Health Insurance Quotes in Ellsworth, ME

Compare Quotes for Health Insurance in Ellsworth, ME

Health insurance is necessary to cover medical expenses. Many forms of health insurance are available in Ellsworth, ME. The types of policies vary based on the amount of coverage offered. Insurance companies either reimburse policyholders for medical expenses paid or pay the provider themselves. MyRatePlan offers easy comparisons and contrasts between the many various types of health insurance policies available. We will provide you with free quotes of the costs for each policy, and all the results can be viewed conveniently online, or over email or phone.

A majority of health insurance in Ellsworth, ME is obtained either through employers or through private insurers. Seniors commonly receive health insurance through Medicare. Likewise, many people in low income brackets receive health insurance through Medicaid. Both of these services allow people to be insured at a significantly lower cost than through private insurance.

Since there are a variety of insurance types in Ellsworth, ME, each policy has different levels of coverage and different price ranges. The least expensive will likely only cover the most sudden and catastrophic of medical needs. The most expensive plans will usually offer full coverage. In choosing what level of coverage is necessary, all your medical needs must be considered, but MyRatePlan can help.

Types of Health Insurance Policies in Ellsworth, ME

The amount of coverage isn't the only variation in health insurance plans in Ellsworth, ME. There are also different types of plans, and each work a bit differently. When shopping for health insurance, it is critical that you understand the difference between an HMO, PPO, POS, HSA, FSA and MSA.

One of the most common types of insurance is the HMO, or health maintenance organization. In this type of plan, all of your healthcare is accessed through one doctor, known as your primary care physician (PCP). You must see your PCP before going to a specialist or any other healthcare provider. When you do, he will give you a referral to see any other necessary medical doctor. Your HMO will also require you to use doctors, specialists and hospitals of their choosing. While this can be inconvenient, HMOs offer low premiums and broad coverage with low out-of-pocket costs.

Similar to the HMO is the preferred provider organization (PPO). Like the HMO, a PPO will have a list of preferred healthcare providers in Ellsworth, ME. If you visit one of these preferred caregivers, the company will pay all or most of the cost. A PPO, however, allows you to see doctors and specialists outside of the plan. If you do, you'll have to pay a larger portion of the bill. A PPO costs a bit more than an HMO but allows you to see any doctor you choose without a referral.

For the best of both worlds, consider a point of service (POS) plan. Under a POS plan, you will have to choose a primary care physician like in an HMO. Although you'll see your PCP for most things, you can still opt to use a doctor outside of the network like you can in a PPO. A POS system combines the benefits of an HMO and PPO into one policy.

In an effort to insure more people in Ellsworth, ME, new types of health insurance have been developed. While HMO, PPO and POS policies offer traditional coverage, new plans have been developed that allow you to set aside tax-free money to pay for your healthcare. There are four such plans: the health savings account (HSA), health reimbursement account (HRA), health flexible spending agreement (FSA) and the medical savings account (MMSA). All of these plans work in essentially the same way. You or your employer place money into a savings account before it is taxed. The money is then withdrawn as needed and used to pay for your medical expenses. If you don't use all of the money in your health account, some plans allow you to roll it over and keep it for use during the next calendar year.

Breakdown of Health Insurance Costs in Ellsworth, ME

When paying for health insurance in Ellsworth, ME, the monthly amount that an individual pays to the insurance company is called the premium. The individual will not be reimbursed for this money, regardless of whether he or she uses that insurance. A deductible, by contrast, refers to additional expenses that individuals are required to pay to the healthcare provider before the insurance company begins to chip in.

Deductibles differ from out of pocket costs, insofar as deductibles refer to the amount individuals are required to pay before their insurance company will help with expenses for a particular purchase, while an out of pocket cost refers to the total amount of medical expenses individuals will have to pay before the insurance company will cover the rest of their expenses. In other words, an out of pocket cost covers nothing until the individuals reach a certain payment cap, after which the insurance company will take over the rest of his or her medical bills for the allotted time.

Deductibles and out of pocket costs usually reset at the beginning of each year. Normally, money spent one year will not roll over into the next, so if an individual spent $1200 out of pocket against his or her $3000 deductible, this will reset to $0 at the beginning of the year, with the $1200 expenditure from the previous year having no impact on the individual's costs. In Ellsworth, ME, however, some plans offer consumers an alternative to this annual reset by putting these out of pocket expenses towards the deductible for the first quarter of the new year.

There are also co-payments and co-insurance, terms that refer to the financial responsibility of the individual patient after receiving medical treatment. If an individual has a $10 co-payment for seeing a physician, this means he or she will have to pay this amount at every visit to the doctor's office. After the co-payment, the insurance covers the rest. Co-payments do not count towards the annual deductible.

Also, some insurance companies in Ellsworth, ME have a maximum lifetime benefit, which sets a limit on the total amount of money the insurance company will pay for an individual person's healthcare. If an individual reaches this limit, the insurance company will no longer pay his or her medical claims.

An individual's coverage options largely depend upon his or her current employment status. Large companies often provide employees with a group insurance plan, one that usually provides employees with a more affordable option than other plans, but isn't mandatory upon employment.

Those who are self-employed or unemployed, however, will have to seek insurance from a health insurance company for private individuals. For unemployed or retired seniors, coverage options are available through Medicare. Likewise, if an individual has a low income, he or she can sign up for Medicaid.

If an individual wants to keep his or her current primary care provider, the person should check to see which of the available Ellsworth, ME healthcare plans are accepted by that physician. On a similar note, everyone should make sure to tell their doctors after changing their insurance company, checking with the insurance company to find answers to any specific coverage questions they may have.

Get a Health Insurance Quote in Ellsworth, ME Today

One of the most important things an individual can do, both for himself and for his family, is getting health insurance. A plan that covers his needs and the needs of his spouse and children will ensure that they can get healthcare services without paying it all out of pocket. There are all kinds of factors involved in health insurance plans and the rates providers charge. Fortunately, MyRatePlan simplifies the process of getting a health insurance quote in Ellsworth, ME. All consumers need to do is punch in their ZIP codes.

It's easy to save money on health insurance, and there are all sorts of ways to do it. But consumers should always avoid cutting coverages that they may need in the future. For example, if a couple plans on starting a family, it's in their best interest to sign up for a plan with maternity coverage now instead of waiting until later and possibly having trouble finding coverage. And if an individual needs a specific coverage, he shouldn't get rid of it just to save some money, because he'll end up paying far more in out-of-pocket costs later. Health insurance premiums may not be cheap, but paying the full bill at a healthcare facility will always be more expensive.

With MyRatePlan, consumers can find the best health insurance plans in Ellsworth, ME, compare all the different features those plans have, and get free quotes today to save the most on their health insurance coverage.