Health Insurance Quotes in Troy, WV
Compare Health Insurance in Troy, WV
Health insurance is a form of insurance that covers the whole or a part of the costs incurred for an individual's medical care. This includes both medical and surgical expenses. There are a number of different types of health insurance policies to choose from, and depending on the coverage, an insured individual who has received medical care or services pays any out-of-pocket costs and gets reimbursed by their insurance company, or the provider is directly paid by the insurance company. MyRatePlan simplifies the process of comparing health insurance rate plans in Troy, WV and lets you get a free quote online.
In Troy, WV, health insurance can usually be obtained through private insurance or plans offered by employers. Low income individuals have access to healthcare through Medicaid. Insurance is also available to senior citizens through Medicare. Both Medicaid and Medicare are less costly than private insurance policies.
Health insurance in Troy, WV can be obtained at various levels of coverage. The more inexpensive plans tend to be geared to catastrophic events, while higher cost plans could offer full coverage. Anticipation of healthcare needs tends to be a very important factor when it comes to choosing a health insurance plan.
How to Compare Health Insurance Coverage in Troy, WV
It is often difficult to predict one's future healthcare needs. For this reason, it is best to use previous healthcare costs as a way to estimate future needs. For instance, those who are healthy and don't often visit doctors or specialists can generally make do with a less-expensive health insurance plan. However, people with serious or chronic health problems generally require costlier plans, as they must frequently visit doctors and hospitals for treatment.
In general, more coverage requires payment of a higher premium. The more the insured pays each month, the more an insurance company will pay out for the insured's healthcare costs. To get the best deal on health insurance in Troy, WV, it is imperative that consumers consider past medical needs before making a decision to purchase insurance. For instance, some people like to buy a cheaper plan, and then add coverage when necessary.
Catastrophic only insurance is one of the cheapest health insurance plans in Troy, WV. This type of plans is designed for those who hardly seek medical care and only need insurance in case of a dire emergency. On the other hand, people who travel often and live dangerously require a plan that provides regular visits to a doctor as well as emergency room visits.
Types of Health Insurance Policies in Troy, WV
The amount of coverage isn't the only variation in health insurance plans in Troy, WV. 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 Troy, WV. 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 Troy, WV, 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.
Cost of Health Insurance in Troy, WV
Your premium is the monthly charge you pay to your insurance provider. This payment is made regardless of how much you actually use your insurance. Your deductible is the amount of money you pay to your healthcare provider for covered services. Once you reach the maximum required amount your insurance company will take over the costs of your healthcare. For example, if your deductible is $2000 then you must pay for services until you have paid $2000. After you have paid this amount you are only required to pay a copayment or coinsurance.
A copayment refers to the portion of the bill that you pay for a Troy, WV doctor's office visit or medical service. If the copayment for a given treatment is $15, then every time you are given that treatment you would pay $15. Any cost for the service beyond the $15 is paid by your insurance. These payments cannot be used to pay into your deductible.
Deductibles are not the same as your out-of-pocket costs. A deductible is the annual fixed amount that you must pay before your insurance starts to cover you. Your out-of-pocket cost is the total, cumulative amount of money that you will spend on your healthcare from your own finances.
Payments made toward deductibles usually do not roll over with each new year and are instead reset. For example, say you have paid $1500 on your $2000 deductible. When your insurance plan renews your paid amount will reset to zero and your deductible will remain at $2000. There are some plans that allow you to keep your paid amount from the previous year and apply it toward part or all of the new year's deductible.
Some insurance companies enforce lifetime benefit maximums and only pay a set amount for your medical services. A maximum amount of benefits is set and the insurance providers will not pay for more, regardless of deductibles or out-of-pocket costs.
Many individuals in Troy, WV receive health insurance through their employment. People who work for large businesses or corporations are likely to qualify for their company health insurance. This type of insurance will typically cover the employee's family, as well. Being on a company insurance policy is usually an easy and affordable option, but anyone is allowed to purchase insurance through a private party.
Self-employed workers have the freedom to purchase private, individual insurance. Senior citizens and disabled individuals can qualify for health insurance through the government program Medicare. Low-income families in Troy, WV can get coverage through Medicaid, a similar government assistance program for needy individuals.
Check with your primary care physician to see the types of insurance they accept and notify them of any changes. Remember to ask your insurance company about any questions you may have regarding your plan.
Get a Quote for Health Insurance in Troy, WV
One of the best things a person can do for themselves or their family is to make certain they have access to a health insurance plan in Troy, WV. Life brings on so many ups and downs in regards to health, and these items can affect not only the plan options available but what rates are being applied. Looking forward to all of the aspects of life that can make certain that the right plan is chosen. For example, if a woman plans on having a baby in the future, she needs to make certain that her plan offers maternity coverage and that a new family member can be added to the plan. It is important to note that eliminating coverage to save up-front costs is not the wisest idea in case disaster does strike. Here at MyRatePlan, we want to help people find the right plan for them, so enter your ZIP code for a free quote today.
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ZIP Codes in Troy, WV
- 26443