Almost everyone benefits from having health insurance. You never know when you’ll be involved in an accident or come down with severe sickness, and having insurance can prove to be of the utmost value. Health insurance provides compensation for your medical bills and can also cover a loss of income in some situations. Keep reading to learn more about your healthcare options in Quakertown. PA or contact R&R Insurance Group LLC.

How to Get Healthcare?

Once you choose to get health insurance, you’ll need to consider your options. There are several ways to get a policy, each of which presents its own pros and cons. Here’s a look at four ways you can get insurance today.

Individual Health Insurance

You can buy a health insurance plan for yourself or your family from a health insurance company or through the Affordable Care Act marketplace. When you use this option to get health coverage, you don’t have to worry about being tied to a certain job. Since the insurance isn’t coming through your employer, you’re able to switch jobs and industries as much as you like without compromising your coverage benefits.

Medicare

Medicare insurance provides a wide range of comprehensive coverage. You can only qualify for this type of insurance if you are over 65 years old. If you’re under 65, you must have a disability or suffer from ALS or end-stage renal disease.

Medicaid

Medicaid is available to those with low or no income. Certain individuals with low or no income automatically qualify for this type of insurance. These qualifying individuals include women who are pregnant, elderly adults, people with certain disabilities, and children.

Employee-sponsored Plan

An employer-sponsored health plan is chosen and paid for by your employer. Many employers allow you to insure yourself as well as your spouse and children through employer-sponsored plans. You may be responsible for a portion of the health plan premiums, but the employer usually pays the bulk of them.

Want to learn more about your healthcare options in Quakertown, PA? Contact R&R Insurance Group LLC today.

Managed care is certainly the most common type of health care that is available today. It uses a network of providers who have contracted to provide services at a predetermined price. This makes it easier for both providers and for patients. You know ahead of time what things will cost. At R&R Insurance Group LLC in Quakertown, PA, we are here to help our customers to make the right decision about their health insurance. As independent insurance agents, we can provide more options and we offer a variety of different companies and products. 

Types of Managed Care

HMO

The initials HMO stand for Health Maintenance Organization and this type of managed care is the one that most people have. It is usually the least expensive, which may explain why it is popular, even though it is the most restrictive. An HMO requires that you choose a primary care physician from within the network. You need to check before you pick your health insurance that your primary care doctor is in the network. You need them to refer you to any specialist you may need to visit. 

PPO

If you like having more control over your health care, a Preferred Provider Organization is the better option for you. With this type of plan, you don’t need to have a primary care physician managing your medical care. You won’t need a referral to see a specialist but you will get the best rate for staying within the network. But if you want, you can go outside the network. 

POS

Point of Service managed care is a combination of both HMO and PPO. You can go outside the network but you need a primary care physician and referrals to visit a specialist. 

Contact R&R Insurance Group LLC in Quakertown, PA when you are ready to discuss your health insurance. 

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. 

Network

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. 

Deductible

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. 

HMO

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

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.