Posts Tagged ‘group insurance plan’

Group Plans – Types of Group Health Insurance Plans

June 20th, 2011

Although there are many types of individual and family insurance plans available in the United States, many of them are neither desirable nor affordable for the average person. A group insurance plan, if available, often provides health insurance at a greatly discounted rate, with many of the same benefits provided by an individual plan. Group plans include those offered by an employer, college, or the government in the case of a high-risk pool. Each will be suitable for different types of people and will provide varying benefits.

The most widely available group plans are employer-sponsored. These may or may not be offered to part-time employees. Often this type of plan involves a fairly low deductible with copays for visits to the doctor’s office. Though most plans are not comprehensive in that they do not include dental or vision, benefits are usually provided much more cheaply than individual plans. There are drawbacks, however. Enrollment is usually open only once a year, you may have to work a certain number of hours to be eligible, and you may not have the option to choose your insurer. Benefits and premiums will vary depending on your employer.

Student health insurance is a good option for students who attend college far from home and are not covered by their parents’ health insurance plan. Student group plans are usually offered by the college or university and provide inexpensive coverage for basic medical care. Benefits may be limited; however, on-campus health clinics often provide discounted services and prescriptions. Students who qualify for both employer-sponsored health insurance and student health insurance through the college should research each choice thoroughly before making a final decision. Although student health plans may not offer as many benefits, they are usually extremely affordable.

If you have a pre-existing medical condition and are not eligible for any other group plans, you may have no choice but to apply for your states high-risk pool. Many states have had high-risk pools for years, while others have only opened enrollment as of June 2010. To be eligible for this type of insurance, you must have been denied insurance based on your medical condition. Premiums are relatively affordable and will not change based on your medical condition; they are, however, based on your age. You will need to pay a yearly deductible before receiving coverage, but specifics will vary depending on your state. Research each option so that you can make an informed decision.

Extended Health Care Benefits in Group Insurance Plans

December 20th, 2010

As we mentioned in previous article, many corporations offer competitive packages, and that’s even a strategy in hiring and retaining employees. These competitive packages include group insurance to plans that provide individual retirement accounts or traditional registered pension plans, etc. In this article, we will discuss fundamental principles of group insurance.

Group Insurance exists for the benefit of the complete group and therefore the individual member is not required to submit medical information. In this article, we will discuss the extended health care benefits in group insurance plan.

Extended health care is a benefit that picks up where basic health plan leave off. It provides an extension for some benefits and provides other benefits not available through the basic plans. The benefits is a supplement of the basic plan benefits until the basic benefit has reached it maximum payout. the core benefits of extended health care plan includes

a) Semi-private or private room accommodation in a hospital.
b) Prescription drugs
c) Private duty nursing
d) Ambulance services and paramedical services
e) Eye and hearing care
f) Dental care such as preventative care, major restoration and orthodontics

Both Health and Dental Care plans may have a deductible of $25 to $50 and /or co insurance factor of 80% reimbursed by the insurance company. Deductible are applied against the first claim of the calender year and co-insurance is applied against each claim. Extended health care may includes a limiting clause resulting in a lower premium being charged for the benefit.

Dental care normally has a maximum benefits that can be charged for each calendar year by each insured member and their dependents, such as $2000. Sometimes there is a different maximum for different levels of care. Please read details in your plan.

I hope this information will help. If you need more information, you can read the complete series of the above subject at my home page: