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Types of Health Insurance Plans

With the enormous variety of healthcare providers and insurance providers out there, the confusion felt by many is only worsened when they come to realize that there is also a large variety of health insurance plan types that they can sign up for. Not every doctor's office works with every plan and not every plan is offered by every health insurance company.

Confused yet? Well when you're looking to get a health insurance online quote, you should know a bit about what you're applying for before you apply, and in keeping with that, we have set up this page to give information about the three major types of health insurance plans you are likely to run into, what they mean, their advantages and disadvantages and how they work.

  • Preferred Provider Organization (PPO): A PPO health insurance plan offers plenty of flexibility in choosing your doctor, your care, and treatment options by letting you decide - within a specified network of providers - who you will see for care and when. If you feel you need to see a dermatologist, it is your decision to visit one. Your visit will be covered by copays as long as the doctor is in the preferred provider network, and the cost of treatment will be handled under the terms of your insurance plan. You have the option of seeing a doctor that is not within your network of providers as well, but you will pay more for the visit and for your treatment if you do.
    The PPO plan is great for individuals who do not - for various reasons - want to be saddled with a single doctor or provider for their healthcare. The major disadvantage to this plan is the price - they are typically more expensive than the HMO plan because it is more difficult to control costs when you allow customers to see expensive specialists at will.
  • Health Maintenance Organization (HMO): The HMO plan offers a great option for those who feel more secure under the care of a primary care physician who oversees all of their medical treatments. Under the HMO, you are placed with a doctor of your choice (within the plan), who will be your regular physician and make recommendations regarding your care. If you need to see a specialist you will first need to get a referral from your primary care physician (PCP). The HMO insurance plan usually costs significantly less than the PPO plan when it comes to premiums and additionally, doctors visits will often require a small fee as with a PPO, but treatment and prescriptions are often completely covered by the plan.
  • Health Savings Account (HSA): If you are the strong, independent type that doesn't even want to deal with monthly premiums and copays, then the health savings account may be the best option for you. Whereas with a PPO or HMO plan, your cost for medical treatment may be around 20% while the insurance company picks up the other 80%, with an HSA, the payments between insurance company and you are going to be more balanced - perhaps 50/50. This is because under and HSA, you do not pay monthly premiums to the insurance company that they keep whether or not you actually get sick or need to see a doctor that month. Instead, money is deducted - tax free - from your paycheck and placed into a savings account for you, it is your money That accrues interest and grows much like a regular savings account. Then, when you need to buy medicine, you buy it out of this HSA account, or if you need to see a doctor, you pay for much of the cost out of this account. Ideal for young, single, healthy individuals, the HSA is a plan that doesn't take the 'what if' approach that is basic to all types of insurance - rather, it encourages saving for a rainy day. The HSA has become increasingly popular in recent years thanks to the substantial savings that employers can realize by simply offering a match for deposits into an HSA, rather than paying for a full-blown insurance plan for all of their employees.