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Health Insurance Explained

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Health Insurance Explained

In the competitive world today people spend more than half of their lives working day and night for some or the other reason. Though it gives them good financial rewards and gratification of their desires yet what suffers a big setback is their health. This is because individuals fail to pay significant heed to health, the most crucial aspect of their lives. But being occupied is not the only factor in deteriorating health. Reasons like environment, epidemics, natural calamities etc. also contribute largely to fading human health.

Keeping in mind the precariousness of human fitness and the immensely expensive medical treatments available nowadays, health insurance has become the need of the hour. Health insurance is an ideal way to care for your health. A health insurance policy enables you to have the best medical therapy for your illness at any point of time.

The American health care system provides four basic health plans. These are HMOs, PPOs, POSs, and Free-for-Service (Indemnity) Plans.

1. HMOs Plans- these plans are least expensive of all and are offered by Health Maintenance Organizations. In case you avail this plan, you are required to pay for every health related service in advance in the form of monthly premiums. HMOs cover a spectrum of health problems such as dental, vision etc. HMOs provide a list of service providers to all its subscribers. The latter is required to choose from these a so called “primary care giver” who will be supervising or coordinating his health care.

2. POS plans- these are HMO plans that give you the freedom to have a health care of your own choice. These plans are a little pricier than the HMO ones. Here it is not m andatory to go with the referrals from your primary care physician. But if you desire to abide by the HMO plan system per se, you can even do that. In case you opt for services outside the HMO or PPO networks, you will be served accordingly.

3. PPO Plans- Preferred Provider Organizations provides health care at discount rates. The PPO plans cost more than the two aforementioned. The PPOs cover a range of hospitals, doctors, clinics etc. The cost-sharing rate will be less within the network and more outside it. However unlike the HMO plans, PPO plans allow you to avail services from outside the network.

4. Fee for service plans or Indemnity plans are simple an easiest plans that compensate for each service you avail on case by case basis. For instance in case an emergency situation arises and you go for an ultrasound, the hospital needs to submit a claim to your insurance agency and you will be facilitated with the hospital expenses. But with a myriad of options and convenience the Fee-for Service plans come out to be most high-priced of all.

For further details you can surf the net and even get health insurance quotes online. This will save your time money and energy you would spend in consulting an agent.

Health Insurance: Your Rights Under State Law

Health insurance is regulated at the state level and as such there are certain very important state regulations that you should be aware of. These health insurance regulations vary from state to state. Do not make the mistake of assuming that the health insurance policy that you purchased in Pennsylvania will be governed under the same rules as the health insurance policy that you would like to purchase in Florida.

It would be close to impossible to go into a great deal of depth on the various regulations across all 50 states in this short article. However, there is a health insurance information site run by Georgetown University that allows the ability to view and print A Consumer Guide to Getting and Keeping Health Insurance.

Each of these health insurance Consumer Guides are state specific which can save you quite a bit of time in sorting through what does and does not apply to your state of residency. It is important to compare health insurance quotes side by side from top carriers and be able to contrast the pros and cons of each company’s policy. Be a knowledgeable consumer when shopping for health insurance and know your rights under state law.

Florida Self Employed Health Insurance

Florida residents that are self employed and looking for health insurance have a number of options available to them. Be aware that depending upon your health, your age, and other factors unique to your particular situation there is no hard and fast rule as to which option is best for you. However, there are some general guidelines that will help you make the best Florida self employed health insurance decision.

The first Florida health insurance option available to the self employed is to simply apply for an individual health insurance policy. The benefit to applying for an individual health insurance policy is that individual health insurance rates in Florida are very competitive. You can see that first h and by viewing instant Florida health insurance quotes.

The downside to attempting to purchase an individual health insurance policy in the state of Florida is that you must be healthy. According to FL law, a health insurance company can decline your application for an individual health insurance policy based on prior medical history (pre-existing conditions), height and weight restrictions, and other health related criteria.

That means if you have cancer, diabetes, weight problems, or a host of other physical ailments then you will be denied coverage with a Florida individual health insurance policy. (Any unscrupulous agent that tries to tell you other wise is misrepresenting whatever product he or she is trying to sell you as health insurance when in fact it is probably a discount health plan or a health insurance indemnity plan with very limited coverage).

