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What Are Some Key Terms Used in Health Insurance Policies?

Residents living in the state of Florida are under no obligation to purchase health insurance, however, many choose to do so for a variety of reasons. A representative from A. L. Saland Insurance Solutions Inc will be happy to go into greater detail regarding the options available to you.

Here are some key insurance terms it will be helpful for you to know:

Premium

This is the amount you pay every month for your policy. This can be affected by several factors, such as tobacco use, your age, and the type of insurance policy you have chosen. It will also change depending on the number of dependents covered, and your location can be taken into account as well. 

Deductible

This is the amount you have to pay before your provider will pick any additional costs. Very often, this includes expenses that are associated with benefits covered under your policy and may be subject to specific rules, such as prior authorization, referrals, and determining medical necessity. You may also be required to use a physician or specialist who is in the network. Deductibles tend to reset every calendar year, and the set point can often be chosen by subscribers. 

Provider Network

These are the healthcare professionals who have agreed to work with your insurance carrier and whose contracts allow them to bill for services rendered. These will include a list of hospitals, primary care facilities, and doctors. If you choose to receive treatment by someone not included in this group, this is referred to as an out-of-network provider and can affect how much your insurer can cover. 

Get Health Insurance Today

A. L. Saland Insurance Solutions Inc takes pride in serving those living in the state of Florida, and we look forward to working with you. We invite you to reach out to us for more information today. 

How to Choose a Health Care Plan

When it comes time to select a health care plan for you and your family, you are sometimes limited as to how long you have to make your selection. Whether choosing an employer-sponsored insurance plan or shopping for one on your own in Florida, you do not want to rush and make hasty decisions. If you still have questions about your health care needs, call the experts at A. L. Saland Insurance Solutions Inc.

Compare Health Insurance Plans

When it is time to select a health care plan, you are probably given a large amount of information to sort through. It may even look like alphabet soup tossed on paper, with terms such as HMP, PPO, EPO, and POS plans. Take a moment to compare the plans available and make notes on what is important to you and your family’s healthcare needs. Things to consider when selecting insurance coverage include, which doctors you can see, and the deductible and maximum out-of-pocket amounts. 

Compare Plan Networks

Insurance coverage varies between in-network and out-of-network providers. Compare both options and see if the doctors you already see are in-network. If they are out of network, check the plan to see if you can afford the out-of-network prices. 

Compare Out-of-Pocket Costs

The summary of benefits for your options should explain what items you must pay for out of pocket. For example, some policies have deductibles, which means all of your health needs must be paid for out of pocket before insurance coverage kicks in and starts paying. Additionally, you have max out-of-pocket amounts, which means you have a maximum amount to pay each year. Once you reach that amount, your insurance policy covers 100 percent of your covered medical expenses. 

When selecting a health care plan in Florida, reach out to A. L. Saland Insurance Solutions Inc for additional information and private health insurance coverage options. 

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