Health insurance terms you need to understand

Health insurance is one of the most important decisions you make every year and probably the one that is the most confusing. So many terms that you may or may not completely understand.  Abbreviations that might as well be a foreign language are enough to make you throw up your hands in frustration. At R&R Insurance Group LLC in Quakertown, PA, we are here to take the stress out of choosing health insurance. We are an independently owned agency that works with 14 top-notch carriers to provide our customers with choices. 


The network is the providers who have contracted with the carrier you have chosen to provide services for their customers at a negotiated price. Every plan has a network. What you need to determine is whether your preferred provider is in the network for the plan you want to purchase. 


The deductible is the amount you will have to pay out of pocket before services will begin to be paid for. The higher the deductible, the more reasonably priced the plan will be. Keep in mind this also means you will pay more out of pocket and could possibly not get anything paid for the entire year. 


The initials stand for Health Maintenance Organization. This is a type of managed care where health care services are provided through a network. Healthcare outside the network is usually not covered unless it is an extreme emergency situation. 


POS stands for Point of Service. It is a managed healthcare plan that has a network of providers. You will receive the best rates from the providers in the network, but you will have some coverage for providers outside the network. 

When you are ready to choose your health insurance plan for the year, contact R&R Insurance Group LLC in Quakertown, PA at our office or on the telephone.