Health Insurance 101: Types of plans

as people go to the health insurance marketplace to do their shopping it's going to be overwhelming there are going to be a lot of options there's going to be a lot of data to comb through and it is going to overwhelm a lot of people I recommend that you make couple of very simple decisions to help narrow down the plan selection that you want to focus on to several different plan structures there are HMO plans and there are PPO plans those are the two primary dividers and with an HMO plan you've got access

to a specific network of physicians specialists medical centers and hospitals typically these will be arranged geographically within a county or a number of counties but they're going to be a geographic region to which you have access as far as specialist providers these are great especially for people who live in more populous areas if you have a relationship with a specific doctor I would encourage you to find out if your doctor participates with a particular HMO because you do want to make sure that you have access

to who you want to see and who you're comfortable with now some people prefer a little bit more freedom to go outside of a network if you're a traveler someone who travels for business a lot or if you just want the freedom to go see a specialist right away for care as opposed to being referred by a general physician then you may want to consider a PPO typically those will allow you to more easily go outside of a network if you are out of the area in which you live or again if you want to just go straight to seek care from a specialist

let's say you get an ear infection maybe you want to go straight to see in your nose and throat specialist you'll have the freedom to do that with a PPO another option that people will see is an HSA or health savings account these are nice for people who don't necessarily have a lot of chronic needs a lot of people who own their own businesses will do an HSA account because it allows you to put money into a specified account pre-tax now that money is earmarked specifically for use

on your medical and prescription expenses but you can keep that money in that account any year that you don't use all of those funds it's not like a flexible spending account where the money goes away at the end of the year your money remains your money if you don't spend it all it rolls over the next year should you be fortunate enough to enjoy good health all the way up until you become eligible for Medicare at 65 that money still remains yours so you're not losing anything now on HSA is not for everybody but you may want to take a look at your

anticipated finances for the coming year and decide if that's something else that you're interested in in addition to that you want to understand yourself you want to understand your family and take a real honest hard look at over the coming year what am I anticipating I'm going to need if I'm someone who regularly requires checkups for chronic condition then I want to make sure I'm covered well for doctor visits and testing if I'm someone who's taking a medication to manage a chronic condition I want to

check out the prescription benefit on any plan that I might purchase if I take specialty medications like an injectable for instance I want to know how that's covered on a plan so you want to ask questions don't ever be afraid to ask questions that's why there are experts available to answer these things and help you make a decision but above all make sure you know what services you need to know the most about and make sure that you know how each option that you're considering is going to cover those things because once you make your

decision that's what you're going to live with for an entire year so the more thought you can put into it on the front end the better off you're going to be you