The second Florida health insurance option available to the self employed is to apply for a Florida group health insurance plan. In Florida, any group of 2 employer/employees or more is considered eligible for a Florida small group health insurance. (If it is just you: 1 self employed person functioning as a sole proprietor in the state of Florida then you have a different option open to you – see option 3 below). The benefit to applying for a Florida small group health insurance policy is that that certain health issues that can signal an automatic decline on the individual health insurance side will not signal an automatic decline on the group health insurance side.

The downside to attempting to purchase a group health insurance policy in the state of Florida is that it can be very expensive. Think of it in terms of: the more potentially unhealthy people that the insurance company has to give health insurance to (group health insurance) the higher the premiums will be as opposed to where the insurance company can pick and choose who they will accept for health insurance (individual health insurance).

The third Florida health insurance option available to the self employed is for those that are functioning as a sole proprietor. Florida self employed sole proprietors can apply for a Florida guaranteed issue small group health plan. The Florida guaranteed issue small group health plans has an open enrollment period only during the month of August.

Florida self employed health insurance can be a somewhat tricky area to navigate without the help of a licensed independent Florida health insurance agent. There are also many different ways to save money in taxes – one of which being the ability to deduct your health insurance premiums paid on Schedule C of your tax return against and up to your Schedule C income (Meaning that even if you don’t itemize [Schedule A] you can still deduct your health insurance premiums paid all the way up to your Schedule C income!).

Request help from the Florida self employed health insurance experts (CPA, Certified Financial Planner, and licensed Florida independent insurance agents) by visiting www.RealtimeHealthQuotes.com.

Different Types of Health Insurance Explained

Health is the biggest and most crucial asset of every living being. An unhealthy animal and individual can never truly experience any joy. It is the wealth of health that provides the requisite potential to topple over all odds and to move ahead with life. So such an essential part of a person’s life dem ands extra care and concern. An ideal way to secure an individual’s prized possession for him and for those who love him is a health insurance policy.

A health insurance policy is meant to financially assist a person in case there occurs a setback to his health. For instance he is afflicted by some grave disease, meets an accident, becomes h andicapped etc. In order to provide complete service and for the all round development of the individual the health care system of America offers ample of options or different types of health insurance for its citizens. Some of these are explained below:

• Preferred Provider Organization or PPO is a discount form of health insurance policy. PPO has a complete network of health care providers from hospitals to doctors. If an individual has taken PPO policy and takes treatment from any of these assigned providers, the PPO covers his complete medical treatment. While if the person takes recourse to some other doctor or institution, he gets served at a reduced rate. PPO’s thus facilitate medical services at abridged rates.

• One immensely cheap form of health insurance is the catastrophic health insurance. This sort of policy is basically meant for the people who have the financial means to manage regular illnesses and hospitalizations. The deductibles i.e. the sum of money an individual for these policies are quite large for this policy. At times there are caps on the amount the policy will pay in case of illness.

• A Short term health insurance policy is akin to a life insurance policy in the sense that both can be adopted for a specific tenure. This policy covers catastrophic to comprehensive cases and excludes the situation of pregnancy and childbirth. Quite often it is hard to qualify for these policies as there are strict conditions or qualifying procedures. Moreover these policies may not cover any pre-existing medical conditions.

• HMOs or the Health Maintenance Organizations also offer health insurane t significantly lower premiums. But the disadvantage is that they confine the sources a person may seek in non-exigency situations. HMOs do not cover the precautionary measures such as immunization, mammograms and physicals. There are quite a few issues associated with the HMOs. For instance it is believed that doctors receive financial perks for deducting the cost of medical services to patients. One way to do this is to pay monthly fee to the doctor for each patient despite of delving in to the issues of what treatment the latter one needs.

• There are also full-service health insurances. The lucrative feature of these policies is that they cover all sort of illnesses, cover any medical treatment the patient takes regardless of the institution or doctor and the deductibles are at the discretion of the policyholder. He may pay a high or a low one.

• Medicare or Medicaid insurances are meant for the retired or the low-income individuals.