Best Health Insurance Companies In Florida

So how do you determine what is the best health insurance company for your family? That can be hard question to answer. A lot of it depends on your families health situation and financial situation. The most important to understand is the amount of health insurance coverage you truly have. There are many plans out there that sound great, they offer Low deductibles, low monthly payments and minimum co pays. The issue with many of these to good to be true plans are they only cover you for $25,000, $50,000 and if you're lucky $75,000 in coverage. This reason this is a problem is depending on where you are in life, if you run into serious health issues, this will not cover the bulk of the cost you will get from the hospital. Did you know and average heart attack surgery in Miami cost upwards of $1,000,000 to treat and do surgical procedures, the same can be said for many types of cancers. Unfortunately if you have a "To good to be true" plan, you are going to be left if a very difficult situation and you will accumulate massive amount of either medical debt or credit card debt.

How ever if you fit within the guidelines below. You may benefit from a Short Term Health Insurance Policy. They save you on average 30-40% from what ACA Plans go for and most of the plan options provide up to $2,000,000 in medical coverage.

  • No Pre-existing conditions
  • Don't plan on having a child
  • Not taking any monthly medication
  • Does not have diabetes or other long-term illnesses
  • Covers you in all the Lower 48 states. Even when traveling out site of your state.
  • *If you plan on traveling the USA this is a great option for you*
Health Insurance Florida
Florida Health Insurance
Blue Cross Blue Shield Florida

The Best Health Insurance Companies in Florida

Best health insurance companies in Florida - There are so many things to consider when deciding what health insurance company to choose as well as what policy to get. It can get very confusing, very quickly. Two things that you need to consider when you are looking at different health insurance companiesis how much coverage do you need? You also need to think about how much you can spend on your health insurance.

Since there is not one health insurance company that will meet everybody’s needs, I will instead discuss with you on finding the best health insurance company and plan that meets your needs. I will explain to you how where you live has an impact on your health insurance options and talk a little about health insurance providers that are known for good customer service.

Along with all of these things, I will also share with you how different health insurance plans work, what you get when are buying a health insurance plan with major medical coverage, and specific things that you need to think about when you are looking for health insurance.

Why Where You Live Has an Impact on Your Health Insurance Choices

The truth about buying health insurance in the United States is that you do not have as much flexibility when it comes to deciding who your health insurance company will be. The health insurance variety you have depends a lot on what state you reside in. For example, Florida health insurance companies can vary greatly from the ones that they have in New Mexico.

Typically, if you live in a big town in a state with a small population, a lot of health insurance providers will be competing for you to buy your policy from them. However, in areas that are basically in the country, there could be only a single health insurance provider. For example, the Kaiser Family Foundation said that in the year 2010 one health insurance company insured half of the people covered by individual health insurance plans.

best health insurance companies in floridaAn example of this is: If you reside in New York City, and are needing a health insurance plan just for you, then you would have a lot of options when it comes to health insurance providers. On the other hand, if you live in a smaller town (like Wheeling, West Virginia), then you would only have fourteen health insurance plans on the federal health exchange that are all provided by one health insurance company: Blue Cross & Blue Shield.

The goal of the Affordable Care Act is to give you more health insurance providers throughout the United States of America. It is apparent that in a small way, this is taking place. In the year 2015, eighty-six percent of people that could be covered had the option of picking from at least three health insurance providers that are part of the federal health exchange. That is up from seventy-percent in the year 2014.

That is not what is going on in some parts of America. In some parts of America, the best health insurance company is the only one that will cover you. Health insurance providers wanting to buy other health insurance companies (like Aetna wanting to buy Humana) could cut down on your health insurance options.

Can Your Health Insurance Cancel Your Policy?

A lot of people that are covered by health insurance want to know the answer to this question. It is also a big issue in our very political world today. At the present time, health insurance providers cannot cancel the policies of people that are sick or critically ill. They also cannot set “lifetime financial limits” on health insurance benefits. These regulations are part of the health care reform guidelines.

The Health Insurance Companies That Keep Their Customers The Happiest

If you have the luck of residing in a location where many health insurance providers have plans with better premiums, it is possible that you can consider how well they treat their customers. If you look at individual reviews of a company, you should not consider the company due to the fact that they depend on what happened to one person, and they are usually very bad reviews.

