Health Spas Guide » Care Physician

Where to Get Low Cost Health Insurance in Ohio

admin — Wed, 07 Apr 2010 12:00:45 +0000

Thanks to rising medical costs, health insurance rates are at an all-time high. But there are places where you can get cheap health insurance in Ohio.

The first thing you need to look at when considering health insurance in Ohio are the types of insurance that are available. There are four basic plans:

1. Health Maintenance Organizations (HMOs) – These plans set you up with a network of doctors and hospitals who provide your health care. You must choose a primary health care physician who oversees your care and refers you to specialists, and you are only allowed to see physicians within your network.

HMOs are the cheapest of all the health care plans. They have low co-payments, usually $5 to $10 per doctor visit, and involve the least amount of paperwork.

2. Preferred Provider Organizations (PPOs) – Similar to HMOs, these plans set you up with a network of health care providers, but unlike HMOs you may see specialists within the network without getting permission from your primary care physician. If you see a non-network physician you may have to pay the bill yourself and submit it for reimbursement.

PPOs cost slightly more than HMOs, and co-payments average $5 to $10 per doctor visit.

3. Point of Service Plans (POSs) – These plans also set you up with a network of health care providers, but, for an additional fee, you may see a physician who is not part of the network.

POSs generally cost more than PPOs but are more flexible. Co-payments average $5 to $10 per visit.

4. Indemnity Plans – These plans let you choose your own doctor and hospital, and you can visit any specialist you choose. You pay a deductible, usually $500 to $1,000, before your insurance company will begin paying claims. After you pay your deductible, your company will pay most of your medical bill, usually 80%, and you pay the remaining 20%.

Indemnity Plans are the most expensive health care plans and involve the most amount of paperwork.

Low Cost Health Insurance in Ohio

In order to get the best rate on your health insurance policy you need to compare rates from different companies. The fastest way to do this is to visit an insurance comparison website where you’ll not only get multiple rate quotes, you’ll also be able to get advice from insurance experts who can help you find the best policy for your needs. It’s quick, it’s easy, and it’s free.

By: Brian Stevens

Medical Health Insurance

admin — Thu, 01 Apr 2010 09:28:55 +0000

Choosing Health Insurance Policies

When it comes to health insurance, women have special needs. There are so many different health issues that women go through that it is important to find health insurance to cover all of them.

The first thing to look at is what your company offers. There are so many different options, but the two most common are fee-for-service and managed care. Find out which one is offered to you, and go from there. Different plans can have different providers and services, cost and quality of care.

* Fee-for-Service – In this plan, you go to the doctor of your choice, and they send a bill to the insurance company. You get billed for the rest. Usually, there is a flat fee per year that you must pay before the insurance company will start to cover expenses.
* Managed Care – This is the most common type of plan, and it is broken down into several different categories; Health Maintenance Organizations (HMO), Preferred Provider Organization (PPO), and Point of Service (POS). With HMOs, as long as you use a doctor or hospital in your network, your out of pocket costs should be minimal. With a PPO, although you might have a larger network from which to choose your doctor, your premium will be higher. With a POS, your plan is similar to a PPO, but your care will be managed by your Primary Care Physician.

Which one you pick will depend upon your health circumstances. For example, if you are pregnant, or plan to become pregnant, you might want to pick a health plan that covers pregnancy, to keep your out of pocket costs down. If you have cancer, you will want to pick one that has good doctors and hospitals in the network. Also, if you already have a doctor whom you love, you might want to make sure that you will be able to see them still with the new health insurance policy that you pick.

There are even a number of government-run resources for women without health insurance. There are community health centers, public hospitals, school-based center, public housing primary care centers, migrant health centers and special needs facilities. Other government sponsored programs include:
* Special Supplemental Nutrition Program for Women, Infants, & Children (WIC).
* National Breast and Cervical Cancer Early Detection Program (NBCCEDP).
* Maternal and Child Health Services.
* Indian Health Service (IHS).
* Projects for Assistance in Transition from Homelessness (PATH).

One of the most difficult situations for women is when they make too much money for public government assistance, but not enough to pay for medical care or health insurance. In this case, they might be able to find temporary insurance through their state, or a low-cost health insurance option through a labor union, professional clubs or organization. There are also free clinics and prescription drug assistance. Women who are coping with cancer can find many government sponsored and volunteer organization, and the Ryan White CARE Act gives aid to women with HIV/AIDS who have little or no insurance, and a limited income.

