Robert Adziashvili

Choosing the right health insurance is a challenge, especially for young professionals and entrepreneurs. Should you go for a major medical plan or an indemnity plan? Understanding the pros and cons of each will help you make an informed decision.

Major Medical Insurance: Comprehensive but Expensive

Covers pre-existing conditions
Covers routine doctor visits, hospital stays, and prescriptions
Required for everyone in some states
State-based coverage—limited outside your home state
More expensive than indemnity plans

Best for: People with pre-existing conditions or those who want full medical coverage.

Indemnity Plans: Affordable but Limited

Lower monthly premiums (as low as $150/month for young males)
Works nationwide—no state restrictions
Good for young, healthy individuals who rarely visit the doctor
Does not cover pre-existing conditions (including pregnancy)
Limited doctor visits per year

Best for: Young, healthy entrepreneurs who need basic coverage for emergencies.

Which Plan Should You Choose?

  • If you travel frequently or work in multiple states, an indemnity plan is better.
  • If you have ongoing health concerns, a major medical plan is worth the extra cost.

Pro Tip: If you’re self-employed and looking to provide insurance for employees, remember that group insurance requires covering at least 50% of premiums. Independent contractors can’t be included under traditional group indemnity plans.

Don’t wait until you need medical care to figure out your insurance. Choose a plan that fits your lifestyle and budget before you need it.

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