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On/Off-Exchange Plans

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Family Health Insurance Plans

Health Insurance for families is vital for ensuring health care in today’s expensive medical environment. If your family is lucky, either you or your spouse has a group health plan through the workplace. However, many families need to find health coverage on their own. When determining what kind of coverage to choose, you have to take into account how many family members you wish to insure. If you have children, you also have to find the health insurance plan that will provide them with the coverage they need.

There are two categories of family health insurance today: group and individual. Most families go with a group health insurance policy because the costs are lower. In shopping for group insurance, you should know there are several types of organized medical networks and become familiar with their characteristics as they relate to your family. The types include HMOs, PPOs, POSs, and the new Health Savings Accounts.

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Family HMO Health Insurance Plans

HMOs, or Health Maintenance Organizations, offer health care from a network of health care providers. HMOs tend to have respectable premiums and deductibles, but offer limited flexibility for choosing doctors and hospitals. Under an HMO plan, you need a referral from your primary care physician to see a specialist and you may have to pay 100% of cost if you see a doctor out-of-network.


Family PPO Healthcare Plans

PPOs, or Preferred Provider Organizations, also have affordable premiums and deductibles – however, they offer more flexibility to see any doctor you want and don’t require a referral from your primary care physician to see a specialist (as is required from an HMO). Under a PPO, out-of-network costs are covered, but at a lower rate than in-network costs.


Family High Deductible Healthcare Plans

High Deductible Health Plans, tend to have lower premiums than both HMOs and PPOs, but much higher deductibles. Deductibles are the out-of-pocket expenses you have to pay before insurance starts to cover you. You can use an HSA to lessen the financial burden of covering the high deductibles. These plans generally have similar flexibility to PPO plans.


Family Health Savings Account

HSAs, or Health Savings Accounts, are growing in popularity for a variety of reasons. Though they may not be for everyone, if you can afford to put up the money up front, you can benefit from tax savings, and people typically save a decent chunk of money when all is said and done because they don't have to pay the expensive premiums.

Essential Health Benefits for Families


Every single health insurance marketplace and private health insurance plan sold must cover the following essential health benefits:

  • Ambulatory patient services (outpatient care you get without being admitted to a hospital)
  • Emergency services
  • Hospitalization (such as surgery)
  • Maternity and newborn care (care before and after your baby is born)
  • Mental health and substance use disorder services, including behavioral health treatment (this includes counseling and psychotherapy)
  • Prescription drugs
  • Rehabilitative and habilitative services and devices (services and devices to help people with injuries, disabilities, or chronic conditions gain or recover mental and physical skills)
  • Laboratory services
  • Preventive and wellness services and chronic disease management
  • Pediatric services


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Individual-Health-Plans.com is not a licensed health insurance carrier, and we are unable to directly issue health insurance policies, or alter existing policies. If you wish to inquire about your current plan, please contact your health insurance provider for more information.