At Peace Tree, we believe health insurance plans should match your life stages and style and that “planning ahead” is the key to your peace of mind. If you agree join us in helping you design the health care insurance plan that best meets your needs.
Experience our superb customer service journey. We will stay with you for the duration of your plan, continue to support your wellness, answer all your questions, and help you make the necessary changes to your health and wellness plan as needed, for your peace of mind.
Knowing how to choose the best health plan for you and your family depends on getting the right information. Whether you are shopping for a new health plan or just want to learn more about health plan options, educating yourself on terms and practices will help you become an informed insured.
Open enrollment is a time period when you can sign up for health insurance or change your health plan.
When your life situation changes, for example, you get married or divorced, find out your pregnant, there is a death in the family, or you are no longer employed. You will be able to make changes to your health plan if your situation is listed under the qualifying life events.
A copayment is a flat fee you pay for health care services or prescription drugs- they can apply before and after you meet your deductible
Coinsurance is part of the medical cost you pay after meeting your deductible.
A deductible is the amount of money a policy holder must pay before the insurance company pays its part.
A type of healthcare that focuses on reducing costs through provider networks, prescription drug tiers, preventive care incentives, primary care providers, and prior authorization.
Preventive care can include physician visits, wellness exams, different types of screenings for cancer, cholesterol, and high blood pressure among others.
Your main doctor or PCP has the responsibility to deal with all your health issues and preventive care concerns such as screenings and lab work. They are your go to expert for complex health situations advice and explanations. It is beneficial to have a PCP even if you don’t need to. You will have all your medical history in one place, and it will be easier to access and discuss. It can also be shared with other physicians. Having a PCP is like having your own health control center.
Telemedicine is the practice of medicine using technology to deliver care at a distance. A physician in one location uses a telecommunications infrastructure to deliver care to a patient from a different site.
Information is power. When you know the difference between HMO, PPO, EPO, and POS you and will be able to choose the best health insurance plan for your needs. These acronyms represent the different types of health plans available throughout the Florida health insurance marketplace.
HMO HEALTH INSURANCE PLANS
A Health Maintenance Organization is a managed care plan that requires you to see network providers in exchange for a lower monthly premium. This plan does not cover out-of-network providers and requires referrals for specialists and other health services. They cover preventive care 100% and cost less but offer less flexibility.
PPO HEALTH INSURANCE PLANS
With a Preferred Provider Organization plan you can choose to see an out of network provider but will most pay less if you see an in-network provider. You will not need referrals with this plan. Routine preventive care is covered 100%. The cost for this plan is usually higher.
POS HEALTH INSURANCE PLANS
Point of Service plans combine HMO and PPO plan features trying to give policy holders more flexibility while keeping health costs down. Like a PPO, you can choose an out-of-network service provider in exchange for paying a higher share of the cost. Like an HMO, you will be required to choose a Primary Care Physician or PCP.
EPO HEALTH INSURANCE PLANS
Exclusive Provider Organization are health insurance plans that combine HMO and PPO plan features, too. While there is no requirement to see a PCP, you are required to see in-network providers like an HMO. It’s a middle of the way plan as far as costs are concerned. They cost less than PPO but more than HMO plans.
SHORT TERM HEALTH INSURANCE PLANS
People have special circumstances throughout their life that put them in transitional periods. For example, losing your insurance coverage due to job loss, not being covered under a parent’s policy any longer, or other event such as early retirement. In such cases, you can sign up for a short-term health insurance plan.
Often acquired to maintain the quality of healthcare service, a 3-month health insurance short term plan can fill gaps in insurance coverage. Short term health insurance plans can help you avoid medical bills for unpredicted emergency situations that may arise, for doctor visits, and other wellness services.
You can sign up immediately for a short-term health insurance plan for as little as 30 days long and it will be a standard health insurance effective immediately. You don’t have to wait for a special enrollment period to apply and start receiving health insurance benefits.
A short-term health insurance plan can be a good option for people who do not require health services regularly and are in good health but have had an emergency or need immediate coverage. Short term plans have lower costs compared to major medical health plans that offer greater coverage.
Most short-term health care plans cover emergency hospital visits, some prescriptions medications and doctor appointments not related to pre-existing medical conditions.
Short term health insurance plans do not cover maternity care or mental health, nor other pre-existing conditions.
A Short term 6-month health insurance plans can help you transition to a major medical health coverage plan, but you’ll be covered in case of an emergency. Short term health insurance plans do not guarantee the Affordable Care Act health benefits.
PLANS FOR PREGNANT WOMEN
A maternity health insurance policy in Florida will cover hospitalization and new-born delivery costs whether by Caesarean or normal delivery. It will cover pre and post hospital costs and pre- and post-natal care. Maternity health insurance is not a stand-alone insurance plan but is an option or is included in other major health plans.
Maternity care health insurance became mandatory in 2014 whereas pregnancy was considered a pre-existing condition before the Affordable Care Act. Maternity health care services include:
Although maternity care is not a qualifying life event, expecting mothers can enroll in a health care insurance plan during open enrolment period. Maternity and natal care are mandatory benefits for the first time in the history of America.
The birth of a child, however, is a qualifying life event and parents have a 60-day open enrollment window to enroll in or change health plans.
PLANS FOR RETIREES
It is essential for retirees to have adequate health insurance. So, if you are approaching retirement age or considering early retirement before reaching the 65 years threshold, understanding your options, and knowing all the facts will help you make the best decision.
In an Expenditure Panel Survey published by Person-KFF Health systems, it was determined that in the US, people 55 and older make up to 29% of the population in 2016 but carried the heaviest load in most dollars spent on healthcare services at 46% of the total healthcare expenditure. Share of Total Health Spending by Age Group – see for yourself.
If you are an early retiree, you can purchase a plan in the Florida health insurance marketplace during open enrollment or at any time, if you have a qualifying life event.
With original Medicare you will pay 20% of healthcare costs our of pocket. Depending on your health situations, this could add up to thousands of dollars. That’s why a Medicare Supplement Insurance Plan, also called Medigap, is a great idea.
When you have a Medicare Supplement plan your Original Medicare pays its share first before the supplemental insurance starts to pay the gaps. The hard part is choosing the right supplemental insurance for a vast array of plans.
Peace Tree Health Insurance helps individuals and families find and enroll in the best healthcare insurance option for their present and future wellness plan. Affordable and reliable healthcare insurance plans are at the tip of your fingers. We know how to listen to your needs and provide you with the right options and detailed information about your health insurance options until you are 100% satisfied with a plan.