Health Insurance Quotes in Clayton, CA

Compare Health Insurance Plans in Clayton, CA

What is health insurance? Health insurance covers a person's medical expenses, including everything from surgery to other health related costs. In the United States, a number of different healthcare coverage options are available. Some options charge the individual an out of pocket expense, later reimbursing them through the insurance company, while others involve the insurance company paying the provider directly. With MyRatePlan, one can compare health insurance rates and coverage in the Clayton, CA area, and even get a free quote online.

Most health insurance in Clayton, CA comes from either employers or private companies. Senior citizens also have access to Medicare, and low-income individuals are covered through Medicaid. Medicare and Medicaid offer health insurance coverage at a reduced rate, making it more affordable than private plans.

Private insurance plans offer many different levels of coverage. Less expensive plans might only cover catastrophic emergencies, providing people with minimal coverage. More expensive plans, by contrast, often offer complete health coverage. When seeking a healthcare plan, individuals must anticipate their future healthcare needs and choose their plan accordingly.

Different Types of Health Insurance in Clayton, CA

There are numerous and diverse health insurance options available in Clayton, CA. Many of these options have similar amounts of coverage, but vary in policy and procedure. Making an informed decision starts with a collection of data, so what are some of the basic differences between several types of policies?

Health Maintenance Organization (HMO) options require that a primary care physician be a starting point for all medical inquiries and examinations. The insured chooses a physician in or near Clayton, CA, more than likely and general practitioner or family medicine specialist, who will determine the next step, if necessary, such as a referral to a specialist in a particular field like an orthopedist or a cardiologist. While these plans usually offer desirable benefits such as lower premiums, no deductibles, and reasonable co-pays, the limited network of participating physicians is fragmented. If time is money, then the insured will have to earn these benefits by finding a provider who accepts this kind of insurance.

Preferred Provider Organization (PPO) participants also choose a primary care physician, but they do not need a referral to see a specialist. They pay deductibles and co-payments, and have limited out-of-pocket spending per year. Partial financial assistance is available for treatment outside of the network, but better coverage lies within it. PPO networks are much larger than HMO networks.

Point of Service (POS) plans combines HMO and PPO benefits and offers a sizable network of healthcare professionals in Clayton, CA for primary care. If the insured stays within this network, then he or she pays no deductible and has low co-payments. If the insured seeks treatment outside of the network, then he or she pays deductibles and higher co-payments.

Health Savings Account (HSA), Health Reimbursement Account (HRA), Health Flexible Spending Arrangement (FSA), and Medical Savings Account (MSA) are all more non-conventional in application. They operate in connection with tax-exempt savings that are held for medical related services. These savings can be used for doctor's visits, prescriptions, surgical procedures, and sometimes over-the-counter medications and applications. Flexibility and opportunities to roll balances over to a new year are the strengths of these kinds of plans.

Understanding The Cost of Health Insurance in Clayton, CA

One aspect of health insurance that makes the selection process confusing is the terminology. People are bombarded with terms that they don't understand and are not accustomed to. Here are some of the more common terms people can expect to hear when discussing health insurance and what they mean.

Deductibles are not considered out of pocket expenses. Out of pocket expenses refers to how much the insured has to spend before their insurance pays 100 percent of the medical expense. Deductibles refer to the annual financial commitment of the insured before their insurance starts paying. Both of these expenses will typically start over each year. For example, if an insured person has a deductible of $5,000 and they spend $1,400 throughout the year, that $1,400 will not count towards the new year's deductibles. However, some plans in Clayton, CA will let the insured roll the unused amount, in this case, $3,600, and apply it towards the first quarter of the new year.

The amount of money an insured person has to pay each month is called the premium. It doesn't matter if the insured person uses their insurance throughout the year or not, these funds are not returned to the insured. Co-insurance, or copayments, are not applied to deductibles and refers to what portion of expenses the insured is responsible for when they receive medical services. The insurance company will pay the remainder of the amount after the insured has paid their co-payment so long as the services received are covered by the healthcare plan.

Some insurance companies in Clayton, CA will also set lifetime maximum limits. This is the total amount the insurance company will pay for an individual's healthcare. If this limit is reached, the insurance company will not pay for any further medical claims.

A person's employment status also plays a significant part in what insurance plans are available to them. Larger companies will typically enable employees to enroll in their group health insurance. Group health insurance plans are usually more affordable than individual healthcare.

Medicare is available for non-working senior citizens in Clayton, CA and they may be able to receive government financial assistance. Low-income individuals can also apply to receive government assistance called Medicaid. For those that are unemployed or self-employed, they have the option of purchasing individual healthcare through private companies.

For people that already have a doctor and are in the process of switching health insurance providers, it is important that they first check with their doctor before selecting a specific type of insurance. Some doctors will not accept all types of healthcare coverage. Additionally, the insured should also consult with their insurance provider if they are unsure or have questions about their coverage.

Get a Free Online Health Insurance Quote in Clayton, CA

Shopping for health insurance may feel overwhelming, but having coverage is a liberating sensation. Knowing you can protect your health is one of the best gifts you can give yourself and your family. So sit down, take a deep breath, and let MyRatePlan help you navigate your Clayton, CA healthcare choices. Just give them your zip code and let them do the rest.