By: Ryan Baba

A Traditional Indemnity Health Insurance Plan Or A Managed Care Plan?

admin — Sat, 20 Mar 2010 23:33:50 +0000

For many years people felt that they were trapped between a traditional indemnity health insurance plan (a wide range of choice and high degree of security in the event of serious accident or illness which came at a high cost) and a managed care plan (a focus on preventative medicine at relatively low cost but with severely limited choice).

Today however it is possible to some extent to enjoy the benefits of both traditional indemnity insurance and managed health care through a variation on the original Health Maintenance Organization (HMO) model known as a Preferred Provider Organization (PPO).

A PPO is essentially an HMO which means that the insurance company will establish a network of healthcare providers and, in exchange for a relatively low cost, will encourage, or in some cases require, policyholders to seek treatment within the HMO’s network. Where treatment is taken outside of the HMO’s network much, if not all, of the cost of such treatment normally has to be borne by the policyholder. However, in the case of a PPO, the rules for policyholders who wish to seek care outside of the HMO’s network are relaxed.

Within an HMO a policyholder is assigned to a particular doctor or primary care physician (often referred to as a “gatekeeper”) and the policyholder must go through the primary care physician in order to receive treatment. If, for example, the policyholder wishes to see a specialist then he or she will have to be referred by the primary care physician and may or may not have a say in which particular specialist they are referred to.

In a PPO however no primary care physician is assigned and so no referral is required. Policyholders are free therefore should they choose to do so to seek treatment through a specialist who is not a member of the HMO’s network.

There are of course cost implications to this choice and policyholders will almost certainly have to pay more for treatment with a doctor or in a facility that is outside of the HMO’s network than they would if they sought treatment within the network. Nevertheless, unlike the HMO model, the PPO gives the policyholder the choice.

If you like, a PPO provides policyholders with the low cost managed health benefits of the HMO with the option to elect for the greater choice, albeit higher cost, of indemnity insurance when it suits their needs.

It will probably come as no surprise to find that today traditional indemnity policies are fast disappearing and that there are now twice as many people enrolled in PPOs as there are in HMOs.

By: Donald Saunders

Health Insurance Options For Small Business Owners

admin — Tue, 16 Feb 2010 21:14:19 +0000

As a businessman or would-be-entrepreneur, you face great challenges and take significant financial risks. Your health and medical care, however, is one department where you wouldn’t want to gamble. As a responsible manager, you should scope out the health insurance options available for small business owners like you.

Recently, managed care providers have been accommodating “Groups of One,” meaning you can buy a policy for yourself with premiums comparable to group insurance rates. The greatest plus of group health insurance policies is “guaranteed issue,” meaning they can’t exclude a person due to health problems.

You can also check if there are trade associations or chambers of commerce in your area that may offer membership coupled with health insurance.

If you wish to, get a plan to include your employees. Being an attractive benefit for prospective employees, a group health insurance plan can get you the best workers. In addition there are special tax deductions for businesses that offer health insurance.

To purchase the insurance plan that suits you best, you need to familiarize yourself with the basic types of managed care providers in the market:

Health Maintenance Organizations

Health Maintenance Organizations (HMOs) give you a range of health services for a set monthly fee. You pick your choice of a primary care physician from their list of affiliated doctors. With HMOs, you will not receive coverage if you go beyond their network, except for emergency cases. Most of the time, you become eligible for insurance benefits without a minimum payment (deductible), but you may be required a small copay per office visit and a steady monthly premium.

Preferred Provider Organization

The Preferred Provider Organization (PPO) is another type of care provider that extends health care through an approved group of providers, or through other providers outside the network. Usually, you have to pay a small copay and satisfy a deductible before benefits are paid. It’s less expensive to visit one of the providers in the network. You may seek out-of-network health care services, but your share of the bill will be higher.

Point of Service Plans

Similar to HMOs, your primary physician attends to you and refers to other in-network doctors in Point of Service (POS) plans. You may choose to see an out-of-network doctor and the plan will pay a predetermined amount of the bill; you will shoulder the bigger amount. These plans usually cost more, but your choice of attending physician is not restricted.

