Health Insurance Quotes in Jones Mills, PA
Comparing Health Insurance Plans in Jones Mills, PA
Health insurance is a contract between an insurance company and an individual that covers a percentage of the individual's health expenses, including medical, some dental, surgeries, and prescriptions. Forms of health insurance differ according to the policy type. Either the insurance company will cover the costs directly or the insured individual will pay out-of-pocket to the care provider and receive reimbursement at a later time. Choosing health insurance is a big decision, but MyRatePlan does the hard part for you by comparing rates and coverage in Jones Mills, PA, and even providing you with a free quote.
Health insurance is often provided by employers or private insurance companies. Disabled and elderly citizens are covered by Medicare and low-income individuals by Medicaid. Both Medicare and Medicaid are public, government-funded programs established to provide healthcare to those who need it for a more affordable price than offered by private insurance.
MyRatePlan can help to find the perfect coverage for you in Jones Mills, PA. Let us compare policy types and rates for you so you can take your healthcare into your own hands.
Health Insurance Coverage in Jones Mills, PA
Most health insurance coverage in Jones Mills, PA is provided by policies written through employers or private insurance companies. Once deductibles are met, insurance providers pay the remaining balance one of two ways. They either pay the healthcare provider directly or reimburse the insured who has already paid the provider. Qualifying individuals who earn a low income wage are covered by Medicaid, and a significant number of senior citizens are covered through Medicare. Both of these types of health insurance are available at a lower cost than private insurance coverage, with reasonable co-payments and lower to no deductibles.
Once the potential insured has established a list of coverage necessities, the task becomes a matter of covering as many of those necessities, according to priority, that a budget allows. MyRatePlan is designed to simply compare cost and coverage of health insurance plans in Jones Mills, PA, and to provide a free quote online.
The Different Types of Health Insurance Policies in Jones Mills, PA
Quite a few different types of health insurance plans are available in Jones Mills, PA. While these types can have similar levels of coverage, other factors, including how convenient they are to use and their flexibility, will vary considerably. Common plan types include health management organizations (HMOs), preferred provider organizations (PPOs), point of service plans (POS), health savings accounts (HSAs), health reimbursement accounts (HRAs), flexible spending arrangements (FSAs) and medical savings accounts (MSAs).
HMOs in Jones Mills, PA are popular and often affordable options for health insurance. These include a network of providers, and the individual picks one doctor from that network as his primary care physician. The primary care physician is essentially a gatekeeper for any health needs that patient has. If the patient needs to visit a specialist, he first goes to his primary care physician, who chooses whether to approve it and provides a referral. Although HMOs typically have lower premiums, their networks can be more limited than other plans. On the plus side, out-of-pocket costs tend to be reasonable and these plans don't have deductibles.
A PPO also has a network of providers, and the individual can visit any doctor within this network in Jones Mills, PA. He can also see specialists without getting a referral first. For the best financial coverage, the individual must go to healthcare facilities within his network. He can typically get partial assistance for costs incurred at out-of-network providers. With a PPO, policyholders have deductibles and co-pays, along with limits regarding yearly out-of-pocket spending.
A POS plan blends how HMO and PPO plans work. The individual chooses a primary care physician from the plan's network, which is usually a decent size. Visits to providers within the network have low co-pays and no deductible, but visits outside the network will have high deductibles and co-pays.
The remaining types of plans are nontraditional and far less common than the three described above. HSAs, HRAs, FSAs and MSAs all involve either the individual or his employer putting money into a tax-exempt savings account, which is then used for all medical expenses, such as doctor's visits, surgeries, prescriptions and sometimes even over-the-counter medications. These plans tend to be flexible and some let the policyholder roll over unused funds to the next year.
Breakdown of Health Insurance Costs in Jones Mills, PA
You may have heard the term "premium" when it comes to health insurance. A premium is the amount of money you pay monthly to have health insurance coverage. Whether you use your insurance or not, this money is never returned to you. Another familiar term is "deductible." This is the additional money you are required to pay to any healthcare providers before your insurance company starts to make their promised contributions for any medical costs.
Keep in mind that deductibles are different from out-of-pocket costs. A deductible is an annual financial responsibility but out-of-pocket refers to how much you have to spend before your insurance company will pay 100% of your bill.
Deductibles and out-of-pocket costs typically reset each year, with the previous year's expenses having no impact moving forward. So if you have a deductible of $5,000, for example, and you spent $3,000 out-of-pocket last year and your insurance renews with the sample plan in place, your out-of-pocket expenses are reset to $0 and that $3,000 from last year does not roll over. However, some plans in Jones Mills, PA offer an exception to this rule and allow a rollover of your paid deductible amount from the previous year into the first quarter of the new insurance year.
Co-payments, also known as co-insurance, refers to your financial obligation of a medical visit or service. If your co-payment for visiting a primary care physician is $25, then every time you see your primary care physician, you pay $25. From there the insurance covers the balance if the services rendered are within coverage on your plan. Co-payments are not applied toward deductibles.
You may also receive a lifetime benefit from your insurance company. This refers to the maximum amount of money that your insurance company will pay in total for your healthcare. Medical claims will no longer be paid by the insurance company once this maximum amount is reached.
Your employment has a significant impact on the health insurance plans that are available to you in Jones Mills, PA. Working for a large company will likely qualify you for their group health insurance plan. This is usually more affordable than getting individual healthcare, but no one is required by law to participate in these group health insurance plans.
Being self-employed or unemployed presents the option of purchasing private, individual health insurance. If you are a senior and do not work, you are eligible for government financial assistance through Medicare. Low income individuals can apply for government assistance as well, which is called Medicaid.
It is important to check with your doctor to see which health insurance plans they accept in Jones Mills, PA if you want to continue visiting a specific physician. Notify your doctors if your insurance plan changes, and be sure to check with your insurance company regarding any specific questions or concerns about your coverage.
Get a Jones Mills, PA Health Insurance Quote
One of the best and most practical actions you can take is to make sure that you and your family are covered for medical emergencies. MyRatePlan takes the guess work out of the confusing and complicated process of finding the right type of healthcare and makes getting a quote in Jones Mills, PA simple and hassle free. All you have to do is enter your ZIP code.
There are many ways you can save money on coverage. However, there are important elements that should not be left out simply for the sake of saving a buck. What may not seem important now might be very important in the future, starting a family for example. Keep in mind that out-of-pocket expenses for medical care are significantly more expensive than premiums for health insurance. If you are in the Jones Mills, PA area and need health insurance, check out MyRatePlan and let us find the best insurance for you at the best possible price with your free quote.