California Health Insurance

How Do I Get Health Insurance

 


Health insurance is generally available through groups and to individuals.


Premiums—the regular fees that you pay for health insurance coverage—are generally lower for group coverage. When you receive group insurance at work, the premium usually is paid through your employer.

Group insurance is typically offered through employers, although unions, professional associations, and other organizations also offer it.


As an employee benefit, group health insurance has many advantages. Much—although not all—of the cost may be borne by the employer. Premium costs are frequently lower because economies of scale in large groups make administration less expensive.


With group insurance, if you enroll when you first become eligible for coverage, you generally will not be asked for evidence that you are insurable.

(Enrollment usually occurs when you first take a job, and/or during a specified period each year, which is called open enrollment.) Some employers offer employees a choice of fee-for-service and managed care plans. In addition, some group plans offer dental insurance as well as medical.


It should be noted that some employers, and others who offer group insurance to their members (such as professional organizations) are seeking to contain the costs of offering health benefits. In response, insurers and health plans are designing new types of benefit plans, and now offer (for example) tiered copayment levels for hospital and/or prescription drug coverage.


Employers are also seeking to contain costs by offering policies or benefits that differentiate among employees or members of the group according to various criteria. These criteria may include health status, claims history, length of time since underwriting occurred, old hires versus new hires, or full-time versus part-time. Thus, it's important for employees (or association members) to be aware of how premiums are calculated and to understand the details of the policy being offered, such as copays and deductibles.



Individual insurance is a good option if you work for a small company that does not offer health insurance or if you are self-employed. Buying individual insurance allows you to tailor a plan to fit your needs from the insurance company of your choice. It requires careful shopping, because coverage and costs vary from company to company. In evaluating policies, consider what medical services are covered, what benefits are paid, and how much you must pay in deductibles and coinsurance. You may keep premiums down by accepting a higher deductible.

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