Types of coverage:
Traditional Indemnity Plans, these plans simply reimburse the employee for covered expenses. Due to the high cost of this plans, employers are opting for manage care plans.
HMO (Health Maintenance Organization), this organization offers a large selection of doctors, hospitals, and other health care providers. In this plan, all treatment is referred to in-network providers (out of network providers are not covered). A Primary Care Physician (PCP) manages treatments. The PCP makes referrals to in-network specialists. A few HMOs offer plans with direct access to their in-network specialists.
HMO with Point of Service (POS) plans, these plans allow for treatment by out-of-network health care providers. The patient is responsible for the deductible and co-insurance cost, while the HMO will reimburse the patient for the allowed expenses (read your HMOs’ definition of reasonable and customary allowances).
Preferred Provider Plan (PPO), this plan is similar to a POS, with the difference that it allows direct access to in-network specialists without a referral from a Primary Care Physician. PPO plans are more expensive than HMOs.
For Insurance Education and Information:
The Georgetown University Health Policy Institute offers consumer guides on how to obtain and keep health insurance for individuals and small businesses by state. For more information visit www.healthinsuranceinfo.net.
Health Insurance in-Depth www.healthinsuranceindepth.com in this website you will find information about group health insurance by state.
Plan for your Health www.planforyourhealth.com is an initiative by AETNA and the Financial Planning Association to educate the public on Health insurance benefits and financial choices available to them on different stages of their life.
What are the costs?
For online health insurance quotes:
EhealthInsurance.com www.ehealthinsurance.com
To find a Health Insurance Broker in your area visit:
The National Association of Health Underwriters at www.nahu.org.
Independent Insurance Agents and Brokers of America www.independentagent.com
National Association of Insurance and Financial Advisors www.naifa.org
Association of Health Insurance Advisors www.ahia.net
September 26th, 2007
davidguide
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