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Choosing Between The Different Types Of Health Insurance Policies


When it comes time to protect yourself and your family in the area of medical care, do you know how to choose between the different types of health insurance policies? There are three basic venues for health insurance policies. These are: consumer directed policies, traditional policies, and managed care policies. Each of these different types of policy covers a very different amount of services. While some cover medical, dental, vision, and mental health services, others will only cover emergency medical care. It is important to research each type thoroughly before purchasing any of the health insurance policies, so that you have a full understanding of exactly what is covered by each type.

Traditional Policies

Traditional heath insurance policies, or fee for service policies, as they are sometimes known; require that (after a small premium is paid) each service the covered person receives is paid for by the patient at a discounted rate. This is called a co-pay. Depending on your level of coverage, your co-pay will be higher or lower. This co-pay will be required on all medical care rendered, whether it is a routine office visit, or a more intensive hospital stay. While these health insurance policies may have cheaper premiums, you may end up paying more in the long run.

Managed Care Policies

There are three different types of managed care health insurance policies: HMOs, PPOs, and POSs. Each of these provides a different type of coverage, and should be well researched before your purchase your policy. Managed care health insurance policies offer the patient a choice of providers (except in the case of HMOs), and offer discounted services when an in network physician is chosen. Often, these are comprehensive policies (again, except in the case of HMOs) which will cover everything from emergency medical services, to vision and dental care as well. Often, a deductible is paid, not unlike auto insurance, and everything over and above that deductible is covered by the insurance company.

Consumer Directed Policies

With consumer directed health insurance policies, the benefits for covered medical expenses are paid directly to the insured. The insured then has the option of using these funds to pay the physicians expenses, or using the monies to pay for any other, non-medical expenses accrued as a result of injury or illness.

Whichever of the different health insurance policies you choose, be certain that you are quite sure of what will be covered before you make your final decision.

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You, as the patient, can go wherever you want for medical treatment. It is part of being responsible to have one and since some people may be business owners, it is also their responsibility to take care of the health of their employees. For example, if the plan pays 0 for an office visit plus the patients co-payment and the out of plan physician charges 0, the patient will be charged the co-pay plus the difference of 0 per visit. While very few emergency centers will turn someone without health insurance away, many doctors will either not accept them as patients unless they can pay the entire bill up front. The same may be true for out of pocket expenses, when one or two people have satisfied the cap on these expenses, the rest of the enrolled members of the family no longer have to worry about any out of pocket costs.


catastrophic health insurance
If an employee needs, or chooses, to see an out of network provider, their out of pocket costs will be much higher than with a PPO plan, but not nearly as high as with an HMO. This type of health insurance comes with a very high deductible from five hundred dollars to fifteen thousand dollars and a maximum benefit payment of one to three million dollars policies. Others believe health care insurance should be an individual choice and allow the market to fill the needs of the individuals. However, the more intrepid amongst us are not going to be daunted by such concerns and will take the plunge into being independent and will surely be resourceful enough to know where to shave costs so that they end up with an affordable health insurance plan for them.