Health Insurance Basics
Health care and other medical expenses
can be difficult, if not impossible, to cover as an individual without
insurance. That's why a good policy is so very important - without it,
you may find yourself unable to access quality care, and in debt over
hospital, laboratory, and pharmacy fees if you or a family member
becomes critically ill. If you are not able to sign up for a plan
through your employer, we can help you find and purchase affordable
The first step is deciding what sort of
plan you need. There are several basic options, and each one has
unique costs and benefits for subscribers. Which one you decide on
will depend on what you can afford, how flexible you want to be, and
other individual factors.
The most basic type of health insurance
is an HMO or Health Maintenance Organization. HMOs are by far the most
inexpensive of plans, so they are good choices for people who simply
cannot afford any other type of coverage. However, with this sort of
coverage, you will be expected to select a primary care physician, and
you will be required to obtain a referral from that physician in order
to see a specialist. This can prevent you from receiving care as
quickly as you might like, and it can also restrict which specialists
you are permitted to see when the time comes. If you are very choosy
about your doctors or want to be able to seek care from others without
waiting for permission, an HMO is not what you want.
A PPO or Preferred Provider Organization
is a type of health coverage that offers significantly more
flexibility than the more basic HMO. Participants do not have to
choose a doctor for primary care, nor are they typically required to
seek referrals in order to make an appointment with a specialized
physician. The network of participating doctors, nurses, and midwives
is generally much larger than a Health Maintenance Organization's
network, and though subscribers will pay a higher fee if they choose
an out-of-network provider, they are certainly allowed to do so. Of
course, this flexibility isn't free; PPOs are more costly than other
insurance plans. However, they are often still affordable and almost
always worth the extra expense.
If you are really looking to save money
and you're in very good health, you may opt not to purchase a policy
that covers all medical expenses. Instead, you might want to select
catastrophic or major medical insurance. These policies only apply to
serious illnesses or injuries, rather than annual physicals, chronic
conditions, and other minor medical needs. They also have high
deductibles, and are certainly not intended for everyone. Most serious
pre-existing conditions will preclude you from getting this type of
insurance, and you will also want to avoid it if you take prescription
drugs or cannot afford a high deductible.
Short term health insurance policies are
also available. They are similar to catastrophic illness or injury
policies, but are intended to stay in effect for a short period only.
They can be good choices for people who are between jobs or waiting
for benefits to kick in with a new employer. Also, you can continue
seeing your chosen doctor and prescriptions will be covered for the
duration of the policy. These plans are inexpensive, accept debit & credit cards and exactly what you should consider during a transitional phase of your life.
No matter what sort of insurance you
decide on, our representatives can help to match you up with a good
plan that will serve you and your family well for a long time to come.
Get started by requesting a free quote today!