Contact Us
Plans and Services Health and Wellness About Wellmark Member Employer Broker Provider
Home Member Why Are Costs Going Up? Health Insurance 101
» Register for myWellmark
» Using Your Benefits
» Why Are Costs Going Up?
» Blue Magazine 
» Accountable Care Organizations
» Other Products and Services
» Thinking about being Blue?
Health Insurance 101

Understanding Insurance – The basic concept behind health insurance is a community approach to cost-sharing. In insurance lingo, this is called a "pool," which includes others who have also purchased health insurance coverage.

 

Understanding Insurance 

The premiums people pay go into a pool.

 

 

A pool is a collection of premiums used to pay claims for all members in the pool.

 

 

When someone receives medical care, money is used from the pool to pay the bills.

Horizontal Rule 
Understanding Insurance 

 

 

 

As health care costs rise...

 

 

 

 

... and health care use increases...

 

 

 

 

... the amount of money in the pool decreases as claims are paid.

Horizontal Rule 
Understanding Insurance 

 

 

Your premiums go up because the amount of money in the pool must increase to pay all the bills.

 

 

 

This ensures that there is enough money in the pool ...

 

 

 

 

 

... to cover the potential health care expenses and prevent a catastrophic event from bankrupting an individual or a family.


Learn More 



Member Quick Links

» Find a Doctor or Hospital
» Wellmark Drug List new window
» Drug Information
» Individual & Family Plans
» Medical Policies
» Forms
» Preventive Care Guidelines
» Order ID Cards new window
» Health Care Reform Information
» Federal Employee Program

One Rule
FacebookTwitterInstagrampinterestLinked InYou Tube