JANUARY TRIVIA QUESTION ANSWER

        
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The rising cost of medical care and the resulting pressure on premiums makes health insurance a top priority if you are to cover your health expenses at a reasonable cost. Today's health insurance system is extremely complex and is constantly changing. Choosing health insurance is an important decision whether it's for an individual, family or group. At Affordable Insurance Consultants we help you custom design health care insurance solutions with your budget in mind. We consider it our primary responsibility to make sure that you have adequate coverage.

We offer several types of health insurance from many quality providers:

  • Aetna,
  • Assurant Health,
  • Blue Cross/Blue Shield,
  • CIGNA,
  • Coventry,
  • Golden Rule,
  • Humana,
  • Kaiser Permanente and
  • United Health Care.

Health Maintenance Organizations (HMOs)

- These plans offer access to extensive networks of participating physicians, hospitals and other health care professionals and facilities. You choose a primary care doctor to coordinate your health care from a list provided by the HMO. You must contact your primary care provider to be referred to a specialist. HMO plans will normally result in fewer out-of-pocket expenses, but you may have to pay fees or co-payments for services such as doctor visits or prescription drugs.

Point-of-Service (POS)

- The primary doctors in a POS plan usually make referrals to other providers within the plan. If the doctor makes a referral outside the plan, the plan may pay all or most of the bill. Most POS plans provide some out of network benefits and some include an "open access" feature that does not require referrals to see a specialist.

Preferred Provider Organization (PPO)

- The participating doctors, hospitals and health care providers in a PPO plan are paid by the insurer on a negotiated, discounted fee schedule. Costs are lower if you use in-network healthcare services, but you also have the option of going out-of-network. If you choose out-of-network providers you will usually pay higher copays and coinsurance.

Health Savings Accounts (HSA)

- These plans are often a viable alternative to traditional health insurance plans. HSAs enable you to pay for current health expenses and save for future qualified medical expenses on a tax-free basis. Instead of paying a premium you establish a tax-free savings account that covers your out-of-pocket medical expenses. You own and control the funds in your account. If you sign up for a Health Savings Account you are required to buy a High Deductible Health Plan.

High Deductible Health Plans (HDHP)

- HDHP plans feature higher annual deductibles than many other traditional health plans. Depending on the HDHP you choose, you may have the choice of using in-network and out-of-network providers. With the exception of preventive care, you must satisfy the annual deductible before the plan pays benefits. When combined with an HSA account an HDHP can be very cost effective.
 
 
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