Health Insurance Quotes in Marshall, WI
Compare Health Insurance in Marshall, WI
Health insurance is a form of insurance that covers the whole or a part of the costs incurred for an individual's medical care. This includes both medical and surgical expenses. There are a number of different types of health insurance policies to choose from, and depending on the coverage, an insured individual who has received medical care or services pays any out-of-pocket costs and gets reimbursed by their insurance company, or the provider is directly paid by the insurance company. MyRatePlan simplifies the process of comparing health insurance rate plans in Marshall, WI and lets you get a free quote online.
In Marshall, WI, health insurance can usually be obtained through private insurance or plans offered by employers. Low income individuals have access to healthcare through Medicaid. Insurance is also available to senior citizens through Medicare. Both Medicaid and Medicare are less costly than private insurance policies.
Health insurance in Marshall, WI can be obtained at various levels of coverage. The more inexpensive plans tend to be geared to catastrophic events, while higher cost plans could offer full coverage. Anticipation of healthcare needs tends to be a very important factor when it comes to choosing a health insurance plan.
Health Insurance Plans in Marshall, WI
For the most part, healthcare needs for people are unpredictable, making selecting the right policy for the upcoming year a challenge. Using past medical history can help people make an educated guess on the type of future coverage they may need. For those that are healthy and do not make regular visits to their doctor, a low-cost insurance plan will more than likely provide them with plenty of coverage. However, for people that suffer from chronic diseases and make regular doctor visits, a plan that provides a broader coverage range would more than likely be needed. This is why knowing what coverage a person needs and how much is so important.
In Marshall, WI, catastrophic insurance is one of the lowest priced plans people can get. This type of coverage is ideal for those that need to visit their doctors rarely and are only looking for coverage for medical emergencies. On the other hand, for people that participate in activities that are dangerous or travel a great deal, a plan the covers emergency room visits and regular doctor's office would be necessary to ensure the person is properly covered.
Types of Health Insurance Policies in Marshall, WI
The amount of coverage isn't the only variation in health insurance plans in Marshall, WI. There are also different types of plans, and each work a bit differently. When shopping for health insurance, it is critical that you understand the difference between an HMO, PPO, POS, HSA, FSA and MSA.
One of the most common types of insurance is the HMO, or health maintenance organization. In this type of plan, all of your healthcare is accessed through one doctor, known as your primary care physician (PCP). You must see your PCP before going to a specialist or any other healthcare provider. When you do, he will give you a referral to see any other necessary medical doctor. Your HMO will also require you to use doctors, specialists and hospitals of their choosing. While this can be inconvenient, HMOs offer low premiums and broad coverage with low out-of-pocket costs.
Similar to the HMO is the preferred provider organization (PPO). Like the HMO, a PPO will have a list of preferred healthcare providers in Marshall, WI. If you visit one of these preferred caregivers, the company will pay all or most of the cost. A PPO, however, allows you to see doctors and specialists outside of the plan. If you do, you'll have to pay a larger portion of the bill. A PPO costs a bit more than an HMO but allows you to see any doctor you choose without a referral.
For the best of both worlds, consider a point of service (POS) plan. Under a POS plan, you will have to choose a primary care physician like in an HMO. Although you'll see your PCP for most things, you can still opt to use a doctor outside of the network like you can in a PPO. A POS system combines the benefits of an HMO and PPO into one policy.
In an effort to insure more people in Marshall, WI, new types of health insurance have been developed. While HMO, PPO and POS policies offer traditional coverage, new plans have been developed that allow you to set aside tax-free money to pay for your healthcare. There are four such plans: the health savings account (HSA), health reimbursement account (HRA), health flexible spending agreement (FSA) and the medical savings account (MMSA). All of these plans work in essentially the same way. You or your employer place money into a savings account before it is taxed. The money is then withdrawn as needed and used to pay for your medical expenses. If you don't use all of the money in your health account, some plans allow you to roll it over and keep it for use during the next calendar year.
Cost of Health Insurance in Marshall, WI
Premiums paid for health insurance coverage in Marshall, WI, whether the insurance is used or not, are non-refundable. Though the insured pays deductibles, these are not considered out-of-pocket expenses. The former refers to the minimal amount of money that the insured pays each year before policy benefits become active, while the latter refers to the amount that the insured pays before the insurer assumes 100% of the bill. Both types of payments usually begin with a clean slate every year, meaning a zero balance.
If a deductible is $3,000 a year and $2,800 is paid out of pocket, and if the plan doesn't change and renews, then everything starts over at a zero balance with no money rolling over from the previous year. There are some exceptions to this rule in Marshall, WI that allow the paid deductible amount to rollover from the previous year to be applied to the deductible for the first quarter of the new fiscal insurance year.
Co-payments are not applied to deductibles. They are consistent payments for services rendered at the time and are the same for every visit. For example, every doctor visit will cost the same amount of money every time. So will hospital visits and visits to specialists, though perhaps not the same amount as the doctor visits. Co-payments may also consistent for prescription medication with the insured paying a certain amount or a certain percentage with every pick up. The plan then covers the remaining balance. Some policies carry a maximum lifetime benefit that reflects the maximum amount that the insurance company pays in all for the insured's healthcare. Once the maximum lifetime benefit is reached, the company will not honor any further claims.
The insured's employment status is in direct relationship to the type of insurance that is available to him or her. Employees of larger companies in Marshall, WI are more likely to have access to group health insurance plans that offer more affordable coverage than do individual healthcare plans.
The law does not specify what type of insurance an individual must obtain. The self-employed and unemployed have access to private individual policy options, retired seniors have Medicare options, and qualified low income earners have Medicaid options.
If the insured has a particular physician in mind, then it is in the insured's best interest to determine what types of insurance plans in Marshall, WI that physician accepts. He or she should also consider how changes in his or her policy may affect continued coverage with an established physician.
Get a Health Insurance Quote in Marshall, WI 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 Marshall, WI. 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 Marshall, WI, compare all the different features those plans have, and get free quotes today to save the most on their health insurance coverage.