To get the absolute truth about how health insurance providers you can check out reliable sources like J.D. Power’s 2015 Member Health Plan Study ranks many health insurance providers by the region they are in inside the United States. The health insurance providers that ranked high in their study in many states was the Kaiser Foundation Health Plan and Blue Cross Blue Shield. You need to look in the region that you live in since the health insurance providers that are thought of as great in one state, may not be thought of the same in another state.

Insure.com’s 2014 customer satisfaction ratings Kaiser Permanente (the parent company of the Kaiser Foundation Health Plan) got the best ratings. The health insurance providers that were rated best after them were Humana, one of the Florida health insurance companies, Blue Cross and Blue Shield of Florida, and United Healthcare.

Consumers Report also has ranking for health insurance providers that gets their information from the National Committee for Quality Assurance. With Consumers Reports, you can look for the health insurance plan that you want like an HMO, PPO, Medicaid, or Medicare as well as the state that you reside in.

Acquiring The Best Insurance Rates

This information came from the J.D. Power’s 2015 Member Health Study Plan. They looked at over 31,000 health insurance customer’s satisfaction with what was provided to them with their health insurance plan, the options they had for providers, and how well informed they were with their plan. It also looked at how well their claims were processed, how much they paid for their insurance plans, and how the insurance companies took care of their customers.

From California to Texas, there are many different health insurance providers.They include Blue Cross and Blue Shield, Cigna, Humana, The Kaiser Foundation, United Healthcare and Dean Health. Other health insurance providers include Aetna, Health Partners, Medica Health, Select Health, Anthem, Health Alliance Plan, and Priority Health. Smaller health insurance providers include these companies: Care First, Capital District Physicians’ Health Plan, Independent Health Association, Group Health Cooperative, and Providence Health Plan. Blue Cross and Blue Shield has their services separated by state. The best health insurance companies in Florida are AvMed, Cigna, and Humana.

Picking Out The Health Insurance Plan That is Right For You

If you live in an area that does not have many health insurance options or the health insurance plans that you like cost too much, it is still likely that you can find the plan that suits you, regardless of what company provides you with the health insurance. In order to be able to do this, you need to have a comprehension of the plans that are available to you, what is already covered under major medical plans, and what special factors may have an impact on your decision.

If how much money you bring in is the biggest factor in your decision, this article entitled Affordable Health Insurance Options in 2018 will help you find information about insurance policies that you can afford. It will tell you more about the process of selecting health insurance and how you can find a policy that is within your budget without cutting corners on your coverage.

Selecting The Proper Plan

One big facet to think about the kind of health care plan that is sensible for you. Just like with your providers, the state that you live in has an impact on the plans available to you, just like it does with your providers. Just know that whatever plan you decide to get that the Affordable Care Act has made lifetime and annual benefit caps against the law.

What that means for you is that, except for non-ACA-regulated short-term health plans, you will not be responsible for going over a certain amount of money during a certain amount of time. There is one big benefit for people that have health problems that are in need of long-term, large-scale care that will cost a lot of money.
Every plan will also have an “out-of-pocket maximum” that puts a limit on the amount of money that you have to pay every year before your insurance company will pay all of the expenses that you have left. The ACA requires that all deductibles, coinsurance, copayments, or payments that are like it You do have to know that your premiums and whatever you spend on health-related items that are considered “non-essential” are not part of that limit.

HMO

HMO’s (health management organizations) are the most unpopular type of health insurance. They would never be one of the best health insurance companies in Florida, according to a lot of people. The reason for this is that they are the most limiting. You have to pick a provider from their network and your primary doctor has to refer you to a specialist when you need to go see one. If you need to see a doctor that is not in your network, you have to pay for it yourself unless you are in need of emergency care.

Keeping expenses low is the main goal and benefit of using an HMO. They charge a flat-rate copay instead of a coinsurance. What this means for you is that you could pay a flat fee for your doctors appointments and medications (anywhere from $5 to $25). You more than likely will not have to pay a deductible, before your insurance kicks in every year. The deductible can be $250 to $500 for one person or a whole family, but can go up to $1,000 if you pick out a policy that has a lower premium.

