Discussion – Insurance Coverage

Discussion – Insurance Coverage Student Help Get Answers
Español Log in

Don’t use plagiarized sources. Get Your Custom Essay on
Discussion – Insurance Coverage
Just from $9/Page

Order Essay

Get Coverage Keep or Update Your Plan See Topics SEARCH
How to pick a health insurance plan EMAIL PRINT
Health insurance plan & network types: HMOs, PPOs, and more 3 things to know before you pick
a health insurance plan
The ‘metal’ categories: Bronze,
Silver, Gold & Platinum
Catastrophic health plans
Health insurance plan & network
types: HMOs, PPOs, and more
Your total costs for health care:
Premium, deductible & out-of-
pocket costs
There are different types of Marketplace health insurance plans designed to meet different
needs. Some types of plans restrict your provider choices or encourage you to get care
from the plan’s network of doctors, hospitals, pharmacies, and other medical service
providers. Others pay a greater share of costs for providers outside the plan’s network.
Types of Marketplace plans
Depending on how many plans are offered in your area, you may find plans of all or any of
these types at each metal level – Bronze, Silver, Gold, and Platinum.
Some examples of plan types you’ll find in the Marketplace:
Exclusive Provider Organization (EPO): A managed care plan where services are
covered only if you use doctors, specialists, or hospitals in the plan’s network (except
in an emergency).
Health Maintenance Organization (HMO): A type of health insurance plan that
usually limits coverage to care from doctors who work for or contract with the HMO.
It generally won’t cover out-of-network care except in an emergency. An HMO may
require you to live or work in its service area to be eligible for coverage. HMOs often
provide integrated care and focus on prevention and wellness.
Point of Service (POS): A type of plan where you pay less if you use doctors,
hospitals, and other health care providers that belong to the plan’s network. POS
plans require you to get a referral from your primary care doctor in order to see a
specialist.
Preferred Provider Organization (PPO): A type of health plan where you pay less if
you use providers in the plan’s network. You can use doctors, hospitals, and providers
outside of the network without a referral for an additional cost.
Get more information on what you should know about provider networks (PDF).
Need dental coverage? Visit our Dental coverage in the Marketplace page
to learn more about options available to you.
Can we improve this page?
Give feedback
RESOURCES
About the Affordable Care Act
Regulatory and Policy
Information
For Navigators, Assisters &
Partners
For Agents & Brokers
For the Media
For Researchers
For States
Information in other languages FacebookTwitterYouTube
CONNECT WITH US
 Questions? Call 1-800-318-2596
 Find Local Help
 Visit the HealthCare.gov blog
ALL TOPICS | GLOSSARY | CONTACT US | ARCHIVE NONDISCRIMINATION / ACCESSIBILITY | PRIVACY POLICY | PRIVACY SETTINGS | LINKING POLICY | USING THIS SITE | PLAIN WRITING
中⽂ | KREYÒL | FRANÇAIS | DEUTSCH | ગુજરાતી | िहंदी | ITALIANO | 日本語 | 한국어 | POLSKI | PORTUGUÊS | РУССКИЙ | ESPAÑOL | TAGALOG | TIẾNG VIỆT
HHS.gov A federal government website managed and paid for by the U.S. Centers for Medicare & Medicaid Services. 7500 Security Boulevard, Baltimore, MD 21244. Health Insurance Marketplace® is a registered trademark of the Department of Health and Human Services.
Whitehouse.gov USA.gov
Back to top
START HERE
Search
 
https://www.healthcare.gov/get-answers
https://www.healthcare.gov/
https://www.healthcare.gov/es/choose-a-plan/plan-types/
https://www.healthcare.gov/login
https://www.healthcare.gov/get-coverage
https://www.healthcare.gov/have-coverage
https://marketplace.cms.gov/outreach-and-education/what-you-should-know-provider-networks.pdf
https://www.healthcare.gov/coverage/dental-coverage/
https://www.hhs.gov/healthcare/
https://www.cms.gov/cciio/index.html
https://marketplace.cms.gov/
https://www.cms.gov/cciio/programs-and-initiatives/health-insurance-marketplaces/a-b-resources.html
https://www.cms.gov/Newsroom/Newsroom-Center.html
https://www.healthcare.gov/health-and-dental-plan-datasets-for-researchers-and-issuers/
https://www.cms.gov/CCIIO/Programs-and-Initiatives/Health-Insurance-Marketplaces/State-Marketplace-Resources.html
https://www.healthcare.gov/language-resource/
https://www.facebook.com/Healthcare.gov
Tweets by HealthCareGov
https://www.youtube.com/HealthCareGov
https://www.healthcare.gov/contact-us/
https://localhelp.healthcare.gov/
https://www.healthcare.gov/blog
https://www.healthcare.gov/topics
https://www.healthcare.gov/glossary
https://www.healthcare.gov/contact-us
https://www.healthcare.gov/archive
https://www.cms.gov/About-CMS/Agency-Information/Aboutwebsite/CMSNondiscriminationNotice.html
https://www.healthcare.gov/privacy
https://www.healthcare.gov/choose-a-plan/plan-types/#
https://www.healthcare.gov/privacy/#links
https://www.healthcare.gov/using-this-site
https://www.hhs.gov/open/plain-writing/index.html
https://www.healthcare.gov/language-resource/#chinese
https://www.healthcare.gov/language-resource/#creole
https://www.healthcare.gov/language-resource/#french
https://www.healthcare.gov/language-resource/#german
https://www.healthcare.gov/language-resource/#gujarati
https://www.healthcare.gov/language-resource/#hindi
https://www.healthcare.gov/language-resource/#italian
https://www.healthcare.gov/language-resource/#japanese
https://www.healthcare.gov/language-resource/#korean
https://www.healthcare.gov/language-resource/#polish
https://www.healthcare.gov/language-resource/#portuguese
https://www.healthcare.gov/language-resource/#russian
https://www.healthcare.gov/language-resource/#spanish
https://www.healthcare.gov/language-resource/#tagalog
https://www.healthcare.gov/language-resource/#vietnamese
https://www.hhs.gov/
https://www.whitehouse.gov/
https://www.usa.gov/
https://www.healthcare.gov/choose-a-plan/plan-types/#

Continue to order
Get a quote

Post navigation
Personnel And Organization HomeworkPorsche Case Study