Need Help Selecting the Right Medical Insurance Plan?

Let us help you simply the process of shopping for an individual, family or self employed medical insurance plan. Use the Key Features of Medical Insurance At-A-Glance Chart to help you determine the type of individual medical insurance plan that is best for you and your family.

Key Features at a Glance:	Traditional HMO	Traditional PPO Plan / POS Plan	High Deductible Medical Insurance Plan	Short-Term Medical Insurance Plan	Guaranteed Health Insurance / Limited Benefit / Mini Med
Comprehensive (Major Medical) coverage					No, considered supplemental medical insurance
Lifetime Policy Limits (per person)	Unlimited	Unlimited	Unlimited	$1 million to $2 million	Not applicable – fix payment applies to each covered expense
How benefits are paid	Members generally pay copayments for healthcare services, supplies and prescriptions	Insureds typically pay copayments for some healthcare services, such as office visits, x-rays and prescriptions. All other covered expenses are subject to deductible and coinsurance. Once the insured meets the out-of-pocket maximum, the policy pays 100% of all remaining covered expenses for the duration of the calendar year, up to the per person policy coverage limit.	All covered expenses are subject to deductible and coinsurance. Once the insured meets the out-of-pocket maximum, the policy pays 100% of all remaining covered expenses.	All covered expenses, including prescriptions are subject to deductible and coinsurance. Once the insured meets the out-of-pocket maximum, the policy pays 100% of all remaining covered expenses.	The policy pays up to a stated or predetermined dollar amount for each covered expense. For example, the insured may receive up to $50 per office visit and $500 for each day of hospital confinement.
Policy is renewable				Coverage for 1 year or less, then policy expires
In/ Out of Network Coverage	Limited benefits payable for non-network services			Use any healthcare provider	Use any healthcare provider
Guaranteed Acceptance / Medical Underwriting	Usually no medical underwriting or health requirements to qualify	Subject to full medical underwriting. Adult applicants with pre existing medical conditions may not qualify	Same as Traditional PPO Plan (subject to full medical underwriting)	Abbreviated medical underwriting to qualify. Accept or reject decision by medical insurance company
How premiums are calculated	Individuals generally pay the same for each covered family member	Age, gender & health status	Age, gender & health status	Age and gender	Individuals generally pay the same for each covered family member
Waiting period applies for pre existing health conditions	No
Premium rate up and/or Exclusionary Rider for existing health conditions	No			No	No
Premiums – Cost
Maximum out-of-pocket exposure

Which statement describes your medical insurance situation?	Traditional HMO	Traditional PPO / POS Plan	High Deductible Medical Plan	Short-Term Medical	Limited Benefit / Mini Med