Not having a deductible may be a good reason to choose an HMO if you do not have a lot of money coming in and you reside in an area that has great medical care, especially if your health is good and you do not have to go to a doctor a lot every year. They can be great for people that are in need of regular medical care (such as pregnant women) and all the physicians you like are in their network. If you regularly need to go to doctors that are specialists, then an HMO can cost you a lot of money, especially if you need to see a doctor that is not in their network.

PPO

PPO’s (preferred provider organizations) give you more freedom to choose the doctor that you want. Your primary doctor does not have to refer you to a specialist when you need to go see one. You save money if you use a doctor that is in their network. If you do choose to see a doctor that is not in their network, you do not have to pay the whole bill. With a PPO, you can look around for doctors and see a specialist if you have health problems that require a specialist.

The main downside to a PPO is that they cost more than an HMO. You will have to meet your deductible before you can use any of your health benefits. As previously mentioned, that could only be $200 or as much as $1,000 if you select a plan whose premiums are lower.

The money that you will pay out of your own pocket does not stop there. You will have to pay a coinsurance for certain services instead of a copay. That could be 10% for in network care and up to 40% for out of network care. When you use an out of network doctor, there is a chance that you will have to pay out of pocket and file for reimbursement which is a lengthy and tedious process.

Basically, a PPO is ideal for a person that prefers more choices versus saving money. If your medical history is complicated and you need to see specialists a lot, especially ones that are not in your network, a PPO is the best way for you to save money versus an HMO that puts a lot of limits on what doctors you can see. You are basically more money to have more choices.

Hybrid plans: POS plans and EPOs

POS (point of service) health insurance plan's goal is to combine the features of HMO’s and PPO’s. Just like with an HMO, your main doctor will have to refer you to a specialist. Just like a PPO, they will let you get care out of your network just like a PPO.
This might be the type of health insurance for you if think highly of your main doctor and do not mind if your care is routed through them. Your premium is somewhere in between the cost-effective HMO and a more expensive PPO.

EPO’s (exclusive provider organizations) is the most uncommon type of health insurance plan. They are a mixture of an HMO and a PPO. Similar to an HMO, you have to get care within your network. Just like a PPO, you will not have to go through your main doctor to get a referral to a specialist. You might have to get authorization in advance for medical care services that are more costly. If you want to stay in a network, but not worry about referrals, then an EPO could be just what you are looking for. Their premiums are typically in between an HMO and a PPO.

Short-Term Health Insurance Plans

Unlike the aforementioned types of health insurance plans, they are not major medical plans. They are cost-effective plans that will temporarily you with a big medical problem, like when you are temporarily unemployed or are looking for health insurance outside of open enrollment. It is very likely that you will have to pay a high deductible. The main benefit of them is that they are the most inexpensive plan that you can get.

You do have to know that do not have to cover things such as preventive care and there will be a cap on your benefits. The ACA does not cover these plans and they are the only ones available when open enrollment is not going on. You may not even qualify for a pre-existing condition when you use this type of health insurance plan.
It is not recommended that you get this type of plan unless you are young, in good health, and are in need of coverage to safeguard yourself the large expense of emergent care due to the fact that you did not get health insurance while open enrollment was going on. The “fine print” and everything that is not included in these plans is no substitute for having a traditional health care plan.

Very Important Health Benefits

One of the main requirements of the ACA is that all major medical plans cover ten very necessary health benefits. It doesn't matter who you buy your insurance from or where you get it, your insurance provider must supply you with these benefits.

They have to provide you with outpatient care like visits to your doctor or home health care. Emergency care for conditions that weaken and infirm or could kill you are required as well. Staying in a hospital or skilled nursing facility (including lab work, operations, medicine, and being seen in the emergency room) are also included in the essential health benefits. If you have to go to a lab to get a medical condition diagnosed, ruled out, or monitored, that is covered as well.

Prenatal care and care for your newborn baby is included also. They also have to cover any care that is needed to diagnose, treat, or monitor any addiction or mental illness. Medical care for children that includes checkups, shots, visits to the dentist, and eye care are covered too. When it comes to prescriptions, one prescription in every federal category and class must be covered. Preventive care is essential too, and so are the shots, physicals, screenings, and anything else that can prevent an illness from getting worse is required as well. Finally, rehabilitation and habilitative care to help you recover from a sickness, injury, or other medical problems are required. They can include physical therapy, occupational therapy, and learning to talk again.

Does Health Insurance Cover Oral Surgery?