Health Savings Accounts

Health Savings Accounts (HSAs) are not part of managed care. It is a relatively new way to pay for health services. Savings accounts have tax incentives and can be accessed whenever the need for health care funding arises. Any surplus in the account earns tax-free interest.

Bottom-line, your own business is your source of income. You are its most valuable player and asset. Take care of your health and ensure your business’ smooth sail. Study your health insurance options and make the right choice.

By: Charles Crawley

Texas Health Insurance Basics

admin — Fri, 12 Feb 2010 02:58:18 +0000

Health insurance. Everyone needs it, but not everyone has it. And with medical expenses on a seemingly endless rise, paying out-of-pocket for them could land you in the poor house. So when choosing a health insurance plan, it’s good to know the basics to help you make better, more financially sound choices when selecting a plan.

Health insurance plans generally fall into one of three categories: indemnity plans, also known as reimbursement plans, preferred provider plans (PPOs), and managed care plans (HMOs).

An indemnity plan allows you to choose your own doctors and it completely pays for your medical expenses, either in full or according to a schedule of benefits. The schedule of benefits may be substantially less than your actual costs. Preferred provider plans and managed care plans can provide broader coverage, but they involve an arrangement between the insurer and a specified network of health-care providers. In addition, managed care plans require pre-approval of many health care services. For example, an HMO may require that a primary care physician in its network coordinate all of your care as well as refer you to specialists that belong exclusively to the network.

No matter which kind of health insurance you buy, make sure it provides you with the right kinds of coverage. And when it comes to coverage, a good health insurance plan should offer several types. For example, hospital expense insurance pays room and board as well as incidental services costs if you’re hospitalized. A surgical expense insurance covers surgeons’ fees and all other related costs. A physicians’ expense insurance policy pays for visits to a doctor’s office or when a doctor’s visits you in the hospital. Finally, major medical insurance offers very broad coverage with an extremely high maximum benefit that’s designed to protect you against losses due to serious illness or injury.

So what might be covered in a health insurance plan? When comparing plans, make sure they provide additional benefits that you may need, including:

o Prescription drugs

o Preventive care

o Mental health benefits

o Maternity care

o Vision care

And what can all this cost? In addition to the monthly premium expense, there may be other out-of-pocket expenses that can really add up, especially if you have children or other family members who make frequent visits a doctor. You should check to see if the health insurance plan you’re considering asks you to pay any or all of the following:

o Co-payment — The amount paid for each visit to a health insurance provider. This is generally required by HMOs.

o Deductible —The amount paid toward your medical expenses, most probably annually, before the insurance company pays any claims. This is generally required by indemnity plans.

o Coinsurance — The percentage of your medical costs paid after reaching any applied deductibles.

Now that you’ve established the why and what of health insurance, you need to find out where you can get it. Health insurance can be acquired through a group plan at work or through a group affiliation, such as a school, a club, association, etc. Or you can purchase an individual plan. When buying an individual health insurance plan, you can most probably customize it for your particular needs. If you’re looking for an individual plan, start by going online to compare coverages and rates from a number of companies to find the best plan and rate that meets your needs.

You now know the what’s, why’s and where’s of the health insurance game. Your next step is to select the best health insurance plan that meets your needs. You should select one that gives you the greatest flexibility and the best benefits for the lowest cost. Since this is a major purchase, you should shop around and get several quotes before choosing a plan. But before you dive in, here are a few things to consider:

1. Co-pays, deductibles, and coinsurance requirements, which ones apply?

2. Do you have the freedom to choose your own health-care providers?

3. Does the plan you’re considering cover the health services you need?

4. Does the plan you’re considering work with the health-care providers you’re currently using?

5. Does the plan you’re considering offer family, and individual, coverage?

6. Does the plan you’re considering cover pre-existing conditions? If so, is there a waiting period? FYI — The average waiting period can be three months to one year.

7. Does the insurance company you’re considering have a good reputation and a positive rating from a major ratings organization? For more information, contact your state’s department of insurance.

If you’re interested in premium individual health insurance preferred provider plan at affordable rates, created specifically for young, healthy individuals, you should take a look at Precedent. Visit us at our website, [http://www.precedent.com], for more information. We offer a unique and innovative suite of individual health insurance solutions, including highly competitive HSA-eligible plans, and an unparalleled “real time” application and acceptance experience.

By: Patt Carpenter