Understanding Health Insurance

The Health Insurance landscape continues to become more sophisticated, so we recommend organizations consult with experts like Crabtree Benefits before choosing and committing to a company health insurance plan.

Healthcare coverage is the foundation of a comprehensive group benefits plan. Every company should aim to have an employee-focused group benefits plan that provides protection to employees and their families. Crabtree Benefits is here to offer the best benefit solutions to small businesses that want to improve their employee retention and acquisition through company health insurance plans.

Creating a health insurance plan that protects employees but is an asset to your organization's budget.

Health insurance costs continue to rise for both employers and employees. When determining a benefit’s budget, it is important to consult with an experienced professional or firm that can help create a custom group benefits plan that is competitive and budget friendly. Not all plans are created equal, different industries and different companies have different health insurance needs for their employees, and it is important to have a strategy when selecting your plan.

Crabtree Benefits can be your benefit solutions partner, helping you create an affordable strategy that falls in line with your way of business.

What Are The Main Types Of Health Insurance Plans?

There are different types of health insurance plans. And they are designed to meet different needs and demands—both on the part of the employee and the employer. These plans are offered per provider, location, or company size, and they come at metal level packages—Bronze, Silver, Gold, and Platinum. The features and benefits vary per level. Here are the most common group health insurance plans offered by insurance providers and Crabtree Benefits’ group benefits plans:

Preferred Provider Organization (PPO)

PPOs offer more flexibility when choosing healthcare professionals. These plans also allow members to see healthcare specialists without the approval of the primary care physician (ie. gatekeeper).

Exclusive Provider Organization (EPO)

EPO’s can be similar to PPO’s in in choosing network providers, but there are no out-of-network coverage

Self Funded

Self funded plans allow an employer to assume some risk of employee healthcare costs while also benefiting from the potential refund of claims dollars.

Health Maintenance Organization (HMO)

A health insurance plan that delivers services from the insurance provider’s network of doctors or hospitals. The coverage is limited to the services of the provider’s in-house or third-party healthcare offerings. HMOs are good for illness prevention and wellness packages. Due to its limited coverage, HMOs are more affordable.

How To Choose The Best Group Health Insurance Plans?

The primary step in finding the best group health insurance plan is to shop around and filter the selection based on the company’s needs, size, and budget. The coverage of the insurance plans should include the 10 ‘essential health benefits’ stipulated in the ACA.

Areas of health insurance benefit to consider include:

Preventive wellness services

Emergency room services

Hospitalization

Laboratory tests

Maternity and newborn care

Mental and behavioral health treatment, including substance-abuse treatments

Outpatient care (doctors and other services you receive outside of a hospital)

Pediatric care, including dental and vision care

Prescription drugs

Rehabilitation services

Key Takeaways

The main types of health insurance plans offered by insurance providers and Crabtree Benefits are HMO, PPO, EPO, and Self-Funded.

Health insurance plans have different metal levels: Bronze, Silver, Gold, and Platinum.

Employers with over 50 employees are legally required to provide some sort of health insurance plan.

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