Medical Insurance - Health
Insurance Coverage & Plans Explained
By Carrie Reeder
you're trying to decide between health insurance plans,
you'll find that there are several different kinds from which to choose.
It's important that you weigh all your options carefully. Your health
insurance, even with an employer contribution to the cost, is very
likely to be your largest regular monthly expense other than your rent
or mortgage. The plan you choose needs to be more than affordable. It
will affect your family's choices in doctors and health care as long as
you are a member of that health insurance plan.
insurance is like any other kind of insurance. You pay a monthly amount,
called a premium, to an insurance company in return for 'benefits', to
be paid out as needed. Depending on the kind of plan that you choose,
those benefits might include regular doctor's office visits, checkups,
emergency room services and hospitalizations, and treatment by specialists.
Some health insurance plans also offer benefits that are called 'wellness
benefits.' like discounts on health club memberships, stop-smoking classes,
and nutritional consultations.
main types of health insurance plans are:
- Health Maintenance Organizations
benefits are geared toward keeping you healthy. They aim for affordable
health care costs by reducing the cost of annual physicals, well-child
visits and other routine care by requiring you to pay a 'co-pay' - a small
portion of the actual bill - for every visit to your doctor, and the health
insurance company pays the rest. Most require that you choose a primary
care physician, who takes the place of an old fashioned General Practitioner
- the family doctor who knew your medical history and prescribed visits
to specialists if needed. HMOs are generally more affordable than traditional
health insurance, but they’ll still cost you several hundred dollars
your medical care under an HMO will be arranged through your primary care
physician. If you need to consult with a specialist, you simply call your
primary care physician and request a referral.
Provider Health Insurance Plans
health insurance plans are very similar to HMOs. They also attempt to
keep overall medical costs affordable by providing both preventive and
catastrophic health care coverage. Unlike most HMO's, though, you can
usually choose to visit any physician or other provider registered with
the preferred provider network. You'll pay a co-payment, and your health
insurance will cover the rest.
Health Insurance Plans
health insurance plans are also sometimes called 'fee for service' plans.
They generally will pay out to any provider, but they strictly limit the
kind of health care that they'll cover. In most cases, you're only covered
for illness or injury. There's no coverage provided for regular checkups
and other office visits. Catastrophic health insurance plans are often
the most affordable option, since they only pay off if you become ill
or are injured.
view our list of recommended health insurance providers, visit: Recommended
Medical Health Insurance Providers.
Reeder is the owner of http://www.eZerk.com,
an informational website with articles and latest news about various topics.