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
Posts Tagged ‘Primary Care’
Health Insurance 101 Explained
February 2nd, 2010How to Get Inexpensive Health Insurance
January 30th, 2010
Looking to buy health insurance? Want to know how to get inexpensive health insurance with a reliable company? Here’s how …
Types of Health Insurance
There are four basic types of health plans:
Indemnity Plans – These plans let you choose your own doctor, and it pays all of your medical bills up to a specified daily amount for a specified number of days.
Indemnity plans are the most flexible health care plans, but they are the most expensive plans and they involve the most paperwork.
HMOs (Health Maintenance Organizations) – With these plans you pay a monthly premium to join a network of physicians and hospitals. You must choose a primary care physician within the network who oversees your medical care.
HMOs are the most restrictive of all the health insurance plans, but they’re also the cheapest plans. Co-payments are either very low ($5 to $10) or are free.
PPOs (Preferred Provider Organizations) – With these plans you also pay a monthly premium to join a network of physicians and hospitals. You can choose to see whatever doctor you prefer, but if he or she is not part of the network you’ll need to pay an extra fee.
PPOs cost a little more than HMOs, but a lot of people prefer them because they are less restrictive. Co-payments average $5 to $10.
POS (Point of Service plans) – These plans are a combination of HMOs and POSs. You must choose a primary care physician to oversee your healthcare treatment, but you can see a non-network physician without having to pay extra fees if your primary care physician refers you to him.
POS plans cost a little more the PPOs and HMOs, but are more flexible. Co-payments are about the same as for HMOs and PPOs.
Which Plan is Best?
In order to determine which health insurance plan will best meet your needs, you need to find out the following:
* Does the plan cover the services you need?
* What co-pays, deductibles, and coinsurances does the plan have?
* How much freedom do you have in choosing your own physician?
* What is the waiting period for pre-existing conditions?
Inexpensive Health Insurance
In order to get the best rates on health insurance you need to comparison shop. Thanks to the Internet, you don’t have to spend hours on end calling local insurance companies or surfing single-company websites to get quotes. Now you can go to an insurance comparison website, fill our a simple questionnaire, and get quotes from multiple comapnies.
The best comparison sites only deal with A-rated companies so you know the company you choose will be reliable and will give you good service. Theses sites also have an insurance expert on hand to answer any insurance questions you may have. (See link below.)
By: Brian Stevens