For individual and Business Health insurance plans, consider first your personal situation: your overall health, monthly budget, specific medical needs, etc.
HMO (Health Maintenance Organization). An HMO is a health care plan designed to help control costs. HMO is one of the most affordable individual and business health insurance plans. While California HMO health insurances do offer comprehensive coverage, HMO requires that most or all of your health care needs be obtained through an HMO network provider. This HMO group of doctors and other medical professionals offer an individual care through the HMO for a flat monthly rate with no deductibles.
PPO (Preferred Provider Organization). This is another affordable individual and business insurance plan. A PPO plan consists of a network of “preferred” providers in the area, and you are free to choose from anyone within that network. PPOs provide comprehensive and flexible health care coverage.
Premiums. Premiums are the payments you make, usually once a month, to keep your insurance coverage in effect. The insurance company determines the premium cost using the information you provide including health status, medical history, age, and lifestyle factors (smoking, alcohol use, etc.).
Deductible. The deductible is the actual amount the policyholder is required to pay before the individual insurance plan benefits will begin to reimburse for medical services. It is important to consider personal circumstances and needs when making a decision on the deductible amount.
Copayments and Coinsurance. A typical HMO plan might require you pay $15 for a routine examination with your primary care physician considered the copayment amount. Coinsurance is normally a percentage amount that is paid by you and your insurance carrier. For example, if your policy provides a coinsurance rate of 80/20, the insurance company would have to pay 80% and you would have to pay 20% of the bill.
Dental Insurance: Dental fees continue to increase as dental care is not included in most health insurance plans. This can be very costly—from restorative procedures such as fillings, braces, crowns, x-rays, and routine teeth cleaning and check-ups—and without comprehensive insurance, bills can cut a big portion of your savings. This is the reason most individuals are now getting dental insurance.
Vision Insurance: Vision insurance is designed to help you cover and budget for ongoing vision care expenses like routine eye exams, prescription glasses and contact lenses. You can buy vision plans in addition to your health insurance or even with other supplemental plans, like a dental plan.