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Understanding Health Insurance Plans
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Understanding Health Insurance Plans

Are you uninsured and looking for health care coverage? Maybe your premiums are too high and you need something cheaper? If you find yourself in either of these predicaments, it’s time to shop for a new health insurance plan!

Finding a policy that meets your needs really isn’t complicated—but it does take time and preparation. The first step is to get educated. The more you know about your options and each plan’s pros and cons, the more likely you are to make the right decision for you and your family. That’s where we come in: providing relevant information to help you make the right choice.

Next, it’s time to ask yourself some serious questions. For instance:

  1. What kind of policy do I want?
  2. Which plans meet my existing medical needs?
  3. What kind of deductible can I afford?
  4. Which health plans do my doctor/s participate in?

Your answers to these questions will help determine the right health insurance plan for you.

Get the Details

To make a wise choice, you need to know the details: what plans are available, the distinct differences inherent to each, and how they compare in price.

To help you get educated, we’ve outlined your options below. Read them over, consider which might fit you best, and seek the advice of your insurance agent if you have any questions.

Don’t forget to come back to Get-Insurance-Quotes.org for your free, no-obligation quotes when you’re done!

Indemnity Plans

Indemnity plans, also known as “fee-for-service” plans, allow you to choose your own doctors, hospitals and other health care providers. If you want maximum control over your health care options, this is the plan for you.

With indemnity plans, you pay your own medical care as you go along, and your health insurance provider reimburses you afterward, either partially or in full. This means you need more money up front because you’re paying for care out of your own pocket initially.

Once you meet your yearly deductible (the amount you pay before your insurance kicks in), your insurance company pays a large percentage of your remaining bill—typically 80 percent. You’re then responsible for the small portion your insurer doesn’t cover (co-insurance).

Indemnity plans offer freedoms not readily available in other kinds of health plans. However, they are more expensive. So make sure you know and understand your financial limitations before deciding on this type of health plan.

Managed Care Plans

Managed care plans offer members comprehensive medical services and a ready network of health care providers at highly discounted, prepaid rates.

Your choices in managed care plans include:

  • Preferred Provider Organization (PPO): Using this type of health insurance, you may choose any health care provider, whether in or out of network, as determined by your policy. A co-payment or co-insurance is usually required. Staying in-network saves you a bundle!
  • Health Maintenance Organization (HMO): Like the PPO, the HMO requires you to make a co-payment to an in-network physician.However, it does not pay for services you receive outside the network. Specialty care can only be obtained through a referral from your primary-care physician.
  • Point of Service (POS): This health insurance plan is similar to the HMO. However, when you need care, you can go out of network. But your POS plan reimburses you only 50 to 80 percent, and co-insurance and a deductible may also be required.

Managed care plans are much less expensive than indemnity plans. They’re also slowly evolving to allow more and more flexibility regarding health care providers as time goes by.

Take the Right Step

The health insurance plan that’s right for you depends on your finances, personal health care needs and general preferences.

So establish your priorities, set your budget and weigh the pros and cons carefully. With a wealth of information and expert advice, the right health coverage for you and your family is one small step away!

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Carriers Represented by Agents in our Network:
  • Allstate
  • Farmers
  • MetLife
  • American Family
  • Nationwide
  • United American
  • and many more ...