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California Health
Insurance
People with health insurance are healthier than those
without, primarily because they have access to preventative
care. We want to help you stay in that group, by
helping you find affordable California health
insurance with free quotes from top rated
companies.
What You Need to Know About California
Health Insurance
Health insurance premiums
continue to rise in California to offset the ever increasing
cost of medical care. An estimated 20% of California’s
population is not covered. That’s why it’s important to
know the types of insurance available in the state.
Both individual and group policies are available in
California.
Health Maintenance Organizations (HMO) –
strictly require you to receive care only from healthcare
providers in their system unless it’s an emergency.
Normally you’ll choose a primary care physician who will
coordinate your care with any needed specialists. Usually
there is no provision for seeing medical staff outside the
HMO.
Preferred Provider Organizations (PPO) –
these policies give you a list of approved physicians and other
medical personnel that you may choose from. If you do
choose see someone not on that list, a limited amount of
coverage is available, but it is definitely less than what
would be covered within the approved list. In California,
PPO’s are regulated by either the California Department of
Insurance or the Department of Managed Health Care depending on
whether the contract or policy was issued by a licensed
insurance company or a managed care company.
Indemnity policies, or traditional
fee-for-service plans, give you the choice of receiving care
from any provider. Usually there is a deductible you must
meet or a co-pay for visits.
Self Insured Health Plans pool money from
premiums to pay for health care. Usually these types of
plans are used by large employers or groups, such as labor
unions and school districts.
Multiple Employer Welfare Arrangement
(MEWA) create trust funds to cover the cost of healthcare for
employees, these are most often available through professional,
trade or industry associations.
Other Facts to Know About California Health
Insurance
There are specific laws governing
pre-existing conditions. The most important factor is
whether or not you’ve been previously insured and if there’s
been a break in coverage. If the break is less than 62
days, your new policy must apply your prior coverage towards
any waiting period – usually one year for individual policies
or limited to six months for a group health policy of three or
more people.
Before Your Purchase California Health
Insurance
- Ask the insurance company or agent to fully answer any
questions you may have about coverage, inclusions, and
exclusions.
- Determine which types of coverage you and your family
need, and what isn’t needed, so that you don’t pay for
unnecessary items such as maternity benefits, mental health
care, or extensive prescription coverage if you won’t be
using it.
- If you are considering a managed-care plan, make sure
that your choice of providers, such as doctors, hospitals,
medical labs, etc, are included within the program.
- See our Insurance Shopping Tips for many ways to
save money on health insurance.
Time to Get Started
Now that
you know how health insurance in California works, it is time
to start shopping for the protection you and your family
need. It’s so easy to do online – just enter your zip
code and we’ll instantly provide a list of California health
insurance companies in your area. Pick three or four that
best match your needs and get a free quote quickly. Start
now!
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