Category: Health Insurance

Health insurance can be confusing, and understanding your policy can be a key part of ensuring that you’re making the most of all that your plan has to offer. Here, we’ll take a look at how your HMO works. 

What Is An HMO?

An HMO, or health management organization, is made up of a network of medical care providers. People who have health insurance through an HMO receive most of their care through a primary care provider, or PCP. 

How Can Patients Get Specialty Care Through An HMO?

Patients who have health insurance through an HMO usually need to see their primary care physician for a referral to a specialist. Their primary care physician will treat their condition if possible, or refer them to a specialist if the patient needs specialty treatment.

Why Some People Prefer HMO Insurance Plans

In an HMO plan, patients are limited to choosing from care providers within the network of the HMO. This means that premiums are lower than insurance plans that allow patients to choose any doctor. Some people prefer to have more freedom in choosing their healthcare provider, and would rather use a different plan that does not require them to stay within an HMO network. Alternative plans to HMOs include point-of-service, or POS plans, preferred provider organizations, or PPO plans.

Reach Out To Midwest Professional Insurance Today

If you’re searching for the right health insurance plan for your needs, reach out to an agent at Midwest Professional Insurance today. They’ll work with you to ensure that they understand what you want from your plan, helping you choose an option that makes sense.

When purchasing health insurance, it is vital to know, precisely, what it is. Health insurance is when your insurer pays for some, or all, of your health care costs in exchange for a monthly premium. It sounds simple, but health insurance can be complex, and it is better navigated when you have the services of an insurance agent to guide you. That is why you should consider speaking to the folks at Midwest Professional Insurance.

To start, get comfortable and knowledgeable with health insurance lingo. Words like:

• Allowed amount – the maximum amount your insurer will pay for a service.
• Deductible – how much you need to pay to the provider before your plan begins to pay.
• Co-payment – the fixed amount you pay for a covered service before you can receive the service.
• Co-insurance – your share of the costs for a covered health care service.
• Network – the providers and facilities that are contracted by your insurer to provide health care services.
• Out of pocket limit – the maximum amount you will pay before your insurance starts to cover 100% of the cost.

Once you have a handle on the terms, establish what kind of cover you are looking for, for whom, and how much you are willing to spend on a monthly premium. Is the health insurance only for yourself, or do you need health insurance for your spouse and children?

Consider the minimum health benefits set out by certain plans and what they really cover, including but not limited to:

• Emergency services
• Hospitalization
• Preventative and wellness services
• Prescription Drug coverage
• Rehabilitative services
• Pediatric Services

When it comes to your health, do your homework! Midwest Professional Insurance can help you navigate health insurance and the cover available. Contact them today!

Midwest Professional Insurance offers coverage to the Fairway, KS community. We take time to assess each of our client’s situations to help them find a policy that suits their individual needs. We will help you protect your assets.

Health Insurance Overview

Health insurance allows you to live life a little more comfortably. The policy covers you when you need emergency care. Besides providing a safety net when you aren’t feeling well, health insurance is also an asset because you are covered when you go to the doctor for your routine checkups. Health insurance also covers you if your doctor prescribes medication to help you feel better. If you suffer a serious injury, health insurance can cover your rehabilitation. Your policy also provides coverage if you have to undergo an X-ray, MRI, or another type of test.

Be aware that your health insurance policy will include a network. The network will outline which doctors, hospitals, and pharmacies you are allowed to use for care. You do have the option to look for a hybrid policy that allows you to see the doctors you would like, whether they are a part of the network or not.

You can amend your health insurance policy to cover you as you undergo outpatient care services. If you are doing acupuncture or some other innovative treatment to help rehabilitate your injuries, you can amend your policy to cover the treatment. Your health insurance policy also includes yearly dental and vision checkups as a part of the preventative care coverage.

Midwest Professional Insurance Will Help You Find The Right Policy

Visit our website today to learn more information about health insurance.