Health Plans Unlimited
8370 S.R. 84
Davie, FL 33324
FREQUENTLY ASKED QUESTIONS
What kinds of individual and family insurance plans are available?
How does a PPO plan work?
How does an HMO plan work?
How does a POS plan work?
How does an Indemnity plan work?
How does an HSA work?
What is a co-payment?
When can my coverage start?
What kinds of individual and family insurance plans are available? | Back to top
Individual and family health and group insurance plans are usually described as either "indemnity" or "managed-care" plans. The major differences concern which healthcare providers you choose and what co pays or out-of-pocket costs you are going to pay. Typically, indemnity and PPO plans offer a broader selection of healthcare providers than managed care plans. Indemnity and PPO plans pay their share of the costs for covered services only after they receive a bill (which means that you may have to pay up front and then obtain reimbursement from your health insurance company). Unless a co payment for primary doctors is available.
How does a PPO plan work? | Back to top
With a PPO (Preferred Provider Organization) plan, you'll be encouraged to use the insurance company's network of preferred doctors and hospitals. These healthcare providers have been contracted to provide services to the health insurance plan's members at a discounted rate. You won't be required to pick a primary care physician but will be able to see doctors and specialists within the network at your own discretion.
How does an HMO plan work? | Back to top
HMO (Health Maintenance Organizations) plans typically enable members to have lower out-of-pocket healthcare expenses but also offer less flexibility in the choice of physicians or hospitals than other health insurance plans. As a member of an HMO, you maybe required to choose a primary care physician (PCP). Today a lot of HMO plans offer open access ( no primary care physician to choose).Your PCP will take care of most of your healthcare needs. Before you can see a specialist, you may need to obtain a referral from your PCP. Today with open access the referral procedure is removed.
How does a POS plan work? | Back to top
A POS (Point of Service) plan combines some of the features offered by HMO and PPO plans. As with an HMO, members of a POS plan maybe required (unless an open access plan is offered) to choose a primary care physician (PCP) from the plan's network of providers. Services rendered by your PCP are typically not subject to a deductible. Also, like HMOs, POS plans typically offer coverage for preventive care visits.
How does an Indemnity plan work? | Back to top
A traditional Indemnity plan offers a great deal of freedom in choosing which doctors and hospitals to use, but will probably involve higher out-of-pocket costs and much higher premiums along with more paperwork.
How does an HSA work? | Back to top
Legislation establishing Health Savings Accounts (or "HSAs") took effect on January 1, 2004. HSAs and HSA-eligible health insurance plans are becoming more and more popular. Here are the basics:
What is a co-payment? | Back to top
A "co-payment" or "co-pay" is a specific charge that your health insurance plan may require that you pay for a specific medical service or supply. For example, your health insurance plan may require a $10 co-payment for a PCP office visit or brand-name prescription drug, after which the insurance company often pays the remainder of the charges.
When can my coverage start? | Back to top
You can request that your Individual and Family health insurance plan start anytime between 1 and 90 days in the future. However, the insurance companies will typically need some time to process your application so keep in mind that the actual date for the start of your coverage may vary depending on the underwriting process and the availability of your medical records
8370 SR 84
Davie, Florida 33324
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