Health Insurance

Nobody plans to get injured or fall ill, but we all need medical care at some point in life. Health insurance or healthcare insurance helps pay for your medical services and healthcare costs, as it covers a portion of the policyholders’ medical expenses.

Health Insurance

Nobody plans to get injured or fall ill, but we all need medical care at some point in life. Health insurance or healthcare insurance helps pay for your medical services and healthcare costs, as it covers a portion of the policyholders’ medical expenses.

The Value of Good Health Insurance

Different insurance plans have varying rules and regulations. How much of your expenses health insurance can cover usually depends on the details of the policy.

If you lack health insurance and require medical care, you may be left with overwhelming medical bills or even face challenges getting a medical provider to treat you.

Other than screening and stabilization in the emergency room, most healthcare providers may be reluctant to treat you if your ability to pay for the medical services is questionable. Having a health insurance card may be the difference between being able to receive treatment or not.

Goldstein Healthcare is Here For You

At Goldstein Healthcare, we offer a wide range of health insurance plans for individuals, families, business owners, self-employed people, and more. Our passionate team provides flexible, affordable insurance options to match your needs. Call us today at (561) 212-6219 to schedule an appointment and learn more about health insurance plans in Florida.

How Health Insurance Protects You from Health and Financial Risks

Having health insurance coverage offers a wide range of benefits, including:

  • Health insurance protects you with essential health benefits for maintaining health, treating diseases, and caring for injuries.
  • A health insurance plan protects you from high and sudden medical expenses.
  • Before meeting your deductible, you’ll get free preventive medical services like checkups, screening, and vaccines.
  • Health insurance companies negotiate discounts with healthcare providers, helping you save money using network providers.

What Are Deductibles, Copays and Coinsurance?

Health insurance plans often require clients to pick up some of the costs of their coverage in varying formats, including:

  • Deductibles: This is the amount that a client should pay out of pocket annually before an insurer can start meeting the cost. The deductible is capped by federal law.
  • Copays: These are pre-set fees that subscribers must pay for certain services like prescription drugs and doctor visits, even after meeting deductibles.
  • Coinsurance: Coinsurance is the percentage of healthcare costs that an insured party must pay when they reach the annual out-of-pocket limit, even after meeting the deductible.

Balancing Your Costs

Medical insurance plans with high out-of-pocket costs usually have lower monthly premiums. Consider the benefit of lower monthly payments against the risk of potentially high out-of-pocket expenses in cases of severe illness or accidents when shopping for an insurance plan.

Types of Health Insurance

Health insurance options in the United States include:

Private healthcare coverage may be provided by an employer through group insurance plans or purchased from the individual and family market.

Public and private insurance plans often use one of the following managed care models:

Health Maintenance Organization (HMO)

Preferred Provider Organization (PPO)

Exclusive Provider Organization (EPO)

Point of Service (POS)

What Are Managed Care Designations?

Managed care refers to the medical delivery system that aims to address the cost and quality of medical services that individuals receive.

The different managed care designations limit the following in varying degrees:

  • The number of medical providers that patients can choose
  • Whether patients must use primary care physicians
  • Coverage for out-of-network care.
  • Emphasis on preventive care.

The significant difference between HMO, EPO, PPO, and POS plans is the access to medical providers. All the managed care plans have a network of medical providers that are under contract with the health plan.

Some plans pay only for non-emergency care if patients seek care from an in-network provider, while others cover part of the medical costs, even if you visit a provider outside the plan’s network.

HMO and EPO plans won’t cover out-of-network care unless it is an emergency situation. On the other hand, POS and PPO plans offer some out-of-network medical expenses.

Out-of-pocket expenses in out-of-network care are often higher than out-of-pocket expenses for in-network care.

Contact us today to speak with one of our experts or get a free quote. 

Florida Health Insurance Options

If you lack insurance from your employer or are self-employed, you need individual health insurance or family health insurance. Health insurance options in Florida include:

  • Affordable Care Act or Health Insurance Marketplace plans
  • Individual and family health insurance plans in Florida
  • Short-term health insurance in Florida
  • Long-term health insurance coverage
  • Small-business health insurance

Understanding the Health Insurance Marketplace

The Health Insurance Marketplace allows you to find health coverage that matches your budget and unique needs. Marketplace health plans offer essential health benefits such as:

  • Doctor visits
  • Preventive healthcare
  • Prescriptions
  • Hospitalization

Comparing plans based on cost-to-coverage ratio and other features can help you choose the best health coverage. And although health care coverage is no longer mandated (as the penalty has been reduced to $0), it is still the wise thing to do. Here’s more on why you need health insurance.

For more information about the best health insurance plans in Florida, call Goldstein Healthcare at (561) 212-6219.

Get a free health insurance quote today !