Typically have lower premiums than PPOs but require more coordination through a primary doctor. HDHP (High Deductible Health Plan) An HDHP is paired with a Health Savings Account (HSA), offering low monthly premiums and higher deductibles. It’s a good option for healthy individuals who don’...
This HSA overview has been updated with info for the 2024 & 2025 tax years.A few years ago, I moved from a traditional PPO health insurance plan to ahigh deductible health plan (HDHP)that was paired with a health savings account (HSA) during my employer’sopen enrollmentperiod. Why? I’...
A copayment, often referred to as a “copay,” is a fixed, predetermined amount that an individual pays out-of-pocket for specific healthcare services or prescription medications. It is a cost-sharing arrangement between the individual and their insurance company, wherein the insurer covers the...
HMO vs. Point-of-Service (POS) Apoint-of-service (POS) planis like an HMO plan in that it requires a policyholder to choose an in-network PCP and get referrals from that doctor if they want the plan to cover a specialist’s services.A POS plan is also like a PPO plan: it still ...
There are a variety of plan types to choose from, including different tiers within each category. Health insurance coverage options include: High deductible health plan (HDHP) Health maintenance organization (HMO) Preferred provider organization (PPO) Open enrollment tips An effective open enrollment ...
As the side-by-side comparison of the POS vs PPO Gold plans shows, deciding whether the above POS vs PPO is better really depends on a family's expected needs and usage. A family who anticipates a lot of hospital stays or surgeries could wind up saving money with the POS even with th...
What Is a Gatekeeper? There are two definitions of the term gatekeeper. One is used to describe the role of people in the health insurance sector. The other refers to long-term care plans. The term gatekeeper describes the person in charge of a patient’s treatment when it's used in rel...
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For example, if a business offers multiple types of health insurance plans, some employees might prefer to pay higher premiums to have a PPO while others might prefer to pay less for premiums and get their coverage through an HDHP. By maintaining an open dialog with employees, a business ...
PPO (Preferred Provider Organization) plansgive you more freedom to see any doctor, including those outside the network, but this flexibility can come with higher premiums and costs. On the other hand, HMO plans require you to use a specific network of doctors and usually need referrals to se...