The Different Types of Small Business Medical Plans
June 13th, 2009
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by MarketingHuddle · Filed Under: Main Rant
Employees of small organizations or groups are usually given various health coverage choices by the company owner. These plans covers practically almost everything, ranging from trips to the physician to prescriptions to emergency room trips, and more.
To help companies make a decision as to which kind of small business owner health insurance fits best with the budget of their company and the requirements of their employees, the below offers guidance in regards to the various types of plans available.
Indemnity plans – This type of medical plans usually have a deductible. The insurance company will start to pay the cost of coverage after the deductible has been met. After the medical costs go past the amount of the deductible, medical bills are generally paid as a fraction of the actual expenditures, which is usually 80%. These plans generally offer the greatest versatility in choosing where to get health care.
HMO (Health Maintenance Organization plans – This type of self employed insurance plans generally allows the insured person to make a decision on a PCP (Primary Care Physician) from a network of authorized providers. The PCP is in charge of handling the medical care of the covered individual. If the covered individual is in need of treatment from a provider not in the network, they usually need to get a referral directly from their primary care physician.
The insured individual should receive treatment from a network provider so as to get paid by the HMO.
PPO, or Preferred Provider Organization plan – This plan is characterized by the insurance company making an agreement with specific doctors and medical facilities to offer treatment at discounted prices. If you are a PPO member, you can get medical care from a facility or doctor who is not from your network, but a copayment, or larger deductible, will be necessary.
POS, or Point of Service plan – This coverage gives a combination of a PPO and a HMO, yet is more adaptable than a HMO, but does need you to pick a primary care doctor. Similar to PPO, you can get medical attention from a hospital or doctor outside of your network, but you need to pay more of what the actual cost is. Then again, if your primary doctor recommends you, POS will compensate the cost.
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