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So you need to find health insurance… You may not be thrilled, you may even  feel a little lost, but that’s okay. . . We’ll guide you through everything… HealthCompare.org
Take a look, we will help explain your options: ,[object Object]
Managed Care Plans
COBRA
Indemnity Plans
Health Maintenance Organizations (HMOs)
Preferred Provider Organizations (PPOs)
Short-Term Health Insurance
High Deductible Health Plans (HDHPs)HealthCompare.org
So let’s get started! But first things first… HealthCompare.org
HealthCompare.org
Health insurance usually comes from one of two places: ,[object Object]
A Family Member’s Group Plan…So what does this mean? HealthCompare.org
You can lose health insurance if: ,[object Object]
Your hours are reduced from full-time to part time.
If your family member lost the Group Plan you were carried under.
You no longer qualify for your family member’s Group PlanHealthCompare.org
Lost your insurance? ,[object Object]
Talk to your previous carrier
Search online at HealthCompare.orgHealthCompare.org
Whatabout COBRA?  (Consolidated Omnibus Budget Reconciliation Act)  ,[object Object]
WARNING: The premium is usually higher than if you sought insurance on your own.HealthCompare.org
[object Object]
Ask your former Health Care Provider about any premium increase.HealthCompare.org
[object Object]
Managed Health Care PlansHealthCompare.org
Indemnity plans have a greater flexibility when it comes to picking doctors, hospitals, or other health care providers.    But flexibility comes with a price… HealthCompare.org
The PRICE of Indemnity Plans: You will probably have to pay an annual deductible before the benefits of the insurance kick-in. And, after that, there may be a discrepancy between what your providers charge you for their services and what your insurance opts to pay. HealthCompare.org
[object Object]
Your insurance company then pays 80% of that amount (which would be $120.00).
You will still owe the doctor $80.00, which is the difference between the amount he or she charges ($200.00) and the amount paid by the insurance ($120.00). HealthCompare.org
But what if you’d like to sacrifice that flexibility with providers for more consistent coverage?  HealthCompare.org
What are Managed Care Plans? ,[object Object]
You can only receive the benefits of the discounts negotiated with specific doctor, hospitals, and health care providers in their network.HealthCompare.org
HMOs: Health Maintenance Organizations  PPOs: Preferred Provider Organizations POS: Point of Service Plans            We’ll focus on the first two… HealthCompare.org
HealthCompare.org
HMO (Health Maintenance Organization) ,[object Object]
May be limited with coverage area or available doctors
Limited number of specialists
Typically limited care options= HMO PPO(Preferred Provider Organization) ,[object Object]
Typically national coverage
Options for any specialist
Options for best available care= P P O HealthCompare.org

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Why You Need Health Insurance: - HealthCompare

