Posts Tagged ‘ppo plan’

Understanding Insurance Terms

Friday, June 5th, 2009

We all know how confusing insurance terminology can be. Here is a short list of the most commonly used terms to help you better understand the fine print on your policy:

HMO: refers to Health Maintenance Organization. HMO’s provides comprehensive health care by network physicians to those in a particular geographic area. With an HMO, you need to access care through a designated Primary Care Physician.

PPO: Preferred Provider Organization. PPO plan members receive full coverage by using doctors and hospitals within the PPO network, or they can pay more to go outside of the network for care.

Pregnancy Options for Non-Maternity Plans

Tuesday, April 28th, 2009

Since many carriers are either dropping maternity from their plans, or raising the premiums sky high for maternity coverage options, what happens to a woman on a non-maternity plan if she becomes pregnant?

Depending on which insurance carrier you are with, the answer varies.

Anthem Blue Cross individual plans will allow you to switch to their PPO Share 5000 plan without having to go through medical underwriting.

On some Blue Shield plans (not all of them) you can switch to their 5000 PPO plan as well, as long as you have been on your current plan for at least 12 months


© 2009 Abrams California Health Insurance Agency. All rights reserved.
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