Deciding When To Use A Group Health Plan Or Individual Health Insurance
Saturday, August 27th, 2011 by adminMost people that are working today want to have health insurance coverage to protect them and their families from medical expenses. Few things are as expensive as medical care because tests and doctors cost a lot of money to determine problems and fix them. There are a few different options to choose from when you are selecting your type of health insurance coverage. Many employers offer a group health plan for the benefit of their employees and within that plan are coverage levels that the employee can choose from. Individual health insurance is the other major option and this would mean that you would deal directly with the insurance company when determining things like coverage levels, networks, and pricing.
When you are selecting which major option to go with for your insurance coverage, some important things to keep in mind about individual health insurance is that they are typically the most expensive and take the most work. Individual plans typically have the policyholder fill out questionnaires and get physical exams before offering any sort of coverage. The insurance companies also tend to charge more for individuals because they do not have the numbers that it takes to negotiate lower prices. Individuals do still have the option of joining health maintenance organizations or preferred-provider organizations. This ensures that they can get the same level of coverage and physician networks that other policyholders subscribe to.
With a group health plan that employers tend to offer, people tend to spend less money on their premiums. Employers have a lot more people that they are looking to insure than just you on your own. This gives them a stronger negotiating position that helps them reduce rates for everyone on the policy. Preexisting conditions matter less in employer offered health plans because everyone in the company is eligible under group coverage. Most people that have the option of choosing group insurance coverage do because choosing these options tends to cost less and provide better coverage for everyone involved.
Deciding when to choose these between these options depends on what type of plan your employer offers and what type of plan you would like. Most people opt into the employer plans to save the money while obtaining the same amount or more coverage. These plans are typically HMOs or PPOs because those are the most popular for policyholders. A group health plan tends to offer more coverage options than individual plans. Employers do participate in health incentives for their employees to keep costs down. If your employer does not offer coverage or does not offer coverage at the levels you would like, an individual plan makes more sense. Look at the plans offered before signing up.

