Contact Us: (719) 481-1616
Choice Enrollment
  • Home
  • Quotes
    • Free Consultation
    • Fixed Indemnity
    • Health Insurance Quote
    • Gap Insurance Quote
    • Short Term Medical Quote
    • Accident Supplement Insurance Quote
    • Critical Illness Insurance Quote
    • Overseas Travel Health Insurance Quote
    • Dental Insurance Quote
    • Vision Insurance Quote
    • Life Insurance Quote
    • Medigap Quote
    • Healthshare Plans Quote
  • Service
    • Update Contact Info
    • Contact My Carrier
    • Healthcare Calculator
    • Free Consultation
    • Pre-Appointment Financial Worksheet
  • Insurance
    • Health Insurance
    • Guarantee Acceptance Plans
    • Short Term Medical Insurance
    • Accident Supplement Insurance
    • Critical Illness Insurance
    • Overseas Travel Medical Insurance
    • Dental Insurance
    • Vision Insurance
    • Life Insurance
    • Medicare Supplement Coverage
  • About
    • Staff Directory
    • Insurance Carriers
    • Client Testimonials
    • Refer a Friend
    • Reviews
    • Helpful Links
    • Videos
    • News
    • Blog
  • Contact
  • Home
  • Quotes
    • Free Consultation
    • Fixed Indemnity
    • Health Insurance Quote
    • Gap Insurance Quote
    • Short Term Medical Quote
    • Accident Supplement Insurance Quote
    • Critical Illness Insurance Quote
    • Overseas Travel Health Insurance Quote
    • Dental Insurance Quote
    • Vision Insurance Quote
    • Life Insurance Quote
    • Medigap Quote
    • Healthshare Plans Quote
  • Service
    • Update Contact Info
    • Contact My Carrier
    • Healthcare Calculator
    • Free Consultation
    • Pre-Appointment Financial Worksheet
  • Insurance
    • Health Insurance
    • Guarantee Acceptance Plans
    • Short Term Medical Insurance
    • Accident Supplement Insurance
    • Critical Illness Insurance
    • Overseas Travel Medical Insurance
    • Dental Insurance
    • Vision Insurance
    • Life Insurance
    • Medicare Supplement Coverage
  • About
    • Staff Directory
    • Insurance Carriers
    • Client Testimonials
    • Refer a Friend
    • Reviews
    • Helpful Links
    • Videos
    • News
    • Blog
  • Contact

Choice Enrollment Blog

7 Terms You Should Know With Health Insurance

11/28/2017

0 Comments

 
Picture
While health insurance greatly benefits many people, it is also a very complex system. Give some terminologies regarding coverage and policies to a person who knows nothing about insurance and all is lost. But, as a policyholder, it is important to be familiar with the words and terms in your plan because it pays to know what you are getting out of it.
Let us go through some of the basic definitions of health insurance to help you understand this confusing jargon.

HMO

Health Maintenance Organization (HMO) is one of the major types of health insurance. It means that every one of your health care service should come from your doctor. You will need a referral prior to consulting with a specialist. It does not apply in emergency cases.

PPO

Preferred Provider Organization (PPO) is another major type of health insurance. This is more flexible, as you are allowed to any healthcare provider even without a referral. However, you may pay more if you choose a specialist who is not in your network.

HSA

HSA is the abbreviation of Health Spending Accounts. It is used for medical expenses. A certain amount of money will be put away and be used for the costs of medical treatments. It is the same with 401(k) retirement account.

HRA

It refers to Health Reimbursement Arrangements. Employers generally set up these funds. Your own health insurance does not cover it, but the HRA fund by your employer is used to reimburse your medical expenses.

Coordination of Benefits


Coordination of benefits works when you buy two insurance policies. Both policies should work together so you can take full advantage of their benefits. You need to submit a coordination of benefits form to minimize out-of-pocket expenses and claims become faster.

Step Therapy


Step therapy enables you to buy higher priced drugs when the lower priced ones are not effective in treating your ailments. Even if your physician prescribed the cheap medication, you can change to expensive drugs and they will be covered by your insurance. But, you should try the first prescription medication first to find out if they are really not effective.

Prior Authorization

In this case, your insurance company needs to review your prescribed drugs before you are given coverage. You need prior authorization because the insurer needs to determine if it is the right medication for you. Certain drugs need authorization first if:

  • It is harmful when ingested with other drugs.
  • It is prescribed only for specific diseases.
  • It can have adverse side effects.
  • It is known to be abused or misused by many people.

Hopefully, health insurance is not that confusing anymore with the help of these definitions. For further explanation, an insurance agent has enough knowledge about health insurance. At Choice Enrollment, we put our clients first by offering them policies that they can afford. Learn more about our products and services by calling our agency at (719) 481-1616 You can also request for a free quote by CLICKING HERE.

​
0 Comments



Leave a Reply.

    Contact Us

    (719) 481-1616
    5390 North Academy Blvd.
    Suite 220
    Colorado Springs, CO 80918​
    Click Here to Email Us

    Archives

    October 2020
    September 2020
    August 2020
    July 2020
    June 2020
    May 2020
    April 2020
    March 2020
    February 2020
    January 2020
    December 2019
    November 2019
    October 2019
    September 2019
    August 2019
    July 2019
    June 2019
    May 2019
    April 2019
    March 2019
    February 2019
    January 2019
    December 2018
    November 2018
    October 2018
    September 2018
    August 2018
    July 2018
    June 2018
    May 2018
    April 2018
    March 2018
    February 2018
    January 2018
    December 2017
    November 2017
    October 2017
    September 2017
    August 2017
    July 2017
    June 2017
    May 2017
    April 2017
    March 2017
    February 2017
    January 2017
    December 2016
    November 2016
    October 2016
    September 2016
    August 2016
    July 2016
    June 2016
    May 2016
    April 2016
    March 2016
    February 2016
    January 2016
    December 2015
    November 2015
    October 2015
    September 2015
    March 2015
    February 2015

    Categories

    All
    FAQs
    Financial
    Health
    Health Insurance
    Insurance
    Local
    Safety
    Vision Insurance

    RSS Feed

Navigation

Homepage
Insurance Quotes
Policy Service
Insurance Products
Contact Us
Agent Login

Connect With Us

Share This Page

Contact Us

Choice Enrollment
5390 North Academy Blvd.
Suite 220
Colorado Springs, CO 80918
(719) 481-1616
Click Here to Email Us
Review Us

Location

Website by InsuranceSplash