Advantages and Disadvantages of Point-of-Service Health Plans

Point-of-Service (POS) plans are one of the many health insurance options available to you and your family. A unique type of health plan, POS plans can be considered a hybrid of HMO and PPO plans. POS plans contain some characteristics of each of these, which some people may find advantageous. Below is a rundown of the advantages and disadvantages of a POS plan compared to other plans.

Advantages of a POS Plan

  • No deductible. One of the most obvious advantages of a POS plan is its lack of deductibles for physicians in your network. This means that you do not have to make any payments towards your medical expenses on your own before your insurance begins to reimburse you. PPOs, on the other hand, have deductibles.
  • Low co-payments. POS plans have lower co-pays than PPOs. When you have a medical expense, you will only have to pay for a small portion of it as a co-pay, and your POS plan will cover the remainder of the cost.
  • More choices and freedom to choose. Unlike HMOs, POS plans provide partial coverage even for doctors that are not within your network. This means that if you are not satisfied with the choices available in your network for a certain medical treatment, you can see a doctor out of network and still have some coverage.

Disadvantages of a POS Plan

  • Under a POS plan, you must choose a primary care provider (PCP). This physician serves as your primary doctor for all medical needs. He or she can refer you to specialists in your network if you have a specific health concern. In order for a doctor’s visit to be covered as an in-network visit, you must go through your PCP to see a specialist.
  • If you visit an out-of-network physician, your only have limited coverage. You must pay a deductible and higher co-payments than you would with in-network physicians.

Choosing the Right Health Insurance Plan

If you are happy with the doctors that are in your network and do not mind having one primary care provider that you must go through to receive coverage, then a POS plan may be ideal for you. Often a PCP or the specialists he or she refers you to can cover all common medical needs. However, if you have unique medical conditions that will require you to frequently visit doctors outside of the POS network, you may be better off finding a plan that covers you with those doctors instead.

The greater choice and freedom of doctors, lower co-payments, and zero deductible for in-network physicians make the POS an attractive option that you may want to consider. For more information on POS health insurance plans and other options that are available to you, please visit the website of Texas health insurance company Option 1 Health here.

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Non-Obamacare Short Term Health Plans On The Rise

American’s are looking for lower cost alternatives when it comes to their healthcare needs. Those who do not need a huge demand for medical services to be covered have other options. Even those with some medical requirements on a monthly or quarterly basis are OK with little less coverage if they are saving enough on premiums. The good news is alternative plans are here, and they will continue to grow in demand as 2018 continues.

The Trump Administration signed off on an executive order in the fall of 2017 requiring that short-term health care plans be extended from the current 90-day restriction to the full 365 days as it once was. These types of policies are not there to replace the ACA plans, but to provide individuals and families with more choices for their healthcare needs.

This is great news for millions of Americans who do not qualify for the federal health subsidies and really cannot afford the premiums for the ACA plans. By freeing up some of their hard-earned dollars, they can put it back into the economy, retirement, college or whatever they need.

Short-term plans are non-ACA qualified health plans that are not required to cover preexisting conditions or certain ACA (Obamacare) mandated Essential Health Benefits (EHB), that are covered by ACA-qualified plans.

These benefits include:

  • Maternity and newborn care
  • Mental health and substance use disorder services
  • Specific preventive care benefits such as routine exams, mammograms, cancer screenings, etc
  • Pediatric services (oral care and vision)

The short-term plans are a great option without the above coverages in the policy. Insurance is supposed to be for sudden, expensive things that you usually could not afford on your own. Look at your homeowners and auto insurance. They provide coverage for the unforeseen, costly risks that you cannot afford to take on yourself. The short-term medical plans do just that.

The short-term medical plan extension from the current 90-day maximum to 365-day maximum takes effect May 1st. After that date, you can apply with an insurance company that offers the short-term plan that does not have the 90-day maximum limit.

One other drawback for 2018 is the individual mandate. The short-term medical plan is not an ACA-compliant plan according to the IRS and will be subject to the tax penalty when you file your taxes in 2018. There are other ways around this. You will need to seek out a professional in the field to get more information. For the tax year 2019, this tax penalty goes away.

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How to Find the Best Individual Health Insurance Plans

If you are after the best individual health insurance plan, you are probably looking for the best long term requirements of a coverage policy. First of all, it is not that easy to find the best individual health insurance plan which will ultimately meet all your needs.

The first step that you must take is to look for other plans that will enable you to realize its benefits in such an easy manner. With numerous diseases continually plaguing the environment, it is possible that you might lose your savings overnight on account of the numerous medical procedures and tests that will be necessary for your treatment. This is why it is very vital that you find the best individual health insurance plan that will invariably protect your savings in the near future.

Before locating the best health insurance provider or company, consider researching about the reliability quotient of your prospective insurance provider. For you to avail the best type of plan, check and review the company’s market record and the number of years it has been in active operation. The length of its service is a manifestation as well as evidence of the company’s credibility and dependability. You may also consult friends and family members who are also associated with other reliable companies.

Once you’re done with your research and have surprisingly obtained a reliable and dependable mark from the company’s performance, send a request letter to the company and inquire about their best individual health insurance deal. Feed them with the necessary information about your personal requirements and let them find the perfect plan suitable for you.

Just before you close a deal, it is very important that you take the time to compare different rates. The insurance quotes that you will obtain from a specific company may not usually require you to sign up with them right away. Take your time in reviewing their terms and conditions.

Be sure that you follow the coverage policy as this will indicate that the insurance rates that have been offered to you are the best individual health insurance rates there are. Make sure to look over the health coverage expenses and needs that are provided. There are occasional scenarios where the cheapest and affordable plans are not always the best. Moreover, there is a need for you to look over the terms and conditions of the health coverage that are normally offered with the health plan. You might also obtain a bit of extra money to secure the best individual health insurance plan which has the ability to offer you comprehensive benefits, since these are financially beneficial after all.

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