Obamacare Plans
Plans Last Updated: June 13th, 2021

Consumer Resource Guide to Understanding the Health Insurance Marketplace

There is an overwhelming amount of information in regards to your health insurance options, as well as new legislature, laws, and even penalties that not everyone may be aware of. The resources and articles provided here will enable consumers to gain the understanding they need of crucial elements affecting their personal health insurance needs.

You can begin your research now by clicking relevant links and articles below that pertain to questions you may have regarding your health insurance options.

Understanding Health Insurance Options for Individuals and Families

Choosing the correct health insurance plan for yourself or your family can be difficult. With so many different plans available, it can be confusing and complicated when deciding which one is right for you.

We are all familiar with Medicare and Medicaid, and most people realize that there are quite a number of supplementary insurance plans out there as well, but where do you start? Let’s take a look at some of the more appropriate and adequate health plans available for both individuals and families who need insurance plans.

Health Maintenance Organization/HMO Insurance Plans

An HMO is a very common and popular plan. Every HMO offers a large network of healthcare providers who will treat the patients who have their insurance. This will include all of the doctors and hospitals that are pre-approved through the network. With an HMO, each person on the policy will be assigned their own primary care physician, or PCP, who will oversee that person’s general medical care.

If that person needs special care or hospitalization, the primary care physician must refer that patient to an appropriate specialist or hospital within the network. They will also help arrange any other appointments or treatment the person needs. Health maintenance is the main goal of an HMO plan. Their number one commitment is based on prevention being just as important as finding a cure. For example, HMO’s encourage regular check-ups with your PCP, in order to catch any problems from the beginning. That way, they can be addressed early on and treated before it becomes worse. While your PCP is usually capable of treating a variety of conditions, he or she can refer you to a specialist if need be.

PPO Health Insurance Policies

The policy known as preferred provider organization, or PPO, is a health insurance policy that offers a lot of flexibility. An HMO will request that all patients seek medical treatment only through their own network of providers, but a PPO will often take care of health care bills that happen outside of the PPO network. However, using a healthcare provider or hospital that is out of network usually proves to be more expensive in the long run.

An added benefit of PPO health insurance is that policy holders are not required to get a referral from their primary care doctor before they seek treatment from a specialist. They are permitted to make appointments and get treated from the appropriate specialist on their own, saving time and potentially speeding up treatment. This also cuts down on unnecessary office visits, since consumers don’t have to make an appointment just to get a referral.

Health Savings Account/HSA Insurance Plans

A health savings account is not your typical health coverage, yet it is still a feasible option. This type of plan does not actually provide a health insurance policy to the individual. With this plan, the person makes monthly deposits into a fund that is set up just for health care. Any money put into the fund is tax-exempt. The money can be used for any type of medical issue or treatment at any time.

Short Term Insurance Coverage

Short-term health coverage is usually purchased to provide temporary coverage for a set period of time, such as while waiting for a new insurance plan to kick in at your newest place of employment. Many workers who engage in high-risk, temporary work will often buy temporary health insurance to cover themselves while on the job.

Short-term health insurance plans are usually cheaper to purchase and have fewer out-of-pocket expenses, and are perfect for anyone who needs quick coverage. Most short-term insurance policies go into effect one or two days after the policy is purchased.

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