Information

Let us teach you how MoTek Insurance can restructure health benefits to increase health coverage for your employees and save on monthly premiums.

Understanding the Benefits of HRA/HDHP Restructuring:
How It Works

Learning Resources

While navigating health insurance options for small businesses can be challenging, employers and employees must understand the available choices and work together to find the most suitable coverage. Open communication, thorough research, and assistance from insurance professionals can help dispel misconceptions and ensure that small businesses provide valuable healthcare benefits to their employees.

Employee Wellness and Retention

Studies consistently show that health benefits are a top priority for job seekers, often
trumping even salary in their decision-making process. It’s a powerful signal that you value
your employees’ well-being and are committed to investing in their future. Employee
benefits, especially health insurance, significantly influence workplace satisfaction—
businesses offering comprehensive health coverage benefits in employee recruitment and
employee retention. Competitive benefit packages signal an employer’s commitment to
their employees’ well-being, fostering loyalty and retention.

Maximizing HR Efficiency and Employee Satisfaction with MoTek Insurance

The Misconception of Health Insurance.

Insurance carriers entice you with a plan where the higher the monthly premium paid, the less out-of-pocket expense you incur. TRUE.

You could pay an extra 79% more in premium between the High Deductible Health Bronze Plan vs Platinum plan. TRUE.

My health plan must cover treatment services if my doctor says it’s necessary. NOT ALWAYS Health plans may impose medical criteria to determine if a service or treatment is medically necessary.

The insurance companies run the financial numbers & percentages in their favor to increase profits. The truth is that if you have a major medical event, the most you will pay is your max out of pocket costs.

MoTek Insurance

Claims Assistance

Your Trusted Partner for Seamless Claim Support. With expert guidance, dedicated advocacy, and clear communication, we ensure your claim issues are resolved promptly and hassle-free. Let us handle the details while you focus on what matters most – your health and peace of mind.

MoTek Insurance

Claims Assistance

Your Trusted Partner for Seamless Claim Support. With expert guidance, dedicated advocacy, and clear communication, we ensure your claim issues are resolved promptly and hassle-free. Let us handle the details while you focus on what matters most – your health and peace of mind.

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Understand How Much Your Plan Will Cost

After you enroll in a plan, you’ll receive a monthly bill that you must pay on time to stay covered. When you use medical services, you may have to pay other costs:

Deductible

the amount you owe for covered health care services before your health insurance or plan begins to pay.

Coinsurance

your share of the costs of a covered health care service, calculated as a percentage of the allowed amount for the service. For example, you may pay a coinsurance of 20 percent of the cost for a medical test. Your plan pays for the rest.

Copayment

a fixed amount you pay (for example, $15) for a covered service, such as a doctor visit when you are sick.

Things to consider when choosing a plan Metal level

Insurance companies use metal levels to describe different types of plans. These are Bronze, Silver, Gold, and Platinum. Generally, the lower your monthly payment, the higher your out-of-pocket costs when you need medical services.

Network/plan types

Some plans allow you to see almost any doctor or use any health care facility; others limit your choices to a network of doctors and facilities or require you to pay more if you use providers outside the network.

Health Maintenance Organization (HMO)

An HMO is a type of health insurance plan that usually limits coverage to care from doctors who work for or contract with the HMO. An HMO generally won’t cover or has limited coverage for out-of-network care except in an emergency. HMO members usually have a primary care doctor and must get referrals to see specialists. HMOs often provide integrated care and focus on prevention and wellness. In general, HMO plans are the least expensive plans that health insurance companies offer.

Exclusive Provider Organization (EPO)

A type of health insurance plan covering services only if you use doctors, specialists, or hospitals in the EPO’s network (except in an emergency). Members do not require referrals to see a specialist.

Preferred Provider Organization (PPO)

A type of health insurance plan where you have the choice of getting care from in-network or out-of-network providers. You’ll pay less if you use providers in the plan’s network. If you have a PPO plan, you can visit any primary care doctor or specialist without a referral, and you do not need to select a doctor to be your primary care physician to coordinate your care. Generally, these are the most expensive plans.

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