Every day many more people are finding themselves out of a job during this recession. With the loss of a job comes the loss of health insurance coverage. Finding affordable health insurance to replace an employer-sponsored plan, is becoming a high priority for many families.
If you have lost your job and need to find affordable health insurance coverage for yourself and your family, there are many options available. The first step is to learn what the different plans have to offer and how they differ.
What COBRA has to Offer
If you have just lost your job, the first thing you will need to do is to check into COBRA. COBRA allows you to continue on your employer’s health insurance plan for up to 18 months after loosing your job. If you have a pre-existing condition, COBRA can be a good option, however it can be expensive because your employer will no longer be paying a portion of the cost. You will have to pay the entire amount yourself.
If COBRA does not look like a good option for your family, there are a number of other types of insurance plans available. You will need to do some research and become familiar with some of the terms and what they mean before you can make a wise decision about which plan to choose.
Types of Insurance
There are basically 2 types of health insurance. One is fee-for-service which, is the traditional type of health insurance in which you can choose any doctor or hospital you wish. The amount of choices you get with a fee-for-service plan is a plus, but the cost of this type of insurance can be quite high. Alternatives to a fee-for-service plans are managed-care plans and Health Savings Accounts.
Managed care plans include Health Maintenance Organizations (HMOs), Preferred Provider Organizations (PPOs) and Point-of-Service Plans (POS).
Under a Health Maintenance Organization or HMO, you choose a primary doctor who participates in the plan’s network and then all of your care is directed by that physician. If any test or visits to a specialist are required, that primary care physician must issue a referral and the specialist must be a part of that HMO’s network. HMO’s have the buying power of a large organization so you can often get your medical services for less and they are also focused on keeping costs down. Therefore, an HMO can be a less expensive option for health insurance. However, if you see a physician out-of-network or have any procedures done without prior approval, it can be expensive.
With a Preferred Provider Organization or PPO plan, there is also a list of participating doctors and hospitals, however you have the freedom to see any doctor who is part of the plan’s network. You do not have to designate a primary care physician. If you wish to be able to see health care providers outside the plan’s network, you will have to pay a higher coinsurance rate.
A Point-of-Service Plan or a POS has some similarities to an HMO and a traditional health insurance plan. With a POS, if you choose your primary doctor from within the plan’s network of physicians, then your costs will stay low. However, if you choose to go outside of the network, your costs will be much higher. The advantage of a POS health insurance plan is that you get the cost savings of an HMO but you still have the freedom to see physicians outside the network as well.
A Health Savings Account
Another option for saving on your health insurance coverage is to open a Health Savings Account or an HSA. An HSA is a savings account for people who have a high deductible health insurance plan. Money is deposited into a special HSA account where it earns interest that is tax-free and the money is not taxed when it is used for qualified medical expenses. HSAs will also have a network of health care providers and your cost will be lower if you choose to stay within the network. As with the POS, you do have the option to go outside the network but at a higher cost to you.
If you have lost your job and find yourself in need of affordable health insurance, the first step is to look into COBRA to see if it is the best option. If it is not, then the next step is to research the managed care options as well as a health care savings account. After you learn about the different plans and how they work, you will be able to make the best choice for meeting your family’s health insurance needs.