Let's start with the basic terminology of a health care plan [health insurance]. The plan has three basic coverage areas, deductibles and co-insurance [coins] and out-of-pocket expenses that are often used. I will explain them below.
Deductible: from
This is the amount you paid from your pocket before the insurance company paid any claims. The deductible is once a year and is reset for the first time in January each year. This is similar to your car or homeowner's insurance policy.
Cooperative insurance: from
Once you reach the annual deductible, the insurer will share some of the costs with you until you reach the annual maximum. The plan is written in the 80/20 plan or the 90/10 plan, which always adds up to 100%. This is not unlimited, you have a stop loss.
Co-payment: from
Co-payment is the amount you pay for visiting a doctor [HMO or PPO program] or a pharmacy prescription program. Co-payments are not related to annual deductibles, and not all plans have a co-payment.
What should family members look for when purchasing health insurance?
If you often see a doctor or your child often needs medical care, you may need a Health Maintenance Organization [HMO] program. HMO is a program with a network of doctors and facilities where you must travel to health care. Your health insurance company will have a list of doctors to choose from. The doctor you choose is the doctor you must go to when you are sick. When you visit a medical facility with co-payments, the patient is responsible, which is beneficial for individuals or families with children who need to see a doctor several times a year.
If you are a person who does not see a doctor other than a medical examination, you may need a PPO plan. These insurance plans have a network of providers where you can get health care at a discount or negotiated price. Although there is a network of doctors who agree that the negotiation rate is not for everyone, these are considered to be outside the network. The PPO Health Plan allows you to leave the network doctor, but you will be responsible for higher non-negotiating health care costs.
The greater the coverage, the higher the premium you need to pay for personal and family health insurance.
Buy health insurance online
The Internet is an effective way to buy insurance. Most health insurance quotes from the website will allow you to compare all types of plans from all top health insurance companies. You can search and purchase insurance online without having to talk to an agent. The price of the insurance plan is state-specified, and no website can give you a better offer than the other. Buying directly from an insurance company will not save you money, everyone has the same price. Working with an agent can give you free advice and help you organize the plan that works best for you. Therefore, online shopping, no obligation to buy, you can complete the application online.
Orignal From: Health insurance basis for personal and family health care plans
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