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Types of Health Insurance Plans

Gokonten.com-We all do agree that health is one of life’s aspect that we need to carefully factor in our daily businesses.It is with this that states, governments and various other organizations have tried tailoring health insurance plans. However more often than not, these plans though helpful are rarely comprehensive.

This is one of the factors that has seen individuals, groups and even schools opt for custom made plans. Of all the available options one need to keenly analyze the best plan that fit or serve their purpose. Below are types of health plans.

Health insurance plans can be broadly classified into:

  • Health Maintenance organization
  • Exclusive provider organization
  • Point of service plan
  • Short term health plan
  • Gap insurance
  • Short Term Health Insurance
  • Preferred provider organization

They are for a limited period of time ranging from days to a month. Among the major targeted groups include interns, travelers and contract workers. They however don’t meet the minimum coverage required by health care acts. They thus are not tax exempted. Additionally they are not renewable plus they are not inclusive of preventive care such as vision and dental.

Health Maintenance Organization (HMO)

Are the most common plans used by up to over 30% of the populations.

This plan utilizes primary care physicians to cut down on medical costs.

To use this plan one need to choose health care providers within a given designated network.

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Services rendered by a non- network doctor are not covered except in emergencies.

This plan is ideal for low income people that preferre directed Medicare by trusted physicians.

Exclusive provider organization (EPO)

They just like HMO’s, require one to choose health care providers within a limited network.

But unlike HMO’s they don’t cover for expenses in emergencies.

They are particularly helpful for subscribers who are not patient enough to wait for referrals to see specialists.

Point of service plans.

They are slight twists to HMO’s and EPO’s, for this plan one can get care outside the limited network. However a referral from the primary care physician will be required.

Without the referral, charges and expenses are on the client except for some emergencies.

To avoid overcharge make a point of staying within your designated network, or get a referral from your trusted and selected physician.

Point of service plans. (POS)

For POS plans, one can be partially covered for out of network expenses and some emergencies.

But for them too, one needs a PCP referral else, part of the expenses might not be covered.

They best serve people who are worry of un-predictable health conditions.

Preferred provider organization (PPO)

This unlike other plans are not restrictive to limited networks of health providers.

They instead have contracted health providers whose sole purpose include but is not limited to offering services to clients wishing for more flexibility in service provision.

And as you might have noted they definitely will require higher premiums after the set deductible limits have been hit or reached.

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