An Intro to Health Insurance

If your employer does not provide health coverage, you must legally purchase your own. Modern Risk Management serving Houston, TX can help you find the appropriate health coverage if you do not qualify for government-provided benefits.

Health insurance, also called medical coverage, pays for a portion of the healthcare services you access. This can include emergency room visits, hospital stays, doctors’ visits, physical therapy, etc. Healthcare creates one of the largest unexpected expenses, and it can help cover these emergencies and pay for anticipated costs like annual exams. In exchange for this coverage, you pay monthly premiums.

Some types of expenses require you to pay a deductible. This out-of-pocket cost you must pay before the health insurance kicks in. Other items, such as annual exams, require a co-pay. This small payment usually costs less than $50 and often falls below $20.

A variety of insurance types provide different levels of coverage. Besides the government-provided Medicare/Medicaid, you will find four types of network health plans:

  • Exclusive Provider Organization (EPO),
  • Health Maintenance Organization (HMO),
  • Point of Service Plan (POS),
  • Preferred Provider Organization (PPO).

Some of these plan types let you choose your own doctor within the plan or outside it. Others mandate that you must choose a doctor within those in the plan. Plans also vary on whether you can see a specialist without a referral. Finding the right health plan takes time and effort.

Let Modern Risk Management serving Houston, TX, and its surrounding areas help you determine which plan type works best for you. We can help you assess your healthcare needs and choose a plan that provides both the needed coverage and reasonable premiums.