The Start Health team had the pleasure to interview Joshua Erickson, Utah Insurance Broker.

Joshua provides insightful commentary on the insurance marketplace and how Start Health benefits consumers more than the alternatives.

“Here’s some of the common things I hear,” says Joshua. “‘We hardly ever go to the doctor,” or, “We only go once a year for a checkup. No pre-existing conditions and no high-cost medications. We just want something there in case something big happens.'”

“Cue Start Health for comprehensive coverage regulated by the Department of Insurance. And as a cherry on top, it has HSA eligibility.”

“Having something that is legitimately regulated by the Department of Insurance, but is not income based, is a really good space to find yourself in as a broker because you’re not going to be able to solve the problem the best way at healthcare.gov.”
“Start Health is an insurance company who is working for YOU instead of the government or the insurance industry.”

“There’s an opportunity here to save some money. We take away some of those administrative functions, but you save a lot of money as a result. That’s one big key.”

“Two: there are no networks–you don’t have to worry about being in or out of network. You can see any doctor. Just make sure that you have some sort of receipt or an explanation of the benefits and the CPT codes. You just submit it on the portal.”
“In addition, you can also shop for care like you shop for a TV, or a sofa, or any other purchase in your life. You’ll see what the reimbursement rate is for the service you need, then call around and say, ‘I’m paying cash, what’s the price?'”

“Cue in the HSA. You have the opportunity to fund an HSA year over year, and use that money if you have to to pay for medical expenses.”

“Our current healthcare setup is meant to help healthcare companies earn more money and hospital systems to charge the most they can. Those are the incentives. Start Health is helping you and your family get out of that and stop paying 400, 600, even 1600 percent more for the same procedure at one facility versus another. Those are real numbers as a broker I’ve seen.”

“So, if you don’t mind a little bit more work and preparation, and you’d like to have more control of your healthcare spend and your healthcare experience, give Start Health a shot.”

“My experience with Start Health has been very pleasant. Start Health arrived at an opportune time in the market to help people who healthcare.gov is not a good fit for, but they don’t want to be uninsured. It’s a totally different way to do insurance and healthcare and I’ve really liked it.”

The transcript above has been edited for clarity.
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Get Added Peace of Mind with Start Shield

While your Start Health benefits are designed to be in line with providers' cash rates, sometimes your Start Health benefit may not fully cover what your provider is willing to accept. That's where Start Shield comes in.

Start Shield is designed to work alongside your Start Health plan by helping address eligible amounts that remain when a provider's charges exceed your Start Health benefits.

If you receive a bill that's higher than your Start Health benefits:

  • Our team reviews the charges for accuracy.
  • We work directly with the provider to negotiate a lower price on your behalf.
  • If a significant balance remains after negotiation, Start Shield may provide additional financial assistance to help limit your out-of-pocket costs.

When does Start Shield apply?

Emergency Care

  • Automatically eligible for Start Shield assistance.

Planned Procedures

  • A Pre-Bill must be submitted before receiving care to be eligible for Start Shield consideration.
  • Whenever possible, planned care should be performed with a preferred provider.

Financial assistance is determined on a case-by-case basis in accordance with the Start Shield Terms of Service.

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