Health Insurance
Lafayette, Youngsville, Broussard, Scott, Carencro and Throughout Louisiana
Health Insurance Information
What kinds of health insurance are there?
There are essentially two kinds of heath insurance: Fee-for-Service and Managed Care. Although these plans differ, they both cover an array of medical, surgical and hospital expenses. Most cover prescription drugs and some also offer dental coverage.
- Fee-for-Service
These plans generally assume that the medical professional will be paid a fee for each service provided to the patient. Patients are seen by a doctor of their choice and the claim is filed by either the medical provider or the patient.
- Managed Care
More than half of all Americans have some kind of managed-care plan1. Various plans work differently and can include: health maintenance organizations (HMOs), preferred provider organizations (PPOs) and point-of-service (POS) plans. These plans provide comprehensive health services to their members and offer financial incentives to patients who use the providers in the plan.
The most common types of managed-care plans are HMOs and PPOs. They are very different in pricing/cost structure and flexibility in care provider choice.
a. HMO
HMO is short for Health Maintenance Organizations. Members of an HMO must select a primary-care physician and service with another physician is only available through referral from the primary one. In addition, the cost of services performed by a doctor outside the network is much higher that it can outweigh the cost savings of an HMO plan.
In general, the premiums for HMOs are lower than PPOs because the cost is spread out among a limited number of members.
b. PPO
Though similar to an HMO in structure, a PPO offers members greater flexibility when they choose services provided by physicians outside the plan's network. Additional benefits may also be included in a PPO, too, such as prescription drug plans. To provide for these more flexible benefits, PPOs tend to have a higher premium than HMOs.
Determining what type of plan works best for your needs and financial situation can be a tricky one. Usually, advice from an insurance expert is much desirable to figure out your plan.
What our clients are saying
"I would like to thank Nolan's team on finding a health insurance policy that has saved me money with a much better policy.[...]
I would highly recommend them on preparing anyone's insurance needs and also taxes."
-- David Guidroz, Breaux Bridge, LA --
Health Insurance Quote Forms
Looking for coverage? Click any of the following links to submit a quote for quick, accurate and affordable rates.
Health Insurance Customer Service Options
Self policy service any time of the day, directly from our website. To request a policy change on your account, click any of the following policy service options below. For instance, you can request the Declaration and Coverages page for your existing policy.
Thank you for your interest in Insurance Advisors. To begin your quote process, use our quick and easy quote forms above. If you would like to speak to one of our professionals please call 337-988-9059 or email our Insurance Advisors and we will answer your questions the same business day.
We are committed to helping you save in Lafayette, Youngsville, Broussard, Scott, Carencro, and throughout Louisiana.
1 - Source : MANAGED CARE AND THE STATES
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