Health Insurance

Health Insurance

Rising health care costs have made it very expensive to be injured or sick. If you do not have a good health care plan to help manage your health care expenses, a serious illness or injury can create major financial burdens.Health insurance protects us against financial loss stemming from an accident or illness. This guide describes the various types of policies or plans available in the marketplace, offers tips on choosing the best policy or plan for you, provides definitions of common health insurance terms, and suggests what you should do if you have a
problem with your health policy or plan.
This guide is not a replacement for the detailed information found in your policy, certificate, Evidence of Coverage (EOC), or benefits booklet. Be sure you have a copy of your plan and that you take the time to familiarize yourself with your benefits before you have a claim. If you have questions after reading this guide, please call the Bureau of Insurance Consumer Services Section toll-free at 1-800-552-7945(in Richmond at 371-9691) between the hours of 8:15 a.m. and 5:00
p.m., Monday through Friday.

3.Point of Service (POS) Plans offer HMO enrollees the option of receiving
services outside the HMO’s network. Inside the network, the plan operates
like an HMO. POS plans offer lower out-of-pocket costs to the enrollee
using the services of providers inside the network.In a POS plan, insured
members choose, at the point of service, whether to receive care from a
healthcare provider within the plan's network or to go out of the network
for services. POS plans offer less coverage for health care expenses provided outside the network than for expenses incurred within the network. Visits outside the network normally require the payment of deductibles and coinsurance.