
Similar to other forms of insurance, health insurance companies collectively pool their risk to cover incurred medical expenses and can be in the form of individual and family coverage or group coverage.
A health insurance policy is a contract between an insurance company and an individual or a group. What is covered by the policy is specified in advance, such as the monthly, quarterly or annual premium, specifics of the policy coverage, there are in addition such things to consider as the deductible, the amount the insured individual is required to pay out of pocket, the co-payment amount that is also paid out of pocket, for example, $20 per doctor office visit to start.
In addition the plan may have a coinsurance portion where the insurer pay 80%, and you would pay 20% up to the plan's coinsurance limits, and then they cover 100% of the balance. There are also a few other factors such as exclusions, services and procedures that are not covered by the plan, coverage limits the total amount that the plan will pay and the out of pocket maximum you will be required to pay during a year.
You must also decide if you want a lower premium by having a higher, deductible and maybe set up a health savings account (HSA) to help with the high deductible or a lower deductible and pay a higher premium? You may want instead of a 80%-20% coinsurance a 70%-30%, 60%-40%, or even a 50%-%50% coinsurance payment to lower your premiums or limit your out of pocket expense. These factors will be used to determine the plan's cost. Not to mention do you want doctor co-pays and prescription drug coverage.
So you can see where choosing the right plan can be difficult! This is where it is important to be able to compare several plans from different companies to find a good fit for you. Florida Affordable Insurance can help you locate a plan to fit your needs and budget, call today or use the contact form on the left side of the page and a representative will contact you shortly.