Connecticut Health Insurance

health insurance coverage

No one plans on getting sick or having an accident. If you or someone in your family has a major illness or a serious accident, can you afford to pay the medical bills out-of-pocket? People buy health insurance for the same reason they buy any other type of insurance: to protect against loss.

Advances in medical care and treatment have a direct correlation with health care costs. As medical care advances, health care costs subsequently rise. Today’s health care costs are high, and they are only getting higher. Therefore, the benefits of health insurance go without saying. Although, an additional benefit to having health insurance is that people are more likely to seek preventative care and have routine check-ups if they have health insurance, compared to those who do not. Why? Because health care is not cheap. Studies indicate that people who have health insurance are healthier people overall because they are more likely to have a regular doctor and will get the care they need when they need it.

Health insurance provides a peace of mind for the unknown. In some instances, medical costs may be low. However, in another instance, medical costs may simply be too substantial to pay for without a health insurance policy. Never wait until you are seriously ill before obtaining a health insurance policy. By then, it will be too late.

There are a number of different types of health insurance policies, each working differently, but all providing coverage to suit individual financial situations. These health insurance policies include:

  • Managed Care Plans
  • Fee-for-Service Plans
  • Point of Service Plans
  • Health Maintenance Organization (HMO)
  • Preferred Provider Organization

Managed Care Plans are the type of health insurance policies that the majority of Americans belong to. Organizations that provide Managed Care Plans generally negotiate contracts with insurance providers to offer a package of health care benefits for certain groups in order to streamline care and reduce costs. Managed Care Plans and are typically associated with corporate business practices.

Fee-for-Service Plans are also known as indemnity insurance. Fee-for-Service Plans allow for payment to the health care provider at the time a service is rendered. Rather than pay a higher premium, a policyholder of a Fee-for-Service Plan pays a low premium each month, a co-pay each time a service is provided and an annual deductible. Although it may seem like a costly health insurance plan, it is still a significantly lower alternative to having no insurance at all and having to pay for health care in full.

Point of Service Plans allow policyholders to choose among approved physicians and medical care facilities within a network. It also allows policyholders to receive medical care from outside of the network too, although use of physicians and facilities within the network is encouraged. Point of Service Plan policyholders are required to select a primary doctor who is the actual “point of service.”

A Health Maintenance Organization (HMO) is considered a membership and provides comprehensive healthcare. Members of an HMO select a primary care physician who coordinates all medical care. For example, if a specialist is required, the primary care physician will refer the member to a specialist who will more-than-likely be in the same HMO network. If a member goes outside of the HMO network (without prior approval) will likely have to pay out-of-pocket for all or most of the medical costs associated with the out-of-network care.

Preferred Provider Organizations (PPO) consist of hospitals, physicians and other healthcare providers that provide medical care at a reduced fee. Similar to an HMO, a PPO requires the healthcare to be paid as it is received, rather than in advance as a part of a fee schedule. Unlike HMOs, however, PPOs allow the flexibility to visit out-of-network healthcare professionals, but at a larger cost. Oftentimes, the deductible and co-payment are higher too. Whether in-network or out-of-network, PPOs require the policy holder to submit a claim in order to be reimbursed, less the co-payment.

The number of people in Connecticut who do not have any kind of health insurance is overwhelming. A small annual premium is considerably less than having to pay for medical care without a health insurance policy. Let the professionals at Get Insured CT find the best health insurance policy that is right for you and your budget.

Call 860-346-7755 today to speak to one of our insurance agents about Connecticut Health Insurance or complete the form to have one our of agents contact you.

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