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The Ultimate Guide to Different Types of Health Insurance

If you’re looking to enroll in a new health insurance plan, it may seem overwhelming with all the different options available to you. For help finding an option that’s right for you, check out this guide on the different types of health insurance plans.

The world of health insurance can be incredibly confusing. One of the most challenging things about health insurance is figuring out the difference between all the plans on offer.

Luckily, there are some tips you can use to help you develop a better grasp of how the different types of health insurance work.

In fact, if you keep reading, you’ll learn about the different types of health insurance and how you can pick the right plan for your needs.

Let’s begin!

The Health Maintenance Organization Plan (HMO)

With this plan, you are able to access all the health services. You can do this through many different healthcare providers and facilities that are within the plan’s network. Generally, this kind of plan tends to demand less paperwork too.

With an HMO plan, you tend to have the least amount of freedom, when it comes to choosing who your health care provider will be.

If you have health issues, whilst on this plan, your primary care doctor will essentially be in charge.

They will be the one to refer you to a specialist if they think there is a need to do so. So, if you are on an HMO plan, you will need a referral before you can be sent to a specialist.

When you have such a plan, you will need to pay a premium, deductibles, and copays.

The Preferred Provider Organization Plan (PPO)

With this plan, you have a bit more freedom to choose who your health care providers are going to be when compared to an HMO plan. With this plan, you do not need a referral to see a specialist.

You will often experience high costs, of which you will need to pay yourself if you want to see doctors outside of the plans ‘network.’

This kind of plan also requires for you to fill out more paperwork, than you would have had to do so on an HMO plan.

With this plan, you will pay premiums, deductibles, and copays. As mentioned, you will also have to pay a portion of the cost, if you see doctors outside of the plan’s network. These costs can be quite significant.

The Exclusive Provider Organization Plan (EPO)

The EPO plan providers you with generally more freedom than what you would experience with an HMO plan. You will be able to see a specialist without a referral and you have more say over who your health care provider is.

If you see someone who is out of the plan’s network, you will need to pay all of the costs on your own. However, if there is an emergency, your costs will likely be covered.

You will tend to find that these plans have lower premiums than what you would find with a PPO plan.

The amount of paperwork you have to deal with, is quite low, with an EPO plan.

When this plan, you will need to pay a premium, deductibles, and copays.

The Point of Service Plan (POS)

The POS plan is kind of like a mix between an HMO plan and a PPO plan.

A POS plan provides you with a lot of freedom, in terms of who your health care providers can be. This plan requires that you have a primary care doctor, who is in charge of your care. This doctor will be the one of who is going to be referring you to specialists.

If your primary care doctor deems it okay, you will be able to see specialists outside of the network. If you do this, however, you will incur costs for doing so.

The amount of paperwork on this plan is generally more than what you’d expect with an HMO or a PPO plan.

When this plan, you will need to pay a premium, deductibles, and copays.

The Catastrophic Health Plan

This is a plan designed for people who are under the age of 30. This plan tends to have a lower premium than the other plans we have covered.

With this plan, you are allowed three visits to your primary care doctor. Any more and you will be charged deductible fees.

One of the good things about this plan is you will be provided with free preventative care. This is even if you are in a situation, where you have not met the deductibles.

With this plan, you pay the premium and the deductibles.

Learning More About the Types of Health Insurance

If you are going to buy some health insurance, you will want to make sure you reach out to the companies providing the insurance.

You need to make sure you are aware of all the small print that might come with a certain health insurance plan. A lot of the time, you will find that insurance companies have patient representatives that will explain everything to you.

If you have any questions, it is important you ask – no matter how uncomfortable you feel. If you do not do this, you won’t be able to appreciate the risks that come with certain insurance plans.

You do not want to be in a position in the future, where you are not covered for something you thought you would be covered for. It is also important you know how you will be billed. This can help you manage your costs.

In some cases, you might belong to an organization that provides you with health insurance.

For instance, if you are a member of BP Group Solutions, you might have some form of health insurance. Make sure you are aware what such forms of insurance cover before you actually need to make use of them.

Insured and Protected?

Health insurance is something you will need to invest in. Choosing from the various types of health insurance, however, isn’t easy.

In this post, we’ve gone through some of the plans you might come across when speaking to health insurance providers. It is important you read the small print when signing up for a plan. Failing to do so, could lead to you spending more than you bargained.

Want to learn more about the world of healthcare? Check out out healthcare section to see our latest content.