Under an HMO plan, when you see a doctor you pay your scheduled co-payment, and generally that's all. Under a PPO plan, you first must pay for all costs under your deductible, and then any costs over and above the deductible are generally split on an 80/20 basis (carrier pays 80%, you pay 20%) up to a certain level, at which point should your medical costs exceed this limit in any one plan year, the carrier pays 100% up to the limits of the policy (generally $5,000,000).
Not necessarily. Most doctors accept some sort of medical insurance plan. So if you have a specific doctor you prefer seeing, ask them first which plans they accept. If not, then the insurance carrier can assign you a doctor and if you are not happy with that doctor you can always switch doctors later at any point in the plan. On a PPO plan, you pick the doctor you wish to see as long as they accept your carrier. On an HMO plan, you first choose a doctor from their list of doctors who accept their plan.
What's covered and what's not covered are of highest importance, so look closely at the plan details. Next of course is price in comparison to what other costs you incur (ie co-payments, deductibles, out of pocket maximums, prescription drug coverage, etc.).
No. These plans are very attractive because they have low monthly premiums. But don't be fooled. They also carry large deductibles (that's your portion). And generally the hospital wants to be paid in full within 30 days. They will bill the insurance company for what they can, within the plan limits, but you will be held responsible for the balance. People have been known to max-out their credit cards or take second mortgages on their homes to pay for this. Hospitals are known to send these bills directly to collection agencies if not paid in 30 days or so. So be sure you can afford that high deductible before signing up.
Cheaper is not always better, but it can also be better than nothing. Cheaper usually means less coverage. Can you live with what you are giving up? Cheaper usually means cheaper monthly but more at the time you use it. Can you live with those costs? If so, then maybe cheaper is better for you. If not, be sure you know what you are giving up to get a lower monthly cost.
Generally for purely emergencies only, and depending on your plan, they type of emergency, and the country you are visiting, most plans will work. We advise that you first contact the health insurance carrier for details on their plan. It is also advisable to buy additional insurance from your travel agency or airline representative.
It depends on what plan you are considering, what coverage the plan offers, and how much you will use it, expectedly or unexpectedly. Remember, the basic concept behind insurance is to help pay for unexpected, unforeseen losses. So always think about what could go wrong when factoring in what will go wrong.
Yes. Be sure to look at what is / is not covered because some health plans only offer very basic, limited dental coverage in conjunction with their health plan.
Most dental plans do cover a limited amount of orthodontic work. It can be limited, for example to $1,500 per year, or offered per plan member with a lifetime maximum. Other plans absolutely do not cover any orthodontic work whatsoever so be sure to read the plan details carefully.
In order to qualify for student health insurance you must be an eligible college student carring at least 9 credit hours and be between the ages of 17 to 29.
An eligible undergraduate student is defined as a person carrying at least nine credit hours but an eligible graduate student must simply meet the graduate student guidelines of the college or university for full-time student status. Students must attend a state-accredited college or university within the United States.
NOTE: Some schools operate on a quarterly schedule where full-time undergraduate status is considered to be six to eight credits per term. If this is the case, you should tell us in writing (attached to the application) that you are attending a school with a quarterly class schedule and are meeting the school's definition of full-time status.