|
Major
Medical Co-Pay Plans
With this type of
health insurance plan you will have specified
co-pays with no deductible to meet for some of
the medical services the policy covers such as
office visits, preventive care visits and
prescription drugs. It is not uncommon, however,
for a deductible to apply to more expensive
medical services such as services received at a
hospital and outpatient tests and surgery. A
true major medical policy will include treatment
for outpatient services without having to add
any additional outpatient benefit "riders" to
the policy. Most major medical policies today
have a high limit of coverage- usually a million
dollars or more. A higher quality policy will
contain a "stop-loss" feature that limits the
insured's out-of-pocket expenses. This means
that once the insured has paid a specified
amount out of their own pocket towards covered
medical expenses of their insurance policy, the
policy will at that point start paying at 100%
for the rest of the calendar year. For example-
if you have a policy that pays" 80% to 15,000,
then 100%" this would ordinarily mean that the
insured is responsible for 20% of $15,000 which
would be $3,000 This amount would be in addition
to your policy deductible. If you are unsure as
to the exact amount you could possibly be
responsible for on a health insurance policy
just ask your agent.
Major
Medical High Deductible Plans
This type of
policy is just as comprehensive in coverage
as the major medical co-pay plan- it just
doesn't have the co-pays. This type of plan
is often lower priced than a co-pay plan.
With this type of plan you usually have one
deductible for all covered medical expenses
including doctor's office visits, tests,
surgery, prescription drugs, etc. If you have
a PPO or POS plan you are only responsible
for paying the medical provider the network
discounted price for services rendered if
the medical provider was within the provider
network for your insurance plan. These
network discounts can be HUGE - sometimes in
excess of 90%. Often the discounted fee for
a doctor's office visit will be just
slightly higher than a co-pay on a co-pay
plan. Some major medical high deductible
plans pay 100% after meeting the plans
calendar year deductible instead of 80% so
this means that your total out-of-pocket
expense would only be your chosen calendar
year deductible.
HSA
Plans
Health Savings
Account (HSA) plans have two components: a
lower cost, high deductible health insurance
plan to provide coverage for your larger
health care expenses, and a tax favored
savings account. The idea is really simple.
The money you save on premiums can be put
into your tax-favored savings account, and
then withdrawn to help pay your deductible
or pay for other qualified health care
expenses. You own your savings account. You
make the decisions on how and when to spend
the money. Your unspent health care savings
roll over year after year. In other words,
you wont lose what you don't spend in any
given year. If the money in your savings
account is used for health care expenses now
or after retirement the money in your
savings account will never be taxed.
Hospital-Surgical Plans
These type of
plans primarily provide coverage for medical
expenses incurred at a hospital and have
limited coverage for outpatient services.
Most all hospital-surgical plans cover
outpatient surgery performed at a hospital
or outpatient surgical facility. Other
outpatient services coverage vary widely
from plan to plan. Hospital-Surgical plans
should be evaluated very carefully before
purchasing as they are not the same in
quality from company to company. Some
hospital-surgical plans on the market are
"scheduled" plans which means all benefits
of the policy have a specified dollar limit
by schedule that can be found listed in the
policy. Some of these policies have
virtually all of the covered
expenses limited to a specified dollar
amount. There are some hospital-surgical
plans that are actually excellent coverage
for an inpatient hospital stay or an
outpatient surgery. The better quality plans
will have a stop-loss feature that defines
the dollar amount you are limited in paying
in a calendar year for covered medical
expenses. Some hospital-surgical plans offer
extra outpatient benefit "riders" to add to
the base policy for outpatient expenses such
as chemotherapy, radiation therapy,
outpatient tests and lab-work, etc. All in
all it is best to just purchase a major
medical plan if you can afford it and
qualify medically to be accepted for
coverage.
Supplemental Health Plans
Supplemental
health insurance coverage in Florida can make sense to
have in addition to your regular health insurance. This type of insurance usually
pays directly to the insured and some
policies pay without regard to any other
insurance you may have and do not
co-ordinate benefits with other insurance
coverage. These types of policies can be
used to "fill in the gaps" that you are
going to have with any health insurance (the
deductibles, co-pays, co-insurance.) The
money received from a supplement could also
be used to pay living expenses while the
insured perhaps is unable to work due to an
illness or injury. There are several types
of supplements available on the market;
dread disease policies such as for cancer,
heart disease, stroke, etc. The dread disease
plans frequently pays chosen lump sum cash
benefit if the insured is diagnosed with any
of the covered conditions. Other dread
disease plans pay only if particular
treatments and procedures are received for
the covered condition. There are also
supplemental Accident policies. There are
daily cash benefit plans that pay a daily
cash benefit for hospitalization
and intensive care due to most any illness
or accident. There are plans that pay
supplemental cash benefits if you have
outpatient surgery, outpatient doctor's
office visits, tests, etc.
Simply
fill out our short request form and we'll provide
you with a
Free
Competitive Insurance Quote with
no obligation. Or just call us at
(407) 894-2841 and we'll provide an instant free
quote over the phone.
|
"Quality
Health and Life Insurance for you and those
who depend on you" |
Florida
Health and Medical Insurance HOME
|
|
Security that Matters!
We have been providing quality
health and life insurance in Florida
for over 20 years.
Life Insurance
For a quote on life insurance please
contact us providing the following
information;
1) Amount of Coverage Desired
2) Date of Birth
3) Gender
4) Height & Weight
5) Any Known Health Conditions
6)
Your contact information (name,
e-mail address, phone number)
|
We also
offer several supplemental health insurance plans
that you may want to consider in addition to your
regular health insurance plan. For example, if you
want maternity coverage we offer a supplemental plan
that covers maternity the same as any other covered
expense of the supplement policy. We also offer
supplemental Accident, Cancer, Heart Disease and
Daily Hospitalization Cash Benefit Indemnity
Plans paid directly to you. Just contact us for more
information.
HOME
We offer coverage through these fine insurance
companies and more
|
Florida
Medical Health and Life Insurance by Brad Shivers Insurance Agency