If you do not have medical insurance, or the appropriate level of coverage, a major medical emergency could leave you with nothing. In order to prevent this from happening to you it is important to know about the different types of medical insurance, so you can make sure that you have the coverage that best suits your needs and your current financial situation.
Preferred Provider Organizations (PPOs) are the most common type of medial insurance plan. A PPO limits the doctors and facilities that you can use to those that are in network. With a PPO you will typically have to pay a small co-pay for doctor visits or hospitalizations, while the insurance company covers the rest of the cost. Depending on where you live, and the strength of your medical insurance provider, you may have a wide variety of doctors and facilities to choose from, or your choices could be very limited. It is important that you look into which doctors and facilities are in network before selecting a PPO.
No matter what type of insurance plan you choose, there are several factors that are the same. The more you pay for your monthly premium, the less your co-pay will typically be. Mental health and substance addiction coverage are not part of the standard medical coverage, but may be offered by the insurance company, depending on the company and the state. If you are switching insurance companies, and you are already receiving treatment for an existing medical condition, it is absolutely critical that you find out if your new insurance will cover the pre-existing condition, if not it may not be worth it to switch.
A recent newcomer to the insurance industry is the HDHP. This High Deductible Health Plan is used in conjunction with a pre-tax savings account. You will have the option of either a Health Savings Account or a Family Savings Account. With an HDHP you will pay all of your health costs up-front, with the exception of preventative treatments. Most preventative treatments are covered in full by your plan. The money you contribute to the HSA and the FSA can go towards doctor’s office visits, prescription drugs, and even vitamins. Money invested in your FSA can be used for child-care. Unlike a PPO you can have your choice of any doctor. There might be a list of doctors that will give you a small discount if you use their services.
The last type of insurance plan we will discuss is the Health Maintenance Organization (HMO). HMOs differ from state to state, and among insurance providers, however they are typically geared towards older adults. HMOs require a Primary Care Provider (PCP) to oversee your care, and they will have to provide referrals for specialists before you can make an appointment. Similar to PPO, the HMO requires a co-pay, and the co-insurance varies based on the amount of your monthly premium.
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