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Health insurance is a complex subject that can be quite intimidating for the average person to understand. Nevertheless, everybody needs adequate health insurance coverage. A helpful way to face the daunting task of choosing health insurance is to work closely with your agent at Martin Insurance Team, serving Evergreen Park, IL and the surrounding communities.
Here is some terminology to learn that will help with your understanding of health insurance options:
- Health Maintenance Organization (HMO) — An HMO requires the insured person to visit their facilities to receive health care from the HMO providers.
- Preferred Provider Organization (PPO) — A PPO has a database of providers that are approved in the PPO’s network A patient can access the services from any of the approved providers.
- Out-of-Network — In an emergency, coverage may be approved on a case-by-case basis for a person who is not able to see a PPO-approved health care practitioner.
- Personal Physician — Some people prefer to visit their personal physician. This requires special coverage.
- Deductible — This is the amount that is the patient’s responsibility to pay on a covered insurance claim.
- Co-pay — This is the amount a patient must pay for each visit when accessing health care services.
- Pre-Existing Conditions — This is a medical condition that a patient had before being covered by a new health insurance policy
- Waiting Period — This may exist in health insurance policies and requires a minimum period before a patient can access certain treatments and health care.
- Prescription Drug Coverage — This pays some cost for medications. The patient also usually has to make a co-pay for their prescriptions.
- Preventative Care — Some health insurance plans include preventative care such as an annual checkup and other healthy-lifestyle support programs.
- Exclusions — These are things not covered by insurance. Ask your agent to explain this carefully.
- Lifetime Limits — Some policies have a maximum amount that they will pay for claims over the life of a person.
Talk with your agent about all the details of health insurance to make sure you clearly understand them. Contact your agent at Martin Insurance Team in Evergreen Park, IL by calling us to get a quote for health insurance or to review existing coverage to make sure it is adequate.
