Comparing Health Insurance Plans - HMO Vs PPO Vs HSA High Deductible Plans
Health insurance has become a more complex choice then ever before.
Part of that is the cost of major medical premiums, and also the cost of the medical costs that may be covered.
But the other part of the confusion over health plans is that we now have more choices in our coverage then we did a few years ago.
If people do not really understand their choices, they are less likely to be happy with that choice later when they actually need to use their health plan.
It does not matter if you are shopping for a family individual medical plan, or if you are simply selecting a group plan for your place of work.
You still need to make a decision that works out for you and your family.
We have found that different people's health, savings habits, and expectations will impact their decision.
In other words, no one choice is good for everybody.
Let us outline the three basic types of coverage that will be available to you so you can pick the one you want.
A health maintenance organization (HMO) means that the plan has a network of medical providers.
In order to be covered you must almost always use one of the providers that are included in this network.
They are almost always listed in a book, or on a website.
The only time that the health plan will cover you outside this approved list is in case of an emergency, or if they give you prior approval because they do not have a network provider for the type of coverage you need.
A preferred provider organization (PPO) also uses a network, but is less restrictive.
They will offer you the best coverage at the lowest copays inside the approved list of medical providers.
However, you are free to seek services outside if you also accept a higher co-payment burden.
Like an HMO, in case of an emergency, you will still be covered under the PPO rate even if you use a non-network provider in most cases.
A health savings account (HSA) works with high deductible health insurance.
These two plans are designed to work together.
Within limits, contributions to an HSA can be tax deductible, and it is meant to cover costs under the high deductible.
If money is left in the plan at retirement age, it can be withdrawn.
It is impossible for me to tell you which type of medical plan is the best.
Good savers can be very happy with HSA plans and high deductible health plans.
People who do not mind using network doctors, and who want comprehensive medical coverage will probably enjoy an HMO.
Others, who want a more flexible plan that still covers many medical services will probably want to choose a PPO.
It is very important for you to learn the advantages and disadvantages of all of the types of coverage you can choose!
Part of that is the cost of major medical premiums, and also the cost of the medical costs that may be covered.
But the other part of the confusion over health plans is that we now have more choices in our coverage then we did a few years ago.
If people do not really understand their choices, they are less likely to be happy with that choice later when they actually need to use their health plan.
It does not matter if you are shopping for a family individual medical plan, or if you are simply selecting a group plan for your place of work.
You still need to make a decision that works out for you and your family.
We have found that different people's health, savings habits, and expectations will impact their decision.
In other words, no one choice is good for everybody.
Let us outline the three basic types of coverage that will be available to you so you can pick the one you want.
A health maintenance organization (HMO) means that the plan has a network of medical providers.
In order to be covered you must almost always use one of the providers that are included in this network.
They are almost always listed in a book, or on a website.
The only time that the health plan will cover you outside this approved list is in case of an emergency, or if they give you prior approval because they do not have a network provider for the type of coverage you need.
A preferred provider organization (PPO) also uses a network, but is less restrictive.
They will offer you the best coverage at the lowest copays inside the approved list of medical providers.
However, you are free to seek services outside if you also accept a higher co-payment burden.
Like an HMO, in case of an emergency, you will still be covered under the PPO rate even if you use a non-network provider in most cases.
A health savings account (HSA) works with high deductible health insurance.
These two plans are designed to work together.
Within limits, contributions to an HSA can be tax deductible, and it is meant to cover costs under the high deductible.
If money is left in the plan at retirement age, it can be withdrawn.
It is impossible for me to tell you which type of medical plan is the best.
Good savers can be very happy with HSA plans and high deductible health plans.
People who do not mind using network doctors, and who want comprehensive medical coverage will probably enjoy an HMO.
Others, who want a more flexible plan that still covers many medical services will probably want to choose a PPO.
It is very important for you to learn the advantages and disadvantages of all of the types of coverage you can choose!
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