Health Insurance Quotes in Dover Foxcroft, ME
Compare Health Insurance Plans in Dover Foxcroft, ME
What is health insurance? Health insurance covers a person's medical expenses, including everything from surgery to other health related costs. In the United States, a number of different healthcare coverage options are available. Some options charge the individual an out of pocket expense, later reimbursing them through the insurance company, while others involve the insurance company paying the provider directly. With MyRatePlan, one can compare health insurance rates and coverage in the Dover Foxcroft, ME area, and even get a free quote online.
Most health insurance in Dover Foxcroft, ME comes from either employers or private companies. Senior citizens also have access to Medicare, and low-income individuals are covered through Medicaid. Medicare and Medicaid offer health insurance coverage at a reduced rate, making it more affordable than private plans.
Private insurance plans offer many different levels of coverage. Less expensive plans might only cover catastrophic emergencies, providing people with minimal coverage. More expensive plans, by contrast, often offer complete health coverage. When seeking a healthcare plan, individuals must anticipate their future healthcare needs and choose their plan accordingly.
Comparing Health Insurance Plans in Dover Foxcroft, ME
A person's future healthcare needs can be quite unpredictable, and this can make it difficult to accurately decide how much health coverage you will need for the upcoming year. The past is the best indicator to use to predict the future with an educated guess about what you will need. For example, if you tend to stay in a relatively healthy state and do not have to visit your primary care doctor or a specialist regularly, you could probably be sufficiently covered with a low-cost health insurance plan. However, if you suffer from a chronic disease or condition requires regular doctor visits, then you will be better off looking at insurance in Dover Foxcroft, ME that offers a wide range of coverage.
One of the least expensive health insurance plans in Dover Foxcroft, ME is a catastrophic-only insurance plan. This plan is most suitable for people who hardly visit the doctor and only want coverage for emergency situations. On the other side, if you happen to travel often or participate in dangerous activities, you will need an insurance plan that will have you covered for ER visits and regular visits to the doctor.
When you have higher coverage, you typically have a higher monthly premium. This basically means the higher your monthly payments, the more your insurance company will contribute towards your medical needs. This is why it is so important to take your health history and lifestyle into consideration as you figure out what choice is best for your needs in an economic sense. Just make sure that you at least have the basics covered and add more coverage as you can afford it, and as you see necessary.
Different Types of Health Insurance Policies in Dover Foxcroft, ME
Different health insurance options exist for people living in Dover Foxcroft, ME and surrounding areas. Most of these plans offer similar coverage levels, but some plans are more flexible and convenient than others. The typical choices include the following: FSA, HMO, HRA, HSA, MSA, POS, and PPO. While this list is quite comprehensive, and the terms seem a little confusing, people need to understand the differences between them.
Health Maintenance Organization (HMO) focuses on the insured person having a primary care provider to coordinate all of their healthcare needs. In many ways, this doctor acts as a gatekeeper. For instances where a person needs to visit a specialist for one reason or another, they need to first go to their primary care doctor. A referral to visit another doctor is required before services from that other doctor are covered. In most cases, these services will not be covered without the referral, and sometimes the referral cannot be gained after treatment to take place retroactively. These plans have lower premiums, and there are limited options when picking a doctor. The pool to choose from is smaller as some providers will not accept HMO plans. The plus side to this plan type is the fact that deductibles do not take place, and the related out-of-pocket costs are minimal and rather reasonable.
Preferred Provider Organization (PPO) plans have a larger network of providers in Dover Foxcroft, ME that participate in connection with it. As with HMO, a PPO plan requires the insured to pick a primary care doctor, but the list of options is much larger. As a bonus, a referral is not needed to visit a specialist, though people can opt to go for a referral anyway. Doctors and hospitals either belong to the network or they do not, and going with in-network options reduces the amount of out of pocket the insured has to pay. The opposite is true of doctors and hospitals who do not participate in the network. Most people decide to go with in-network options to save them money in the long run. This plan type operates with deductible and co-payments, and it also places limitations on how much is spent out of pocket each year.
