Family Health Insurance
When Family Comes First We've Got Your Plan
You want the best for your family, but it’s not easy to figure out exactly what that is when you’re shopping for health insurance. We get it. We’re here to make your life easier and ensure you get affordable coverage that will protect you and your loved ones.
You’ve got options.
Health insurance for your family can be affordable. You can find a plan that fits into your budget, we promise. Plans come at different prices, so it’s important to compare the benefits and rates. Lighthouse will help you compare plans apples-to-apples so you can get a clear picture of what plans include and the cost of each.
Your Family Plan Cheat Sheet
Here are the basics on the most common managed care programs. It doesn’t have to be confusing!
PPOs (Preferred Provider Organization).
Think flexible coverage, money savings and the freedom to choose your doctor. PPOs are popular because they give you a choice. You’ll save money if you go to an in-network doctor, but you’ll also have some coverage with out-of-network providers.
HMOs (Health Maintenance Organization).
Think affordable, low copays and potentially no deductible. The catch with HMOs is that you must choose a primary care physician from your HMO network. If you require a specialist, your primary care physician will provide that referral. Services are not covered for providers outside of the HMO network.
POS (Point Of Service) Plans.
Think of this as a combo HMO and PPO. As with an HMO, you’ll choose a primary care physician from the network, and you’ll always see this provider first. Like a PPO, you will have coverage with providers in and outside of the network. (You’ll pay more for those outside of the network.)
Go with managed care.
When choosing a plan for your family, avoid traditional FFS (Fee For Service) plans. These are not managed care and do not work with healthcare provider networks.
Group Health Insurance
Attract the Best by Offering the Brightest Plans
You understand the value of providing health insurance to your employees. But as an employer, the cost is increasingly difficult to manage. In fact, everyone is paying more today: physicians, insurance companies, employers and individuals.
The good news? There are affordable options out there so you can continue to offer this critical benefit to your workers.
A full range of group health insurance plans gives you choice. Consumer-directed group health insurance plans allow you to take control of health care dollars. The plans provide low monthly costs for you and your employees, and an opportunity for tax-advantaged savings. Managed care group health insurance plans create networks of doctors, specialists and other health care professionals who provide discounted medical care.
Health Savings Account (HSA) Plans
An HSA works like a bank account. You and your employees contribute tax-free income that can be used for most health-related costs. If savings are not used, those funds roll over for the next year, while building interest. HSAs are accompanied with high-deductible health plans with low monthly premiums. These plans cover major medical issues (catastrophe). An HSA is another benefit you can offer employees.
These plans give the power of choice to your people. They elect where their benefit dollars go by choosing from a menu of coverage options: medical, dental, vision, disability, accident and term life insurance. You and employees share the cost with tax-free dollars, which makes the insurance more affordable for everyone. However, the money contributed toward benefits in this plan does not roll over as with an HSA. Health savings must be spent the year it is deposited.
Managed Care Plans:
PPOs (Preferred Provider Organization)
With PPOs, you’ll get flexible coverage and an extensive network of care providers. You can choose in- and out-of-network providers (though you’ll save more money in network). PPOs with high deductibles pair well with HSAs.
HMOs (Health Maintenance Organization)
This the most affordable group health insurance option available. Employees must go to in-network providers, though HMO networks generally include thousands of health care professionals in your state.
POS (Point Of Service) Plans
This combination HMO and PPO plan allows you to choose a primary care physician, but you do not need a referral for a specialist.
Individual Health Insurance
Coverage with You in Mind
Health insurance for the individual is a plan designed for you, the consumer. You purchase the plan for yourself, or your family, and you might want individual coverage even if your employer offers health insurance. It’s customized and mobile—individual plans mean coverage you need and protection wherever you go.
Empowered by options
With individual health insurance, you choose the plan. You decide what benefits suit your budget—and some of those benefits might be more affordable than you think. You can choose from a variety of health insurance plans, from HMOs to PPOs. (We’ll explain more here.)
It’s important to compare plans apples-to-apples by looking at the cost and benefits provided. What will be the copay, and how about the deductible? Does the plan provide a tax advantage? A Lighthouse health insurance specialist is online to help you hash through the details. Ask us anything. That’s why we’re here.
Choose a plan
There are plenty of individual health plans from which to choose. The most common types are HMOs, PPOs, HSAs and FFS plans. If you are in good health, you might consider a high-deductible PPO with a Health Savings Account. If you’d rather have comprehensive medical coverage, such as preventive care, consider a PPO or HMO plan with a lower deductible. Lighthouse can help answer your questions.
Why individual coverage?
Your employer might offer health insurance, but you can choose an individual health insurance plan. You might prefer individual coverage because it’s customized. In a group, everyone has different health needs and the employer must choose the best plan for the masses. Plus, individual coverage is mobile. With an employer’s plan, leaving your job means leaving the plan.
Speak the language
You’ve heard a lot of acronyms tossed around—HMO, PPO, FFS—and there is terminology you may not understand. We’re here to help. Before you decide on new individual health insurance coverage, here are some terms you’ll want to know:
- Premiums. Premiums are usually paid on a monthly basis—this is the base price of the plan. Your premium can be adjusted based on age and health status. People who lead healthier lifestyles get less expensive premiums.
- Deductible. This is the amount you pay before your plan starts picking up the rest of the bill. A lower deductible isn’t always better. A higher deductible can mean a lower premium. What would you rather do: Pay more each month, or pay more when you receive care?
- Copayments and Coinsurance. Copayments are fixed amounts you’ll pay per office visit to your provider. Coinsurance is similar but is expressed as a percentage. For example, you might have a $20 copay, or 20% coinsurance fee.
- Out-of-pocket maximum. This is an important number. Once you hit an out-of-pocket maximum, the health insurance company picks up 100 percent of the rest of costs. Some plans have exceptions to this.
Short Term Health Insurance
Don’t Wait for Tomorrow - You Need an Affordable Bridge
Who knows what tomorrow will bring? That’s exactly why you need to plan, and we know that’s not easy. That’s why there is short-term Health Insurance that can pay benefits like a major medial insurance plan, but for a predetermined length of time. The plans are affordable and give you options. You can choose a deductible that suits your lifestyle and budget. You can gain coverage without going broke. (Now, that sounds like a plan!)
An affordable bridge
You don’t have health insurance now, for any number of reasons. You know that’s a risky place to be. What if you got into an accident? How could you afford to pay for hospital bills if you became very sick. No one wants to think about these worst-case scenarios—but a reality check is important. Even more important is a solution you can afford, and that is what Lighthouse is providing by connecting you with short-term Health Insurance options.
Lighthouse Insurance Group is here to help you find a short-term Health Insurance plan that works for you, and that means getting to know your needs and hand-picking plans that make the best financial and health sense. Ready to get started? Call and talk to a real person at 866-230-0222.