2 September 2010 1 Comment

Affordable Family Medical Insurance

Family medical insurance rates may be more affordable than you realize. We specialize in finding quality low cost plans for eligible persons all over the US. As the recognized leader for family health care, the rates you view on this website are equal to the lowest published rates for each carrier. Since health insurance premiums are mandated, no other agent or online resource can provide lower premiums. And of course, there are never any fees for using our service or viewing quotes. And that includes the entire comparison, research and application process.

Some of the most popular  plans are issued by respected companies such as Aetna, UnitedHealthcare, Humana, Assurant, Blue Cross and Celtic. Coverages typically include office visit and prescription benefits, preventive benefits and major medical catastrophic coverages for inpatient and outpatient hospital expenses. Having a clear understanding of the most important family medical insurance terms will help you determine which type of policy is best for your situation. Although we did not list all terms, we have listed the most common terms.

Deductible

Typically, the deductible is the amount of money you must pay before the insurance company pays benefits. Unlike an auto insurance deductible, once this deductible has been paid once, another deductible is not required during the same calendar year (although some short-term plans have multiple deductibles). Many family medical policies do not require you to meet the deductible for covered office visit and prescription charges. Also, under new national health care reform, most preventive benefits, such as mammograms, pap smears and annual physical examinations are also not subject to a deductible. In fact, coinsurance and waiting periods have also been eliminated. It is possible that this legislation could change with a Supreme Court ruling in 2012.

Copay

A copay is a specific dollar amount that is paid. Generally, copays apply to office visits and prescriptions and are paid at the time the benefit is used. They are usually $15-$50 for office visits. Prescription copays  vary as generic medication copays are often less than non-generic medication. Since a common non-generic copay is $15, you actually may pay less by paying the cost of the  prescription out of pocket. Emergency room visits also have a copay that will usually range from $50 to $500. If you are admitted, that amount may reduce or be eliminated. If you have a large family, you may want a copay plan.

Coinsurance

Coinsurance is the percentage of the medical expenses that the insured pays after the deductible has been paid. In the vast majority of policies, a “stop loss” is established, which represents the maximum amount the insured will pay. The most common coinsurance is 20%, with 0%, 10%, 30% and 50% options also available. Naturally, the higher the percentage, the more out-of-pocket expense the insured must pay. Many inexpensive plans feature higher coinsurance to keep the premiums low. Many Health Savings Accounts utilize the 0% option.

PPO

A “PPO” (Preferred Provider Organization) is a managed organization of doctors, hospitals, medical facilities and health care providers that provide health care at reduced rates. The purpose of the PPO is to offer customers of the health insurance plan access to a many providers who have agreed to offer treatment at a reduced price. Most large health insurers use countrywide Networks that allow their members to utilize coverage when they are treated in a state other than where they live. Local smaller health insurers, such as Geisinger in Pennsylvania, have smaller focused Networks.

Affordable family medical insurance plans can provide coverage for your short term needs, a family business, separate individual plans or just basic catastrophic coverage. Regardless of your need, we’ll find the policies that meet your budget and benefit objectives.

One Response to “Affordable Family Medical Insurance”

  1. SD 30 October 2010 at 8:35 am #

    Great points. Medical coverage is hard to understand. Thanks for making it a bit easier.