Understanding Health Insurance
In a nutshell, health insurance is typically based around four options;
managed care, health maintenance organizations (known as HMO), preferred
provider organizations (PPO), and lastly a point of service provider (or
A managed care health insurance program is typically not very popular
amongst the average consumer, as it in essence just makes it possible to
make visits to doctors or (rarely) a hospital under whichever circumstances
and just pay a smaller out of pocket fee in comparison to without the
coverage - which might wind up being more costly than having no coverage at
all. For those that can't afford any other option, sometimes this is worth
the investment - while others might seek state-appointed 'free healthcare'
explore ObamaCare based options.
An HMO program is based around receiving services from approved - only
physicians or medical care specialists, and typically paying about 20% out
of pocket and having 80% covered by your HMO - upon approval, either in the
form of them being billed, or you being reimbursed for the 80% (total
amount paid in some instances) at a later date. These plans typically have
fairly stringent rules, and going outside of its recommended healthcare
professionals will cost you extra and can fetch as high as even double or
triple what you would have paid should you sought out an approved
healthcare provider via your HMO.
A PPO plan is based on you having the ability to select whichever
healthcare professionals or institutions you seek, and having it covered
directly without having to pay up front - with some plans covering as much
100% of any charges accrued for treatment, follow up, and some premium
plans even covering some or all of your medications for a certain period of
Lastly, a POS healthcare insurance plan is designed to cater to your
healthcare needs by providing you preapproved healthcare specialists,
approved or recommended by your (preapproved) primary-care physician.
Unfortunately, this type of healthcare plan can be quite costly, both on a
monthly or annually rate, dependent upon your circumstances, health, and
other various variables.
Taking into consideration all of the “'ore' elements of the healthcare
system, it's worth considering some of the following restrictions or
additional variables in which might otherwise disqualify you for programs
or increase your monthly or annual premium - and even deductible!
Predisposition to genetic illness or health - related illnesses
Impatient healthcare services or institutionalization (including
In most healthcare plans you are responsible for some, if not all
costs of prescription - drugs, although in the instance of state approved
health insurance they are typically covered upwards of 80%.
Any current or previous health - conditions
6 month no-coverage or claim(s) capabilities (this is not ideal for
someone already sick or wishing to obtain immediate care, treatment, or
healthcare options in the near future)
Selecting a healthcare program most beneficial and practical for you can be
difficult, so it weighs in your favor to look at prospective plans with a
trusted friend or loved one to get the best and 'neutral' advice or
guidance. If not, there are other options such as selecting and speaking
with a more recognized or reputable, nationally known healthcare provider
such as Blue Cross Blue Shield - just to get started, not necessarily
as this happens to be one of the most costly plans available.
Additionally there are (some) genuine websites that can give your health
insurance quotes based on your circumstances, and then direct you to the
best health-care plan or provider tailored to fit your needs!