  • 1.
  • 2. So you need to find health insurance… You may not be thrilled, you may even feel a little lost, but that’s okay. . . We’ll guide you through everything… HealthCompare.org
  • 3.
  • 10. High Deductible Health Plans (HDHPs)HealthCompare.org
  • 11. So let’s get started! But first things first… HealthCompare.org
  • 13.
  • 14. A Family Member’s Group Plan…So what does this mean? HealthCompare.org
  • 15.
  • 16. Your hours are reduced from full-time to part time.
  • 17. If your family member lost the Group Plan you were carried under.
  • 18. You no longer qualify for your family member’s Group PlanHealthCompare.org
  • 19.
  • 20. Talk to your previous carrier
  • 21. Search online at HealthCompare.orgHealthCompare.org
  • 22.
  • 23. WARNING: The premium is usually higher than if you sought insurance on your own.HealthCompare.org
  • 24.
  • 25. Ask your former Health Care Provider about any premium increase.HealthCompare.org
  • 26.
  • 27. Managed Health Care PlansHealthCompare.org
  • 28. Indemnity plans have a greater flexibility when it comes to picking doctors, hospitals, or other health care providers. But flexibility comes with a price… HealthCompare.org
  • 29. The PRICE of Indemnity Plans: You will probably have to pay an annual deductible before the benefits of the insurance kick-in. And, after that, there may be a discrepancy between what your providers charge you for their services and what your insurance opts to pay. HealthCompare.org
  • 30.
  • 31. Your insurance company then pays 80% of that amount (which would be $120.00).
  • 32. You will still owe the doctor $80.00, which is the difference between the amount he or she charges ($200.00) and the amount paid by the insurance ($120.00). HealthCompare.org
  • 33. But what if you’d like to sacrifice that flexibility with providers for more consistent coverage? HealthCompare.org
  • 34.
  • 35. You can only receive the benefits of the discounts negotiated with specific doctor, hospitals, and health care providers in their network.HealthCompare.org
  • 36. HMOs: Health Maintenance Organizations PPOs: Preferred Provider Organizations POS: Point of Service Plans We’ll focus on the first two… HealthCompare.org
  • 38.
  • 39. May be limited with coverage area or available doctors
  • 40. Limited number of specialists
  • 41.
  • 43. Options for any specialist
  • 44. Options for best available care= P P O HealthCompare.org
  • 45.
  • 46. These restrictions help to control costs.HealthCompare.org
  • 47.
  • 48. HealthCompare helps you to compare similar plans to find the perfect one for you. HealthCompare.org
  • 49.
  • 50. Can I change doctors?
  • 51. How are referrals handled if I need care from a specialist?
  • 52. How is emergency care handled?
  • 53. What services are covered, including preventive care?
  • 54. What if I need services not provided by the HMO network?
  • 55. Are there additional fees or co-payments required for office visits, emergency care or other services and, if so, how much are they? HealthCompare.org
  • 56. So that’s an HMO….. What about a PPO? HealthCompare.org
  • 57. PPOs do not necessarily require that you choose a primary care physician to supervise and make decisions for your health care. In addition, with a PPO, you may be able to access providers and services outside of the “preferred” provider network HealthCompare.org
  • 58.
  • 59. They typically involve deductibles, co-payments, and co-insurance amountsHealthCompare.org
  • 60.
  • 61. This means you can select more providers, but it might cost you. HealthCompare.org
  • 62. So when selecting your doctors. . . What should you ask? HealthCompare.org
  • 63. How many are in the network? Who are they and where are they located? What are the processes and restrictions for referral to specialists? HealthCompare.org
  • 64. What hospitals are available through the plan? Where is the nearest one in the network? How is emergency care handled? HealthCompare.org
  • 65. What services are covered? What are the deductible, co-pay and co-insurance amounts? What is the out-of-pocket maximum? What are the co-insurance amounts for non-preferred or out of network providers? Are there per-visit fees or other types of co-pays for in-network services? What is the cost difference between using in-network and out-of-network doctors, and what costs are associated with care outside of the PPO? HealthCompare.org
  • 66.
  • 67. High Deductible Health PlansHealthCompare.org
  • 68. Short-term major medical insurance is temporary health insurance that offers gap coverage toguard against high costs of emergency medical bills. HealthCompare.org
  • 69.
  • 70. Recent graduates who are between parental and employer coverage.
  • 71. Employees who have been laid off or former employees between jobs.
  • 72. New employees who are not yet eligible for the employer’s group coverage.
  • 74. People who leave a group policy and want an alternative to COBRA.HealthCompare.org
  • 75.
  • 76. High deductible plans generally have lower monthly premiumsthan morecomprehensive health plans. HealthCompare.org
  • 77. When comparinghigh deductible plans (HDHP) costs with the costs of other plans, consider the potential premium costs relative to your potential health spending for the coming year to determine which plan works best for you and your family. HealthCompare.org
  • 78. It’s important to make an educated guess on what kind of medical assistance you might need in the foreseeable future. This isn’t just true with just HDHP . . . HealthCompare.org
  • 79. . . .but with ALL Health Plans. YOU HealthCompare.org
  • 80. Who is HealthCompare: HealthCompare is your online one-stop-shop for health insurance where you can research and compare plans onlinefrom over 150 national carriers. We Promise: To give you the best results for YOU, we never promote one carrier over the other. We just assess your needs and show you the best options from national carriers with plans in your area. Our Commitment is to YOU: As a division of The Word & Brown Company who has been the leading source for small group health insurance for over 20 years, we have leveraged technology to build an easy-to-use research tool, supported by a world class customer service team. Our Promise #1 HealthCompare.org
  • 81. 1. You can enter your information anonymously HealthCompare.org
  • 82. 2. You can review your plan options online in seconds HealthCompare.org
  • 83. 3. You can even compare plans side-by-side HealthCompare.org
  • 84. 4. Then, you can apply online or call one of our trained Benefits Advisors for help! HealthCompare.org
  • 85. Call toll free 877-641-1101 to speak to a trained Benefits Advisor or… Go to HealthCompare.org today! HealthCompare.org

Editor's Notes

  1. As I mentioned, we work with the largest selection of insurance companies. On our site there is a list of companies we currently represent. Did you realize there were hundreds to choose from? It is nice to know that we are checking with ALL of these companies to find you the right plan and not just two or three, isn’t it? Of course it is.The information I will go through should answer most of your questions,