Gap insurance is insurance that may be required if you lease or finance a car. Gap insurance covers the difference between what your car is worth and what you owe on your auto loan should your car be a total loss in an incident. For example, let’s say you have a car loan with a balance of $20,000, but your car is only worth $15,000. If it’s totaled in an accident, your insurance will only pay out $15,000 and you will owe $5,000 to settle your loan. If you have gap insurance, that policy will pay the $5,000 to settle your loan balance.
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If you decide to opt out instead of acquiring compliant health insurance, you do have a few options. These options probably won't qualify to relieve you of having to pay the shared responsibility payment, but they can still lower your health care costs. Many insurance companies offer short-term insurance plans that might help you between coverage periods or after losing insurance. Catastrophic insurance usually has a high deductible, but can help if you need expensive treatment. Another option is Direct Primary Care (DPC) or "concierge medicine." These are not standard insurance models but involve a direct payment to the provider as an annual fee or retainer for services. This type of arrangement is not common, but it's an option for some. Boutique offices are becoming increasingly popular as well. These medical practices do not bother with insurance and simply make cash-price arrangements with patients. Many offer quite competitive rates for routine services. However, keep in mind that this alternative option does not satisfy the requirement to have minimal compliant health insurance and that you may need to pay the fine unless you are somehow otherwise exempt.
It might be the most difficult thing you’ll ever do, but it’s important to advocate for yourself during an emergency room visit. If possible, ask all the questions you can think of and make sure to get answers before agreeing to have any procedures done. And just because you’re at an in-network facility doesn’t mean you’ll always be treated by an in-network doctor, so make sure to talk to whoever is providing the care if you can. Obviously this isn’t possible if you’re incapacitated, but if you can, you should make clear what your health insurance does and does not cover. This can help you avoid an unexpectedly large bill later. If you do end up with a huge emergency room bill even though you have insurance, contact your provider and ask if there are any programs available for bill reduction.
The above is meant as general information and as general policy descriptions to help you understand the different types of coverages. These descriptions do not refer to any specific contract of insurance and they do not modify any definitions, exclusions or any other provision expressly stated in any contracts of insurance. We encourage you to speak to your insurance representative and to read your policy contract to fully understand your coverages.
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