The Point of Service (POS) plans fall in the middle between HMO and PPO. The network of doctors and hospitals offers a decent amount of choices, and so long as treatment options fall within these options, the insured does not have to pay any outrageous deductible or co-payment. On the other hand, going with an out of network option means paying much, much more.
These three types are the most common types of plans available to people in Dover Foxcroft, ME, but there are some other, less conventional options. These options include a Flexible Spending Arrangement (FSA), Health Savings Account (HSA), and a Medical Savings Account (MSA). They all operate under the same circumstances where the insured or their employer pays into an account in a tax-exempt manner to cover treatments. Anything from doctors' appointments to medications can be covered under one of these plans. The main attraction to one of these plans is the flexibility they offer as far as how the money in the account can be spent. A bonus is the fact that monies roll over from month to month and year to year.
Price of Health Insurance in Dover Foxcroft, ME
The monthly amount of money paid for health insurance coverage is called a premium. Regardless of whether the insurance is used or not, the insured person never gets their premium back. A deductible is the annual amount paid by an insured person before the insurance company kicks in and pays their portion. The out of pocket maximum refers to the amount the insured person will spend before the insurance will pay the full amount of the bill.
In most cases, out of pocket expenses and deductibles start over each year. Expenses from the previous year do not affect the insured's future healthcare costs. For instance, if the insured has a $5,000 deductible and spends $4,000 out of pocket in the previous year, then in the next year no money paid toward the deductible will roll over. Instead, the insured still has a $5,000 deductible to be met in the current year, regardless of what was paid in the previous year. Few insurance plans in Dover Foxcroft, ME offer exceptions to this rule. However, in rare cases, some plans will roll over a paid deductible into the first quarter of the new year.
Co-insurance, also called co-payments, is the amount of the insured's financial responsibility each time a medical service is rendered. For instance, some people have a $20 co-payment, which means they must pay $20 every time they see a primary care doctor. Then, depending on whether or not the services are covered under the insured's medical plan, the insurance company covers the balance owed to the doctor. The co-payments cannot be used to meet an insurance deductible.
Some insurance companies in Dover Foxcroft, ME issue a maximum lifetime benefit, which means they place a cap on the total amount of money they will pay out for a customer. After this maximum has been met, the company will no longer pay for any additional medical expenses for that customer.
Choosing an insurance plan in Dover Foxcroft, ME will depend on several factors. The consumer must decide how much they plan to pay for medical expenses and how much coverage is needed. It is also imperative that the buyer decide if they would like to see a specific doctor or not. Then, the insurance shopper must check to see which insurance plans are accepted by the chosen doctor. Finally, it is also a good idea to check with the insurance company to see which services are covered and to ask specific questions about the various policies.
While it is important to save as much as possible on a health insurance plan in Dover Foxcroft, ME, it is also important to get the necessary coverage. For example, a young woman who plans to have children should probably invest in maternity coverage even before her pregnancy. Buying such coverage before becoming pregnant prevents the insured from having to shop for it later.
Get a Health Insurance Quote in Dover Foxcroft, ME Today
One of the most important things an individual can do, both for himself and for his family, is getting health insurance. A plan that covers his needs and the needs of his spouse and children will ensure that they can get healthcare services without paying it all out of pocket. There are all kinds of factors involved in health insurance plans and the rates providers charge. Fortunately, MyRatePlan simplifies the process of getting a health insurance quote in Dover Foxcroft, ME. All consumers need to do is punch in their ZIP codes.
It's easy to save money on health insurance, and there are all sorts of ways to do it. But consumers should always avoid cutting coverages that they may need in the future. For example, if a couple plans on starting a family, it's in their best interest to sign up for a plan with maternity coverage now instead of waiting until later and possibly having trouble finding coverage. And if an individual needs a specific coverage, he shouldn't get rid of it just to save some money, because he'll end up paying far more in out-of-pocket costs later. Health insurance premiums may not be cheap, but paying the full bill at a healthcare facility will always be more expensive.
With MyRatePlan, consumers can find the best health insurance plans in Dover Foxcroft, ME, compare all the different features those plans have, and get free quotes today to save the most on their health insurance coverage.