What You Need to Know About HMO Plans

Group health insurance coverage is available in a PPO or HMO plan. A PPO allows employees to use the plan to go to the doctor of their choice whereas an HMO has specific requirements for use. Many employers what to know how to handle HMO plans.

Seeking Care

The experts at iSure Insurance states that HMO insurance requires the use of a primary care doctor referral for additional care beyond what they provide. If a patient needs physical therapy, medical equipment or to see a specialist, the PCP must usually provide a referral in order for the insurance to provide coverage. While fewer unnecessary services occur, patients must go through several hoops to receive specific care.

Economical Choice

An HMO plan is typically more economical than a PPO plan. Some plans do not even have a deductible. These plans come with lower-cost premiums and small copayments.

Provider List

The list of in-network providers is robust in most areas. This list includes radiology, lab work, and therapy. However, going out of the network puts the burden of payment on the patient.

Understanding how to handle HMO plans can help your business decide if it is right for your employees. There are both benefits and drawbacks to choosing this type of health insurance. An insurance quote can help you determine which is the right option for your business.


Meeting the Growing Demand for Hospice Care

Hospice facilities are a highly valuable resource, and the demand for them is only rising. They allow people to spend the last days of their lives as comfortable as possible. A wide range of services are performed in caring for these patients. This is why all facilities need specialty insurance for hospices that is made to cover all the various services provided.

Accommodating someone properly at the end of his or her life is a complex task. Often this is something that only a hospice is prepared to do. Everything from pain management to emotional support for the patient and family members alike must be taken care of. Each service opens the facility up to different risks. This is why it is necessary to have coverage like professional liability. This can protect the facility both legally and financially if claims of negligence are brought against it. This coverage generally extends to volunteers and independent contractors as well as regular staff, helping to protect both the reputation of the facility and its assets. Having all of this in place allows a hospice to continue providing quality care even while potentially involved in any legal issues.

As the hospice business grows, so does the world of specialty insurance for hospices. Of course, it is important to find coverage that is tailor-made to your specific situation. There are providers out there that understand the unique risks that need to be guarded against. Protect patients and staff members alike with the right insurance.