 'quality health insurance you can afford'.  Any web page that pairs that statement with 'you cannot be turned down for any reason.'  is NOT selling true major medical health insurance and is most likely violation insurance laws in any state where they are doing business.

The deceptive marketing is not relegated solely to the companies selling the plans. Many employers take advantage of an employee when they recruit them and promise company sponsored health care benefits.  Most people do not take the time to read the documents and provisions and restrictions that comprise a limited benefit medical plan and are shocked when it comes up short the first time they use it.

Are the limited benefit medical plans worth it?  A qualified 'perhaps'.  The limited benefit plans may be better than having no health insurance at all. However, it is critically important that the  person acquiring the limited benefit medical plan understand what they are buying  -- that it is not major medical health insurance and may come with severe restrictions as to what is covered and the amounts due the insured. .

If you find yourself newly self employed and requiring individual health insurance or if you are just looking to replace existing self employed health insurance, we would strongly recommend checking out the online offerings of eHealthInsurance.  They are the leader in online health insurance sales since 1997 and offer you the ability to compare benefits of different policies side by side to make your informed buying decision easier. In many cases, it takes about 10 minutes and most policy documents can be signed online using their eSign technology. They have licensed agents available should you have questions.  No insurance agents will call or solicit you directly!

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Copyright 2003-2014 Self Employed Group.  All Rights Reserved. This Page last updated:06/19/2014