florida insurance family health
 Home   Quote    F.A.Q    News    Research    Life
Florida Health Insurance Resources
Types of Florida Health Insurance
Articles About Florida Health Insurance

 

Frequently Asked Questions (FAQ's) About Florida Health Insurance

What is COBRA ?
Consolidated Omnibus Budget Reconciliation Act of 1986. Terminated employees or those who lose coverage because of reduced work hours may be able to buy group coverage for themselves and their families for limited periods of time.

What is Co-insurance ?
The amount you must pay for medical care in a point-of service plan (POS) or preferred provider organization (PPO) after you have reached your deductible. It is often a percentage of bills charged.

What is a Co-payment ?
A charge you pay for medical services. Your health care plan covers the remaining medical charges. As an example, you may pay $10.00 for an office visit or a prescription.

What is a Deductible ?
The amount of money you must pay each year for coverage to your medical care expenses, before your insurance policy begins to pay.

What are Exclusions ?
Specific conditions or circumstances in which the policy will not offe benefits.

What is a Fee-for-Service ?
Payment agreements for health care in which the provider is paid for each service, rather than a pre-negotiated amount for the patient.

What is HIPAA ?
Health Insurance Portability and Accountability Act of 1996. It is designed to protect health insurance coverage for workers and their families when they change or lose their jobs.

What is an HMO (Health Maintenance Organization) ?
Prepaid health plans for which a premium is due each month. The HMO covers your cost of care to see a doctor within their working network at pre-negotiated rates. You are required to choose a primary care physician who takes care of you and makes referrals to any specialists you may need. If you, as an HMO member, do not use the doctors, hospitals and clinics that do not participate in your planıs network, you may be required to pay the cost of those medical services.

What is an IPA (Independent Practice Association) ?
An independent group of physicians who unite with an HMO to offer services for the HMO members.

What is a Lifetime Maximum ?
The maximum percentage of benefits available to a member during their lifetime, in which, all benefits served are subject to this limit unless stated as unlimited.

What is a MSA (Medical Savings Account) ?
A tax-advantaged personal savings account used along with a high deductible health policy. You may deposit money into this account on a pre-tax basis to set aside money for medical care and expenses that qualify, including annual deductibles and co-payments.

What is an Out-Of-Pocket Maximum ?
The highest amount of money you will pay in a year for deductibles and coinsurance plus regular premiums.

What is a Point-Of-Service (POS) Plan ?
A certain managed care plan combing features of health maintenance organizations (HMOs) and preferred provider organizations (PPOs). You may choose whether to go to a network provider and pay a flat dollar amount or to an out-of-network provider and pay a deductible and/or coinsurance charge

What is a Pre-existing Condition ?
A health problem that existed or was treated before your insurance became in effect. Most health insurances have a pre-existing condition plan that describes under what conditions they will cover medical expenses that relate to a pre-existing condition.

What is a PPO (Preferred Provider Organization) ?
A network of health care providers that offers medical services to health plan members at a discounted cost. PPO members usually make their own decisions about their health care instead of going through a primary care physician like an HMO member. The costs to use physicians within the PPO network are less than using a non-network provider.

What is a Premium ?
The amount you must pay in exchange for health insurance coverage.

What is a Primary Care Physician ?
Under a health maintenance organization (HMO) or point-of-service (POS) plan, a primary care physician is often the first contact for health care. It is usually a family physician, internist, or pediatrician. A primary care physician makes referrals to specialists if necessary.

What is a Provider ?
Any person (doctor or nurse) or institution (hospital, clinic, or laboratory) which is certified, that provides medical care.

What is Well Baby ?
Health services, which include immunizations provided by the member's participating medical group, up to a certain age as specified by the carrier. This benefit is usually provided in HMO plans and/or POS plans. The level of benefit will vary for PPO plans if specified as a benefit.


Family Insurance in FloridaGroup Health Insurance in Florida
Copyright © 2007 Hasell Financial. All rights reserved. | Terms | Login | Resources

 

Florida Health Insurance Articles

    Pharmaceutical Benefits for the Elderly in Florida
    As part of court settlement, Medco to provide uninsured Florida senior citizens with generic medications.

    Florida Insurance Regulations
    Florida health insurance regulations designed to protect consumers, prohibit discrimination based upon pre-existing conditions.

    Healthy Families Florida
    State of Florida plan helps parents and guardians lacking in financial resources to provide health care to their families.

    Florida Medicaid Reform
    The benefits contained within Floridaıs Medicaid program and how the public plays a role.

    State of Florida Health Care Premiums
    Due to rising costs, committee formed to review healthcare costs within the state of Florida.

    Take Control of Health Care Costs
    Experts suggest monitoring the incurrence of all healthcare costs to ensure you are not paying more than you should.

    The Affordable Health Care for Floridians Act
    Not only making healthcare affordable to all Floridians, but making all Floridians educated about healthcare is the goal of the Affordable Healthcare for Floridians Act

    Short-term Florida Health Insurance
    When in between policies, Florida short-term health insurance may cover the gaps by providing temporary security.

    Florida Maternity Insurance
    Reviewing one's healthcare policy with respect to coverage for maternity-related matters is an important issue for women considering getting pregnant.

    Prescription Plans
    Prescription medications, the hotly debated topic of late, can prove enormously costly and detrimental to oneıs should he or she not have the benefit of quality pharmaceutical coverage.

    Florida Health Care Assistance Programs
    For those without insurance, a variety of reputable outlets exist from which one can obtain necessary health care services and treatments.

    Insurance Service Programs in Florida
    Within the State of Florida, low income residents have access to programs that provide health care insurance via private companies.

    Health Insurance for Children in Florida
    Low income families though not always able to afford it, still desire the best quality care for their children. Through Floridaıs Health Care for Children program, parents are able to provide for their children with KidCare and additional benefit-laden, state run programs.

    Student Health Insurance in Florida
    Once officially declared an adult at the age of 18, what do parents do about their childıs health insurance coverage?

    The Healthy State Initiative
    Within the state of Florida, a concerted effort is underway to improve the lives of residentsı by helping them to understand how to attain and maintain a healthier, fuller life.


Florida Health Insurance is only one click away. We are a friendly agency specializing in serving Floridians and their health insurance needs. We are available by phone at any time, since we know how it feels to shop for insurance without human contact. If you cannot find the information or Florida health insurance you need, please contact us by phone or email and we will gladly walk you through the process.