Health Insurance Quotes in Happy Valley, OR
Health Insurance Quotes and Plans in Happy Valley, OR
Health insurance covers part of the insured person's health expenses. Some surgical costs as well as other medical expenses are covered under health insurance. Various health insurance plans exist. Some plans require the insured to pay their own expenses and then get reimbursed by the insurance company. Other health insurance plans require the insurance company to pay the medical treatment provider directly.
In Happy Valley, OR, health insurance is typically provided by full-time employers and also through private insurance plans. Medicaid and Medicare, both of which are federal programs, offer low-cost health insurance to the poor and to elderly citizens, respectively.
Consumers can choose from many levels of health insurance coverage. In general, the more expensive plans offer more coverage or even full coverage. The least expensive plans only cover major health problems and events. MyRatePlan allows consumers to compare various insurance plans in Happy Valley, OR, and get a free quote online.
Comparing Health Insurance Coverage in Happy Valley, OR
Just as the source of insurance varies, so do your coverage options. Some plans are inexpensive, but cover only major health problems or hospitalization. Other plans in Happy Valley, OR cost more money, but have lower deductibles and cover a much wider variety of healthcare services.
Since there is no way to know what the future holds for your health, using your past experience is the best way to determine how much health coverage you'll need. If you're fairly healthy and visit your doctor sparingly, it's probably safe for you to go with a low cost plan offering minimal coverage. These types of plans are known as catastrophe plans since they cover you only in the event of a serious health problem or emergency care.
If, however, you have a chronic health condition such as diabetes or visit the doctor often, you'll want a plan that provides more coverage. These plans cost more upfront, but save you money over the long term by covering basic doctor's visits, testing services and preventive screenings. These plans may also cover you while you are traveling outside of Happy Valley, OR as well as when you are at home.
Types of Health Insurance in Happy Valley, OR
There are several different types of health insurance in Happy Valley, OR you can receive. They all offer varying levels of coverage, flexibility, and ease of access. A few common insurance types are preferred-provider organizations, health maintenance organizations, and point of service plans.
A preferred-provider organization (PPO) has a high level of flexibility and allows you to select your physicians from a wide array of choices, both in and out of their extensive network. With a PPO you also have the ability to see specialists without a referral from your primary care physician. Premiums and deductibles are high for this type of insurance, but if flexibility is your priority or you use healthcare regularly then this type of insurance may be for you.
A health maintenance organization (HMO) in Happy Valley, OR has lower premiums than a PPO, but less flexibility. You must select one primary care physician that will organize the rest of your healthcare. Your primary care physician will be the one to refer you to specialists that are found within the network. HMO networks are often limited, but if affordable cost is more important to you than flexibility than this insurance is an option. An HMO could also be an option for you if your primary care provider is already serving in an HMO network or if you don't need referrals to see specialists often.
A point of service plan offers a large list of healthcare providers like a PPO does but it has low deductibles and co-payments. The plan also allows the insured individual to see doctors from outside their network but at higher costs. Primary care physicians are required to be selected from within the network, but specialists don't require a referral and can be seen outside of the network. The insured must file a claim in order to see a doctor outside the network. A POS might be the right choice for you if you want higher flexibility than an HMO and you can afford the higher costs.
People are also free to select from some additional options for health insurance in Happy Valley, OR that can be provided. There are several forms of health spending accounts that can supplement an insurance policy, including a health savings account, a health reimbursement account, a flexible spending account, and a medical savings account. These health spending accounts are like tax-exempt savings accounts that you put money into over a period of time to help pay for medical expenses.
A health savings account allows you to put money into an account before taxes are taken out of your paycheck and you can access the funds at any time. A health reimbursement account is owned by your employer and they can deposit funds for medical care not covered by your insurance. A flexible spending account is also set up by your employer but you are allowed to contribute and you can decide when to use the funds.
Cost of Health Insurance in Happy Valley, OR
Premiums paid for health insurance coverage in Happy Valley, OR, whether the insurance is used or not, are non-refundable. Though the insured pays deductibles, these are not considered out-of-pocket expenses. The former refers to the minimal amount of money that the insured pays each year before policy benefits become active, while the latter refers to the amount that the insured pays before the insurer assumes 100% of the bill. Both types of payments usually begin with a clean slate every year, meaning a zero balance.
If a deductible is $3,000 a year and $2,800 is paid out of pocket, and if the plan doesn't change and renews, then everything starts over at a zero balance with no money rolling over from the previous year. There are some exceptions to this rule in Happy Valley, OR that allow the paid deductible amount to rollover from the previous year to be applied to the deductible for the first quarter of the new fiscal insurance year.
Co-payments are not applied to deductibles. They are consistent payments for services rendered at the time and are the same for every visit. For example, every doctor visit will cost the same amount of money every time. So will hospital visits and visits to specialists, though perhaps not the same amount as the doctor visits. Co-payments may also consistent for prescription medication with the insured paying a certain amount or a certain percentage with every pick up. The plan then covers the remaining balance. Some policies carry a maximum lifetime benefit that reflects the maximum amount that the insurance company pays in all for the insured's healthcare. Once the maximum lifetime benefit is reached, the company will not honor any further claims.
The insured's employment status is in direct relationship to the type of insurance that is available to him or her. Employees of larger companies in Happy Valley, OR are more likely to have access to group health insurance plans that offer more affordable coverage than do individual healthcare plans.
The law does not specify what type of insurance an individual must obtain. The self-employed and unemployed have access to private individual policy options, retired seniors have Medicare options, and qualified low income earners have Medicaid options.
If the insured has a particular physician in mind, then it is in the insured's best interest to determine what types of insurance plans in Happy Valley, OR that physician accepts. He or she should also consider how changes in his or her policy may affect continued coverage with an established physician.
Get Quotes On Health Insurance Plans in Happy Valley, OR Online
Health insurance is one of the most important decisions you can make for yourself and your family. Make sure you take the time to consider all of the health insurance options available to you in Happy Valley, OR. As you assess all these factors in choosing a health insurance plan, MyRatePlan can help simplify the process greatly. Just enter your ZIP code above and see many ways in which you can save money on your health insurance policy.
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ZIP Codes in Happy Valley, OR
- 97086