Usually, your health insurance will pay for you to have oral surgery if it has been determined that it essential to keep you in good health. Oral surgery can consist of dental care for a bad mouth injury or some illnesses. If your need for oral surgery is determined to be to only improve your appearance, then your health insurance plan may not cover the expense.

Can an Unemployed or Low-Income Person Get Health Insurance?

If you are out of work or are not bringing in a lot of money, it is still possible that you may be able to get health insurance during open enrollment. Based on how much money you make, you may be able to get state insurance through Medicaid or Medicare. If you need to insure a child, there are CHIPs (children’s health insurance program). Community health centers may also help you with free or low-cost medical care.

Beyond Essential Benefits: Other Things That You Need to Think About

Even though the list of essential health benefits seem to never end, there are still many things that may have an impact on your health insurance coverage based on where you reside and the plan that you decide on. That is why you need to read all of what is written in a health insurance plan to see what they cover while you are searching for a new plan.

Remaining in Your Network

If you are happy with who presently takes care of your healthcare needs and desire to stay with them, never take it for granted that your provider will be part of a network with another health insurance company. You also do not want to only see a few doctors or visit a small number of hospitals. It is possible that every physician that works in the same office or hospital is covered by the same networks. Therefore, you will have to look carefully for a new health insurance plan.

People that are experienced in the field of health insurance (including health insurance Florida) say that companies that provide health insurance are lowering their expenses by cutting down on the number of provider networks that they have. This may be beneficial to you if you are not in need of a lot of medical care and desire to not pay a lot of money, but it raises the chances that you will have to pay large out-of-pocket costs for medical care that is not in your network.

Prescription Medications

As I previously mentioned, prescriptions are covered under the ACA. There is nothing to ensure that your specific medication will be covered, and what your cost will vary by plan. If you take certain prescriptions, you will need to look at the plans “preferred drug list” (also known as a formulary) to see if they will pay for it or not. You can usually find this information on their website. If it is not covered, then your doctor can help you ask for it by telling the insurance company is critical to your health. However, this process can be a long one and it is not guaranteed that they will cover your medicine even then.

If you know that you will need prescriptions filled on a regular basis, you will have to consider how much you will have to pay for them. Your insurance company will more than likely have you pay a copay or coinsurance. Coinsurance means you pay a percentage of what the medication costs (usually around 30%). A copay is when you pay a flat amount (typically between $10 and $30) when you need to get medication and it is separate from the cost of the medicine. If your medicines are costly, then a copay is the best way for you to go when it comes to paying for your medications.

Mental Health Care

Like I said previously, some mental health care has to be part of every major medical plan. Beyond that, mental health care coverage can vary greatly from state to state. If you are in need of certain mental health care, you need to read a plan to see exactly what is covered. Also, if you want to see a certain doctor like a certain counselor or psychologist, you will have to see if they are in their network. Psychiatrists often do not become part of insurance company's networks due to a lot of demand and not being paid for their services.

Rehabilitative and Habilitative Care

Just like mental health care, rehabilitative and habilitative care is a “grey area” for insurance companies. Despite the fact that they have to provide a certain amount of coverage, what insurance companies do cover is different by plan and state.

Health insurance experts say that people that have persistent and recurring medical conditions need to read every word of a health insurance policy. Since medical care is typically quite costly, it is beneficial for insurance companies (like health insurance Florida) to put a limit on your benefits or not pay for them at all. Your physical therapy for your back injury may be covered, but speech therapy for your autistic child may not be.

In Conclusion….

Looking for the ideal health insurance plan can be a long and tedious process, but in the end, it is worth all of the trouble. You may have to look at many health insurance providers and how much their policies cost prior to finding the one that is just right for you. Other things you may want to look is the reputation of the company and how they care for their customers. Those things can definitely show you what treatment and care you will get from them.

What is short term health insurance:

Short Term Health Insurance is a PPO backed health insurance plan that provides are larger range of access to good doctors, it also provides the value of a nationwide coverage keeping you in network throughout your travels. Short term health insurance plans offer a co pay based plan and a applied deductible only plan. You have the option of lowering or raising your deductible on your health insurance plan to best suite your current financial situation.

Who Offers These Plans In Florida?

Current Shot term health insurance providers in florida are.

  1. United Health Care
  2. Cigna
  3. HII
  4. Chub Network

 

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