Jun 11

Individual Health Plan Options In Texas

When it comes to health insurance, resident in Texas are spoilt for choices. There are innumerous health insurance carriers in the state and so is the variety of health plans. Texas also has access to many government sponsored health plans that are reasonable and offer comprehensive coverage.

The easiest and the cheapest way to access health insurance in Texas are to go in for group coverage. Group health plans are usually offered at work and a part of the premium is paid by the employer. The biggest advantage of group coverage is that applications are generally not rejected on the basis of health conditions. There are also many added advantages that characterize group plans. However, the biggest drawback of group health insurance is that it comes in one size fits all package. The plan cannot be customized according to the personal health needs of every individual. Also, more often than not, group health insurance Texas is only for the worker and not for his family.

If a resident does not have access to group coverage, then he can apply for an individual health insurance. Texas offers two types of individual health insurance indemnity health insurance plans and managed healthcare plans.

Indemnity plans are the traditional form of getting coverage. Here a person pays for his medical bills which are later reimbursed by the insurance company. The applicant can consult any doctor or other healthcare service provider of his/her choice. There are no restrictions and these health plans are the most flexible. However, indemnity plans are costly and are slowing losing their popularity.

Indemnity health plans are being replaced by managed healthcare plans that are comparatively much cheaper but offer comprehensive healthcare. Managed healthcare plans could be Health Maintenance Organization (HMO), Preferred Provider Organization (PPO) or a Point of Service (PoS) plan.

HMO is the most basic and cheapest health insurance plan in Texas. HMO provides coverage for primary and preventive healthcare. However, the applicant has to stick to the network of healthcare service providers prescribed by the health plan. One also cannot consult a specialist directly and needs the recommendation of a primary care physician to do so.

PPO plans are slightly more expensive than HMO plans, but are more flexible as well. Here too there is a network of healthcare service providers, but one can consult beyond the network. He only needs to pay higher co-pay every time he does also. Also, in a PPO health plan, one does not need the approval of a primary care provider before consulting a specialist.

Finding a suitable individual health insurance Texas plan is not difficult. One need to do a thorough market research, compare quotes carefully, do a background check on the insurance company before making the final purchase.


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