If you have ever said to yourself I need health insurance, then you are probably not alone! We have all heard we need health insurance, but at least until the recent economic crisis we didn’t really pay much attention to what kind of health assistance we actually needed. In fact, many people really don’t understand how important it is to have health assistance, let alone how they can afford it. It is true that health insurance will protect you in the event of major illness or injury, but how much can it really save you? I’ll show you how you can find the information you need to make the right decision.
What You Should Know About I Need Health Insurance:
You may have been told by your provider organizations that you only need health care coverage for yourself. Or, you may have been told that you need health insurance to supplement the health care you are receiving. While either of these arguments is respectable, you need to be more specific about what coverage you really need. It would be a shame to spend a fortune on health care insurance when you really don’t need it.
The different types of health insurance, include:
- Health maintenance organizations (HMOs): HMOs give you a local network of participating doctors, hospitals, and other health care professionals and facilities that you are required to choose from. These types of health insurance plans also require you to choose a primary care provider (PCP) from the network. Your PCP is your home base for medical care. They get to know you and help coordinate all your care. They will also need to provide you with a referral to see in-network specialists. The costs for an HMO plan—copays and coinsurance– are typically lower than other types of health plans, as long as you stay in-network.
- Exclusive provider organizations (EPOs): An EPO offers you a network of participating providers to choose from. Most EPO plans do not include coverage for out-of-network care except in the case of an emergency. This means that if you visit a provider or facility outside the plan’s local network, you will likely have to pay the full cost of services yourself. Depending on the plan, you may or may not be required to choose a primary care provider (PCP). If you want to see a specialist in your network, you don’t need a referral from a PCP.
- Point-of-service (POS) plans: Point of service plans combine features of HMO and PPO plans. The provider network is typically smaller than a PPO plan and the costs for in-network care are typically lower, like an HMO. POS plans also require you to choose a primary care provider (PCP) from within the plan’s network of doctors and other primary care professionals. Your PCP is your home base for care and advice. They get to know you and your health needs and can help coordinate all your care.
- Preferred provider organizations (PPOs): PPOs typically offer you a large network of participating providers so you have a lot of doctors, hospitals, and other health care professionals and facilities to choose from. You may also choose to see providers from outside of the plan’s network, but you will pay more out-of-pocket.
Health insurance cost:
The premium that your medical care insurance plan will cost depends largely on your age and current health. Younger people generally have much more expensive medical care plans because their medical histories are less stable and they are usually subject to the whims of their doctors. If you are a young person, keep in mind that your children may still need parents to assist them if a serious medical problem arises. While you can change your parents’ health insurance plan, it can be difficult to do so and you may pay through your nose for years to come.
Need of health insurance plan:
A good health insurance plan would pay out the cost of a visit to the emergency room for you or your family member as well as the cost of an office visit to an orthodontist. You should also be able to receive preventative medical care as well as coverage for dental care, mental health services and prescriptions. You should also be able to take advantage of any prescription discounts on your insurance plan may offer. If you are paying out-of-pocket for most of these types of services, then you are not saving any money.
How Much Do I Pay For Coverage?
In general, primary care providers (PCPs) and specialty physicians have the highest premiums among all health insurance plans. If you are a primary care provider, the cost of your health insurance policy will be affected by the number of patients you see on a regular basis. For instance, if you treat one patient once a month and have several patients with chronic conditions, the monthly expense for your policy may increase.
Other offers by the health insurance providers:
I Need Health Insurance – What Other Options Do I Have? Out-of-pocket costs for the services you provide to patients may not be covered by your health plan would pay. Most medical professional associations will have negotiated payment agreements with health companies covering the costs of medical services rendered to their members.
However, you should check with your primary care doctor before you sign up for any agreements. Many individuals are able to stay on a plan until they reach a certain age. The cost of COBRA (Consolidated Omnibus Budget Reconciliation Act) plans, or similar federal government alternatives to private health insurance, would take effect at the time you reach that age and then your policy would discontinue.
Health insurance through pcp:
I Need Health assistance – Can I Get One Through My PCP? A PCP is likely a member of a network. If you are a PCP, the health care professionals who work with you have agreed to accept the pay-for-service rates that are set by your PCP. The reason assistance plans offer pay-for-service plans is that the provider organizations are confident they can recoup some, if not most, of their expenses from the primary payer, the individual person who pays for their services.
Your primary care provider (PCP) is agreeing to accept whatever rates are negotiated by the insurer with their pay-for-service organization rather than taking the risk of losing business if their rates are increased. As a result, many PCPs have signed up for an HMO or PPO, which also limits their out-of-pocket expenses.
More details about the health assistance plans:
I Need Health Insurance – I Am Uninsured? There are state-sponsored programs available to provide coverage to uninsured individuals. In most cases, the rates offered are far less expensive than those for in-network providers. To be eligible, you must have been without health insurance for 30 days or be considered underinsured. To find out more about finding affordable health care, including finding a reputable in-network provider organization, call a local PPO company or visit the Health Professionals Plan website