Break Down of Health Insurance

            Coming from someone who has dealt with this personally, health insurance can be extremely confusing. I can never remember, “Do I have an EPO, HMO, PPO, or a POS?” Finally when I do remember, I have no idea what they even mean. To help all of you that may have this same problem, here is a quick list that should help understand the difference between them.

            HMO: large network care from in network providers is covered and you pay for care from out of network providers. You have to select a primary care physician from network and see that doctor for all of your medical needs.

            PPO: large network care from in network providers is covered. You pay for care from out of network providers and then submit a claim from your insurance company. Once claim is submitted they may or may not reimburse you for the cost. You can choose a primary care physician that is either in or out of the network. However, it will cost more if you choose one out of network.

            POS: large network care from in network providers is covered. You pay for care from out of network providers. You are not required to choose a primary care physician but will be encourages to select one from network. If you choose one out of network you will have a higher co-pay.

            EPO: small network care from in network providers is covered, and is at a low cost. You pay for care from out of network providers. You can either choose a doctor in network or out of network. If you choose in network, you will have a low co-pay compared to if you choose one out of network, you will be paying for everything yourself. 

            It is almost impossible to live without health insurance for you and your family. Health insurance policies most often cover doctors visits, prescriptions, medical testing, specialized care, and surgical procedures. Although every health insurance policy is different, our agents will work with you to create a policy that best fits your lifestyle and needs. We will help you consider your financial situation and the health of you and your family members. Call John E. Peakes Insurance today for a free health insurance quote and more information on all of the policy options we offer. We want to make sure you and your family are covered and able to stay healthy.