Health Insurance 101

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Health Insurance 101


Navigating the world of health insurance can be overwhelming with so many options available. Understanding the different types of policies can help you choose the best coverage for you and your family. Let’s explore the most common types of health insurance plans.

Health Maintenance Organization (HMO)


HMOs receive a lot of attention. This plan focuses on providing care through a network of designated doctors and hospitals. You’ll select a primary healthcare physician and need referrals for services they don’t provide. Benefits include lower costs for office visits and prescription drugs, often with minimal or no deductibles for hospital stays. However, keep in mind that your choice of healthcare providers is limited to those within the HMO network.

Preferred Provider Organization (PPO)


A PPO offers more flexibility than an HMO. You aren’t required to choose a primary care physician, and you can visit any doctor without a referral. Like HMOs, PPOs often have limited or no deductibles for hospital stays, but offer a broader selection of providers. Out-of-network services are covered, but at a higher cost.

Point of Service (POS)


A POS plan combines features of both HMOs and PPOs. You’ll select a primary care physician, but you also have the freedom to use out-of-network services if you’re willing to pay more out-of-pocket expenses.

Traditional Coverage


Traditional health insurance policies come with higher monthly premiums and deductibles. You'll typically pay for services up-front and then submit claims for reimbursement.

Disability Insurance


Consider disability plans to protect your income if you’re unable to work due to illness or injury.

- Short-Term Disability: Covers benefits from the first day of an accident or the eighth day of an illness, lasting up to 26 weeks. These plans usually cover around 66% of your weekly income.

- Long-Term Disability: Starts after short-term coverage ends and can extend up to two years or until age 65, depending on your chosen policy.

Understanding these options will help you make informed decisions about your health insurance needs.

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