Cricket AtoZ

So you’ve decided to avail low cost health insurance for yourself and your families? But before you go ahead with choosing an insurance plan you must determine your needs and know what kind of coverage will suite you best. It is imperative to undergo this research and educate yourself with the kinds of insurance plans available so that you can optimize on the benefits of low cost health insurance.

On doing your homework you will find that most insurance plans can be classed under two divisions. The old school insurance method is the one where they charge you a “fee for service”. Under this method you are free to consult any doctor regarding your health issues after which either you or your doctor contacts your insurance company to file a claim for reimbursement. This option works out better for those who are generally healthy. Since that would mean fewer visits to the doctor it would enable you to go with a high deductible which keeps the insurance at a low cost.

A later development in this service industry is the evolution of the managed care system. The way this system works is that it places certain restrictions on your health care to keep the service at a low cost. There are two subdivisions that come under the wing of managed care, namely PPO (preferred provider organization) and HMO plans (health maintenance organizations. Under the HMO you are required to consult their network of physicians. If you opt to go outside this network you will have to pay increased rates. You are required to choose a primary physician who will manage your health care and provide for referrals to see a specialist or to go outside the network if need be. On the other hand PPO lets you choose from a network of doctors. You do need to choose a primary doctor but there is no need for referrals to see a specialist.

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