The health insurance plans that are compliant with the Obama Care are some of the most significant medical health insurance plans. The enactment of the Affordable Care Act was done to ensure that all the Americans can be provided for with affordable health insurance; the ACA therefore was brought for use by individuals who pay for their insurance.
So the different medical health insurance that are available are such as the catastrophic plans that cover individuals below 30years of age, the qualified health plans that can be purchased with a subsidy, then we have the Obama health insurance plans for individuals and families.
People should, therefore, be careful to know the difference between the major medical insurance plans and those that do not qualify as the major health insurance such as GAP insurance, which covers Telemedicine and critical illnesses. Other explorable options are such as the Medicare supplement plans 2021.
Detailed Examples of Major Medical Insurance Plans
Preferred Provider Organization plans (PPO)
The PPO plan is best for individuals who have families because they will be able to get medical assistance from any one of the many healthcare providers under the insurance company’s network. What’s more is that if one of your family members needs the attention of a specialist frequently then this type of health insurance will suffice. Under these plans, people will be provided with copayments for the non-preventive medical care that they receive, and which will be deducted annually.
The Health Maintenance Organization plan (HMO)
The HMO is another format of the ACA major medical health insurance plan and will expose you to a broad spectrum of healthcare providers who can attend to you, but you will have to settle with one primary care provider who will see to all of your health services and care.
And unlike the PPO, with HMO your primary care provider will have to give you a referral before you can visit a specialist, but the good thing is that you will get assistance for the different types of preventive care.
The HMO package is, therefore, perfect for families or individuals who anticipate frequent hospital visits, and if by any chance you attend the non-preventive medical visits then, you will be exposed to the copayments fees for each of them which are deductible on an annual basis.
The Point of Service Plans (POS)
The POS is not very different from the HMO because with this plan you will still have to find one primary care physician who will tend to your referrals and the regular checkups. And if by any chance you wish to use the out of network providers then you will have to put your hand into your pocket. POS is one of the most flexible and versatile plans and the best for people who have no problem paying extra to use the out of network providers.
The Exclusive Provider Organization (EPO’S)
Now the best feature of this health insurance plan is that people get access to all the healthcare providers inclusive of the specialists that have been consolidated within the EPO network. If you, therefore, decide to settle with the EPO health insurance plan, you must note that you will not be able to use emergency services, and you can opt-out and get services from care providers who are not consolidated within a network.
The High Deductible Plans (HDHP)
There are two important things that you must note if you plan to settle with the HDHP health insurance plan, which is that you will have to settle the high deductible amount before you start benefiting from the health insurance coverage. And the second important thing is that you will have to get a Health Savings Account (HSA), if you are, therefore, looking to save money but with low monthly premiums and have no intention of using your medical coverage extensively then the HDHP should be the perfect option for you.
As you shop around for the best health insurance plan for you and your family, you might want to check out the short term health insurance plans, which just like its name, comes with minimal benefits but can nonetheless protect your finances if you suffer an accident or become sick. In essence, therefore, is that the short term plans come with so many restrictions, for example, you will not be able to be covered if you have any pre-existing condition, and it does not cater to preventive care.