Why Do You Need Health Insurance?
As the world of medicine and treatment becomes more advanced, health care costs also increase. Health insurance helps you pay for your care. Unexpected injury or illness can be expensive, and the right health insurance can protect you and your family. In addition, you also are more likely to get preventative care and receive routine check-ups if you have health insurance.
You need health insurance because you can never predict what your medical costs will be. With health insurance, you can have the peace of mind in knowing that you are protected from most of these expenses.
Which Type Of Health Insurance Is Right For You?
Most people tend to get their health insurance through their employer. If you do, then you don’t need to use the government marketplace. If your employer does offer health insurance, but you still wish to search for an alternative plan on the marketplace, you can. However, these plans are likely to cost you more.
If your job doesn’t offer a health insurance benefit, shopping on the Health Insurance Marketplace will provide you with a list of plans and prices in your area.
Choosing a certain health plan can prove to be difficult, what with insurance and medical jargon. We can help you understand what the different types of plans are, and help to pick which one is the right plan for you.
Here are some important things to consider:
Plan category: Whether it be Bronze, Silver, Gold, Platinum, or Catastrophic, the health plan category you choose will determine how you share the costs of care with your plan.
Monthly premiums: This is how much you pay your insurance company whether you use the medical services or not.
Out-of-pocket-costs: You pay these costs in addition to your monthly premium. This is how much you have to pay out of pocket for services when you need care.
Type of insurance plan/provider network: Different plan types can provide different levels of coverage for care you get both inside and outside of your plan’s network of doctors, hospitals, and pharmacies.
Benefits: All plans sold through the Marketplace provide the same essential health benefits, cover pre-existing conditions and offer free preventive services.
Different Kinds of Health Insurance
Okay I get it, but How Much Health Insurance Do I Need?
The short answer is: however much you need to cover both you and your family in the case of an unexpected illness or injury.
The health insurance world can be difficult to navigate. Here’s a guide for the different types of plans:
|Plan Type||Do you have to stay in network?||Referral for procedure/specialist?||Best if:|
|HMO: Health Maintenance Organization||Yes, except for emergencies.||Yes||You want lower out-of-pocket costs and a primary doctor that coordinates your care for you, including ordering tests and working with your specialists.|
|PPO: Preferred Provider Organization||No, but in-network care is less expensive.||No||You want more provider options and no required referrals.|
|EPO: Exclusive Provider Organization||Yes, except for emergencies.||No||You want lower out-of-pocket costs but no required referrals.|
|POS: Point of Service Plan||No, but in-network care is less expensive; you need a referral to go out of network.||Yes||You want more provider options and a primary doctor that coordinates your care for you, including ordering tests and working with your specialists.|
Get A Health Insurance Quote
Do YOU have insurance? Do you need help finding a plan that’s right for you?
Get an online quote today. For fast service, you can speak to one of our non-commissioned agents or a concierge representative by calling (844) 527-6771. We’ll be happy to answer all your questions and point you in the right direction.
Why trust Pride Life?
You should rely on whoever gives you the best guidance on insurance policies. It's up to you to decide. We challenge you to call our experts and put them to the test.
When you’re just starting out, it often seems that a dollar never stretches far enough. And with new commitments, such as buying your first home or having children, comes the responsibility to make sure your loved ones will be provided for financially, no matter what...read more
A federally funded research project is releasing details about the effects health inequalities can have on members of the LGBTQ community as they age. The project, titled Aging with Pride: National Health, Aging, and Sexuality/Gender Study, is researching the lives of...read more
Huevos Rancheros from Construct Films on Vimeo. "Huevos Rancheros" is the story of Danny and Marcus, life-long friends who fall on opposite sides of the Equality debate. After an altercation, Marcus confronts Danny about his deep seeded homophobia. Danny is trying to...read more