9 Myths about Using an Insurance Agent to Buy a Health Plan

9 Myths about Using an Insurance Agent to Buy a Health Plan

Buying health insurance can be challenging. So many choices. So many levels. So many decisions.

That’s why it helps to have an expert on your side. That expert, called an insurance agent or broker or producer, plays a key role in helping people through the health insurance buying process. But there are many myths about insurance agents and their role in buying health insurance. Here, we tackle some of the most common myths.

Myth: An insurance agent is just a middle man.
Fact: Insurance agents are middle men, but not in the way you think. They aren’t some unneeded extra step. Rather, they are key players whose job is to help customers make sense of a complex system.

A good agent will spend time learning about the needs of you and your family and then will look for a health plan that fits your needs and your budget. He or she will walk you through the benefits, application and enrollment process.

Myth: It costs more to use an agent because you have to pay a commission.
Fact: The insurance company pays the commission so you will pay the same amount for your health plan whether you use an insurance agent or buy it yourself. The difference is that the agent can save you hours of time wading through the choices and has the know how to help you decide which plan is right for you.

Myth: An insurance agent is working for the insurance company, not for me.
Fact: Most insurance agents are independent contractors. That means they want to sell you a plan again next year to make sure they keep being paid. The better the service you get, the more likely you are to renew your plan through that agent.

Myth: There is no benefit to using an agent.
Fact: Using an agent provides lots of benefits. That’s because an agent:

  • is free to you.
  • helps you choose the right plan.
  • enrolls you in a plan.
  • serves you throughout the year.
  • makes allowed changes to your plan for you.
  • gives you access to a special BCBSTX customer service department.
  • knows the law and keeps up with changes at the state and federal level that affect health insurance plans.
  • is licensed and must take classes to stay up to date on the industry.

Myth: Once the agent sells you a health plan, that’s the end of your relationship.
Fact: A good insurance agent knows that this is a long-term relationship. Selling you the plan you need at a price you can afford is just the first step. The agent also will:

  • Check your health plan each year to make sure the plan and the price are still right for you.
  • Help you with insurance claims, services or regulations.
  • Help you make changes to your account. That includes things such as changing your contact information, adding or removing dependents, and ordering ID cards
  • Assess your needs each year and help you find a new plan or renew your current plan.

Myth: It’s easier to buy health insurance online.
Fact: That may be true if you’re buying a book or a coffee maker. But health insurance is a complex business with many choices. If you buy the wrong insurance plan, you can’t simply send it back. You could find out the hard way that the plan you chose doesn’t cover the care you need or include the doctor you want.

Myth: Anybody can be an insurance agent.
Fact: It takes a lot of education to become a qualified insurance agent or broker. They are licensed by the state department of insurance. In many cases, they must meet state, federal and professional requirements each year. They take classes and training and must pass licensing exams. Insurance agents who belong to the National Association of Health Underwriters also agree to a strict code of ethics.

Myth: There’s no way to know if an agent is qualified.
Fact: Many career insurance advisors have completed a series of college level courses leading to a professional designation, such as

  • Registered Health Underwriter (RHU)
  • Health Insurance Associate (HIA)

Myth: Insurance companies don’t care if an agent is qualified as long as the agent sells their products.
Fact: As a highly regulated industry, we are required by both state and federal laws to make sure agents that sell Blue Cross and Blue Shield of Texas (BCBSTX ) plans are qualified to help consumers. Also, BCBSTX requires agents and brokers who sell our plans to sign a contract. That ensures the agents know our plans, sell them in an ethical way, and meet our high standards for serving members.

  • Using an agent seemed to be the right move--we told the agent specifically what my husband's cancer diagnosis was and the medications he was currently using for life extending treatment.  The agent assured us that our Gold metallic BCBS policy would continue the same treatment we were receiving from HUMANA.  Now, four months later, our claim for those drugs were denied and we are having to seek BCBS appeals or face a large bill.   DO YOUR HOMEWORK, FOLKS--agents don't always give knowledgeable  advice and the insurance companies don't always have your interest at heart.  For $2180 a  month, I expected better coverage, better service and less of a feeling that insurance companies are merely bookies.