Group Health Insurance: An Introduction

Employers provide an insurance coverage for their employees in a group insurance. It is very affordable and provides coverage better than ever. Discounts are provided by insurance policies and the costs are spread out to all the employees in the company.

Mostly group coverage is less expensive when compared to individual health insurance policy. Some of the benefits of this type of insurance is it can boost the morale among the employees. Two types of Group health insurance are comprehensive and consumer directed.

Comprehensive Group Health Plans will include Health Maintenance Organization, Preferred Provider Organization and Point of Service Plan. But for Consumer Directed Group Health Plan will include Cafeteria Plan and Health Savings Plan.

You will need to utilize a family doctor or other providers within the network of providers if you decide to go with Preferred Provider Organization. But you can also go with non-network provider but using a network provider will allow you to receive a maximum level of coverage.

But if you choose to use a non- network provider, you are responsible for the portion of the provider’s charges which exceeds the plans allowed amounts, plus the deductibles and coinsurance. The benefits that it includes are inpatient and outpatient hospital services, Maternity care, Infertility treatment etc.

A primary care physician will be part of a list that you need to choose from when going with Health Maintenance Organization. This plan has lower premiums for the employee and the employer. These plans are very attractive that’s why a lot of employees choose this kind of plan also because of the lower cost.

Another monetary advantage is there is no deductible for the patient. The only thing that is required is the prescribed co-payment for services that may run between $15 and $20 a visit.

Point of service (POS) plan is a combination of HMO and PPO. These are called as open ended HMO or open ended PPO. A point of service plan is a managed care program that provides different benefit levels for in-network and out-of-network services.

All services must be rendered or referred by a primary care physician (PCP) to be considered in-network, except specified self referral services, such as routine eye examinations, routine maternity services and annual gynecological exams. Each participant must select a network primary care physician to act as the patient’s medical care manager. In this way, PCP can direct the patient to the most appropriate type of service for a given condition.

In a group insurance all the policies cover emergency and routine medical procedures such as regular doctor’s appointments and hospital treatment for accidents. But group insurance may or not cover employees spouse or dependents. Some other benefits include vision care or dental work, and mental health. Prescription drug expenses often fall under group insurance benefits. Many employees see group insurance coverage as a major perk for faithful company service.

Charles David Rogers is an excellent writer who writes contents for Health Insurance Utah. He has been producing contents for sites such as this to share his proficiency in health insurance with others.

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