November 2, 2009
Group Health Insurance. - How This Works
A type of insurance that covers a group of people, not single individuals, is known as group health insurance. This kind of insurance is offered by employers or organizations and offers medical coverage that will pay the bills of a member that is enrolled if they do get sick.
Most states require that employers have to pay part of the premium on this insurance. Because of the employers paying part of the premium, the overall cost of the insurance is lower for all people involved.
Group health insurance comes in 2 different forms. One is Managed Care; the other is Fee for Service. Managed care is further broken down into more categories. The first is HMO. Health Maintenance Organization plan is the strictest and has a list of providers and primary care doctors. You are to only see the doctors on this list and if you need to be referred out for service, the doctor needs to make the referral. If no referral is made, the cost for the additional services is paid for completely out of pocket.
Preferred Provider Organization or PPO is the more generous plan out of all of the plans. With this insurance, there are benefits such as lower fees are reduced co pays if you use a service provider from their list.
A POS, Point of Service, plan lets you choose how you want to use your plan. You can choose for it to be an HMO or a PPO each time to go to a doctor. Each time you see a doctor, you are able to choose how you want your insurance plan to be applied.
The second type of group health insurance is called Fee for Service. This type of insurance is also called indemnity or traditional plan. With this plan, you have the option to choose any doctor or provider of your choosing. The fees with this plan are usually higher but there are no co pays. There will be a yearly fee and coinsurance that will need to be paid for.
Group health insurance is a type of insurance that is offered by an employer or an organization. These are offered to large groups of people and the cost is spread around the entire group. The plans have a few options so do a little digging to know which one will be best for you.
Learn more about Health Insurance. Stop by Samantha Malone's site where you can find out all about group health insurance and what it can do for you and your group.
categories: group health insurance, best health insurance, cheap health care, get health insurance
Filed under Health Insurance by Samantha Malone