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Individual Health Insurance Coverage - A Little Help To Understand The Facts

by Jessica Farrell

Choosing the right type of individual health insurance is an important step in looking after yourself. The main three choices when it comes to Individual Health Insurance coverage are Fee-for-service, HMO and PPO.

Fee for service means that you can go to any doctor in the country and you do not need referrals for specialists. This is the most flexible type of cover, and often the most expensive too. You pay a monthly premium and a yearly deductible which is a payment you must make before any insurance payments are made. Certain costs are taken out of this deductible, whilst others may not be covered by it.

HMO stands for Health Maintenance Organization. These organizations tend to place a high importance on keeping you well, and are good at preventative care, simply because they don't make any more money the sicker you get. The downside is that you must choose a doctor from their list, and if you need to see a specialist you must have a referral from your primary care doctor.

PPO stands for Preferred Provider Organization. This is a combination between the HMO and the Fee for service provider. There are a limited amount of doctors you can see, however you will still receive some coverage if you see doctors who are not part of your PPO's organization.

Fee for service, HMO and PPO providers are beginning to take leaves out of the others books however, so whereas in the past a HMO might have offered the cheapest health care and the least flexibility, that may not be the case today.

You really do have to shop around and see what each plan offers. A fee for service plan may have unexpected restrictions, or a HMO plan may include costs you might not expect.

You might also want to consider Medicare or Medicaid if you are disabled or come from a low income family. Eligibility varies from State to State, so if you think you might be eligible, do look into it.


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Lexington County looking at tax hike (The State)
14 May 2008 at 4:18am
Lexington County homeowners are facing about a $13 tax increase on a $100,000 home if no changes are made in the current version of next year?s general fund budget. On Tuesday, County Council began it...
Bonner activities include shopping, bingo (The Times of Northwest Indiana)
16 May 2008 at 7:25am
PORTAGE | Bonner Senior Center, 5800 Lexington Ave., offers a variety of activities for senior citizens. An annual membership is $10. Participants must be 55 years or older. For information about Bonn...
When to take a severance package (The Middlesboro Daily)
15 May 2008 at 4:52pm
In the end there is one dance you'll do alone. In 1991, the IBM plant in Lexington, Ky., became Lexmark. IBM offered employee severance packages. People could take the package or take a chance that Le...
Six seeking Sanders? 9th District Senate seat (Bowling Green Daily News)
17 May 2008 at 6:21am
Since Republican Richie Sanders decided not to seek re-election for his 9th District Senate seat, nearly $314,000 has been raised by competitors vying for the spot.
Southern traditions: Gone with the wind (Macon Telegraph)
17 May 2008 at 7:13am
Columbia businessman David Hodges was surprised when church groups didn't kick up a fuss about grocery stores selling beer and wine on Sundays.
Two Democrats vying for 2nd District seat (Bowling Green Daily News)
16 May 2008 at 5:05pm
Two men from Owensboro are vying for the Democratic nomination to seek the 2nd District Congressional seat, held by retiring U.S. Rep. Ron Lewis, R-Cecelia.
Community Calendar (Leesville Daily Leader)
16 May 2008 at 2:42pm
Ongoing Narcotics Anonymous Narcotics Anonymous Support Group meetings are held at Christian Living Fellowship Church on Section Line Road in Leesville. Meetings are held Mondays from 8-9 p.m.; Tuesda...
Smart fortwo receives top crash-test scores (Louisville Courier-Journal)
14 May 2008 at 8:51am
The 2008 Smart fortwo micro-car, the smallest passenger vehicle sold in the United States, has earned top scores in insurance-industry crash tests.

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NTRA Thoroughbred Notebook NOV 1 (originally posted 11/1)
16 May 2008 at 2:24pm
News and notes from around the Thoroughbred racing world, compiled by NTRA Communications. TRAINER LAKE WINS NUMBER 4,000, RIDER PINO NEARS 6,000 Trainer Scott Lake became just the seventh trainer eve...
Identity theft cases on the rise locally (Tooele Transcript-Bulletin)
16 May 2008 at 1:36am
Chances are you have probably written a check at the grocery store, mailed bills from your mailbox, shopped online and casually discarded credit card offers before without giving these matters a secon...
Cincinnati Schools Establishes Programs That Unite Educators And The Community
16 May 2008 at 12:06am
This summer saw the creation of the Cincinnati Schools ? Parent Leadership Institute. The program reflects the changing role that parents play in public education. As Vanessa White, the Board Presiden...
Paper trail leads to federal charges involving identity theft (The Kansas Cit...
15 May 2008 at 11:47pm
A winding paper trail of false names, addresses, Social Security numbers, credit cards and bank accounts led authorities to three people who now face charges relating to identity theft. Original post...
Your Stories from Across Kentucky
15 May 2008 at 11:18pm
Hillary Clinton is an inspiration.  I admire her brains, her courage and most of all, her persistence.  She is not done yet. Go Hillary! We need your leadership! -Kathy W. from Lexington As a nu...
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Suspected Identity Theft (WTAJ-TV Altoona)
15 May 2008 at 10:59pm
SAXTON, BEDFORD COUNTY ? Police are looking into a case of identity theft in Bedford County. State Police say 45-year-old Terrie Wright, of Saxton, used another woman?s personal information to get a c...
Broward County Shred-a-Thon program fights identity theft (Sun-Sentinel)
15 May 2008 at 8:10am
Program aims to prevent identity theft They like to hit up condos, especially the ones where senior citizens live. They rifle through Dumpsters looking for bank card statements, phone bills and credit...
BSO takes aim at identity theft (Miami Herald)
15 May 2008 at 8:07am
Roughly 500 significant cases of identity theft crossed the desk of Sgt. Jay Leiner, head of the Broward Sheriff?s Office?s Economic Crime Unit, in 2007. Original post by Yahoo! News Search Results f...
New program to help identity theft victims prove identity (KVBC Las Vegas)
14 May 2008 at 11:24pm
Earlier this week, we showed you Christie Scalzo?s story . She?s the woman whose identity had been stolen, leading to her arrest years later for crimes she did not commit. Original post by Yahoo! New...

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