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Finding affordable individual health insurance.


One of the keys to finding affordable health insurance is educating yourself enough to make choices between different insurance products and to understand the process of buying individual health insurance.

Difference between individual and group health insurance. 

Group health insurance is offered to employers and groups (unions, trade and professional associations).

The reason why group insurance is much more affordable to buy owes to the fact that insurance companies do not require the evidence of insurability. The risk they take is spread among members with both good and bad health. When trying to buy an individual health insurance, it is usually required to undergo some kind of medical exam that provides the evidence of insurability. Insurance companies routinely deny coverage to individuals with what they consider to be risk factors, some of which are not entirely based on one’s medical history. It could just as well be a habit, age,income etc.

Health insurance through HMOs and PPOs.

There are two major kinds of health insurance:

  1. Health Maintenance Organization (HMO) – a member pays a flat monthly fee, and the HMO provides health services when they are needed.
  2. Preferred Provider Organization (PPO) – the health insurance company has contracts with health care providers like doctors and hospitals, and they provide services.

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With HMOs you are assigned to a doctor you choose, often called the primary care physician, and he, along with the medical group, make decisions regarding the treatment that the HMO insurance will pay for. Primary care physicians must usually authorize any services provided by a specialist, in order to be covered by insurance.

PPOs usually have large networks of doctors, and you can visit any of them at any time. Depending on a particular program, the insurance company will pay a percentage of medical bills after the deductible has been met.

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