Posts Tagged ‘Preferred Provider Organization’

Health Insurance When Living Abroad

February 23rd, 2010



You may not know this already, but when planning on traveling abroad you cannot take your local insurance with you. You will need to purchase an international insurance plan offered by a multinational insurance company. While they may be hard to track down, it is the best way to assure that in the event of an accident or illness you will be able to acquire medical attention if needed.

Many of these plans will cover you up to six months in another country. When you speak with the insurance company, be prepared to give an extensive list of information to them. This will range from health problems you’ve had in the past ten years, your hereditary conditions to substance abuse, and almost everything else-if it has anything to do with your health be prepared to disclose the information. If you are planning on traveling with more than one family member, then be prepared to give information for each family member as well.

Many times your basic coverage will include emergency treatment regardless of which facility it is administered. This is not the case with minor medical treatment. It is important to know whether you are buying an insurance plan that is an HMO or PPO. If you are under an HMO or health maintenance organization, then you will be limited to receiving care from only the providers who are in their network. You can retrieve a list of all the companies within your insurer’s network upon request. If you are under a PPO, or preferred provider organization, you will have the opportunity to pick the best facility you see fit, but your insurer will only cover a portion of the incurred cost.

If you plan on staying abroad for more than six months then you will need to look into what is called expatriate health insurance. Only larger companies supply this type of insurance, as it is much more extensive with the type of options that can be applied to each policy. The type of treatment options that are covered with expatriate health insurance are those that are labeled as specialty treatments, like chiropractic therapy and acupuncture. There are many options that can be applied to expatriate health insurance depending on your family’s needs and how long you plan on spending abroad.

There are many options for health insurance when you are traveling abroad. While many individuals never consider purchasing insurance when traveling to another country, this should be at the top of your list when planning for a trip. Health insurance should not be taken lightly. Be sure you understand every aspect of your policy before deciding with any one particular company.

By: Roger Mitchell

Health Insurance Options For Small Business Owners

February 16th, 2010



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

Health Insurance 101 Explained

February 2nd, 2010



We all understand the importance of health insurance; however, as the types of health insurance continue to increase it is becoming more and more difficult to select the type of coverage that is best for you and your family. To help you find out which type of policy might benefit you the most, let’s take a look at the most common types of policies.

There is usually a lot of hype regarding HMOs so let’s look at that one first. A HMO is a health maintenance organization plan that works with a specified group of doctors and hospitals within the network. A primary healthcare physician is selected and you must obtain referrals for care that cannot be provided by that physician. The benefits of this type of plan are lower office visit costs and prescription drug co-pays. In addition, there will typically be either no or limited deductible costs for hospital stays. Depending on your coverage, there may also be no pre-existing condition cause limitations. It is also important to understand that your choice of doctors and hospitals will be limited with a HMO and you won’t be able to have out of network services covered.

A PPO or Preferred Provider Organization works similar to a HMO; however, the major difference is that you are not required to select a primary care physician. In addition to the benefit of being free to choose your own physician without worrying about a referral you also gain the benefit of limited or no deductible costs for hospital stays as well as a possible larger selection of physicians that might be available with a HMO. Out of network services may also be covered; however, for a higher charge than in network services.

A POS, or Point of Service, is also similar to a HMO in that you select a primary care physician. The difference is that you are free to choose out of network treatment if you’re willing to pay a higher out of pocket cost.
Another option is what is known as a traditional coverage policy. This type of policy will have a higher monthly premium as well as deductibles. In addition, you will generally be required to pay for services out of your own pocket up front and then submit claim reimbursement forms.

You may also wish to consider various types of disability plans, which cover a percentage of your income in the event that you experience an illness or accident that prevents you from working for a period of time. A short term disability plan will provide benefits from the first day of an accident or the eighth day of an illness up to 26 weeks. Generally, this type of plan will cover 66% of your weekly income.

Long term disability will begin after short term coverage has expired and will provide coverage for a variable term, depending on the policy you select. Some policies are limited to providing coverage up to two years while others will cover you up to the age of 65.

By: Joseph Kenny