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 ‘Traditional Coverage’
Health Insurance 101 Explained
February 2nd, 2010How to Compare Low Cost Health Insurance in Michigan
October 9th, 2009
Even though the state of Michigan has many programs in place that provide health insurance to those who don’t qualify for traditional coverage, there are many discount health plans available. Many people mistakenly believe that these discount health plans are a part of a state wide initiative. They aren’t. In fact all discount health plans in the state are privately run and they aren’t considered health plans at all. For this reason they are not recognized or regulated by the state. Consumers would do well to steer clear of these plans and instead seek out a government funded health insurance program if they need to.
For individuals who don’t fall into a low income bracket and therefore don’t qualify for a government regulated plan, they will want to compare low cost health insurance plans in Michigan to find the best price. Doing this may sound complicated and time-consuming but it doesn’t need to be. In fact it can be painless as long as the person seeking the insurance is prepared.
Understanding what coverage you absolutely must have is essential to finding the best price possible. If you are dependent on regular prescription medications, you’ll obviously need health insurance that offers prescription drug coverage. For someone at risk of developing cancer because of a family history, they’ll want a plan that provides for cancer screening and chemotherapy and follow-up treatments.
Once you have that information in place, you can then contact various health insurance companies to get quotes. Ensure that each agent you speak with understands exactly the level and scope of coverage you require. At this time also inquire about the claim process and how long claims generally take. You’ll then be in an ideal position to make a decision that is best for the health of you and your family members.
By: Deborah Mills