Tips for getting a good family health insurance quote for your family medical insurance
By: Health Insurance
Submitted: 2009-12-30 14:00:07 | Word Count: 724
Our loved ones are precious, and so is their health. That’s why when it comes to family medical insurance, we want to be sure we get a good family health insurance quote so that we can choose the plan that’s right for our situation. That’s where a free family health insurance quote from R. Curtis Insurance can be a great help. By knowing your family’s personal situation, R. Curtis Insurance can give you a family health insurance quote and sort out which plan is right for you.
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In preparing to review your family health insurance quote from R. Curtis Insurance, it helps to understand the three basic plans of most family medical insurance: Health Maintenance Organization, Preferred Provider Organization, or Point of Service.
Health Maintenance Organization- This form of family health insurance plan came into widespread use about 20 years ago as a way to hold down medical costs while providing a range of preventive health care services. A health maintenance organization, or HMO, works well for families that want to keep their out-of-pocket medical costs low and are willing to give up the option to select their own physicians to save money.
HMO participants must select a primary care physician, or PCP. This doctor is the physician that families see most of the time for regular check-ups, vaccinations, minor illnesses and injuries. The PCP also serves as the “gatekeeper” for more specialized medical care, since an HMO requires a patient to get a referral from their primary physician in order to see a specialist in the network.
The big advantage to families of an HMO is that it keeps your out-of-pocket costs down while offering a wider range of preventive medical care, such as well child check-ups, vaccinations, dental check-ups, vision screening and so on. There’s usually no deductible to fulfill in an HMO plan and the co-payments for office visits and medications are often much lower than in other plans.
There is a drawback to an HMO for families, however. With this type of family medical insurance, there’s little or no coverage for medical services obtained outside the HMO network. Should your child suffer an injury while you’re out of town, there will be some coverage for immediate emergency care, but any extensive medical therapy will have to wait until you’re able to see your primary care physician and get a referral.
Preferred Provider Organization- This kind of family medical insurance plan, known as a PPO, offers more flexibility in the choice of health care services. With a PPO, the insurance company has made agreements with a network of doctors and hospitals to provide medical services at discounted rates. Participants in a PPO pay a co-payment for each office visit and must fulfill a deductible before the insurance company starts paying for other medical services. As long as the doctor or clinic is within the PPO network, there’s usually no need for additional referrals. However, any out-of-PPO medical care will cost more out of pocket and the insurance company will probably pay less of the total cost.
Point of Service- This kind of family medical insurance plan, referred to as POS, combines some of the best features of HMOs and PPOs. Participants still must select a primary care physician from the insurer’s network, but this means that families establish a relationship with one physician who gets to know their particular health care circumstances well. POS plans also provide for more preventive care services, a big advantage for growing families. There’s often no deductible for primary medical care with a POS plan.
However, like a PPO, a POS plan pays a larger portion of medical costs only when families use physicians within the network. There’s a deductible required for out-of-network services, and the insurance company pays a smaller portion of out-of-network costs. For more families, this can result in a major financial outlay while waiting for the insurer to process a claim for reimbursement.
