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M

major medical insurance plan

A type of traditional medical expense coverage that provides substantial benefits for hospital surgical expenses and physicians' fees.


managed care

A method of integrating the financing and delivery of health care within a system that seeks to manage the cost, accessibility and quality of care.


Maternity Care

Maternity care coverage typically includes OBGYN visits and hospitalization and physician fees associated with the birth of a child.  Maternity care covered benefits may vary by insurer.


maternity coverage

Many individual plans and some small-group plans for groups of fewer than 15 employees don't cover the costs associated with pregnancy and birth. However, federal law requires that group plans cover maternity if a group has 15 employees or more.


Medical Plans Comparison

Features:Individual MedicalPlanFortis Health PlanHPA, Inc. Plan
Policy period1 YearMonth-by-Month up to 6Months1Month-by-Month up to 1Year
Renewable policy?Yes, for multiple yearsYes, for up to one additional benefitperiod2Yes, for up to three consecutive12-Month Coverage Periods
Continuous Claims Coverage?YesNoYes
Covers Major Medical Expenses (i.e.,hospitalization and surgeries)YesYesYes
Covers Comprehensive Major MedicalExpenses (i.e. routine annual exam andpreventive care)YesNoNo
Offers a variety of plan typesYesNo, Fee-for-Service Plan onlyNo, Fee-for-Service Plan only
Choice of doctorTypically you must use a doctor in theplan's network or services will not becovered or only partially covered.You choose the doctor.You choose the doctor.
Cost ComparisonTypically more expensive than theFortis Health plan and the HPA, Inc.planTypically less expensive than an Individual MedicalplanTypically less expensive than an Individual Medical plan
1May vary by state.
2You may apply for one additional benefitperiod if no claims were incurred under yourprevious Fortis Health benefit period and ifthere was no significant change in yourhealth.


Medical Savings Account (MSA)

The newest choice in health insurance for the self-employed, Medical Savings Accounts (MSAs) allow you to build up a tax-free savings account to pay for routine medical expenses.

To be eligible for an MSA, you must:

1. be self-employed;

2. obtain coverage under a qualified major medical plan; and

3. not be covered under any other medical plan.

You build the account with tax-free dollars, and they remain tax-free while your MSA is active. Your MSA is used in conjunction with a high-deductible insurance policy.

With the high-deductible insurance plan, the cost of an MSA can be kept competitively low.  Tax-free dollars and an affordable price save you money.

Although we offer this option, except in California, it is not currently available through our carriers quoting online. If you are interested in an MSA, please click the offline quote link below.


member

The person whose life or health is insured under an insurance policy. Also referred to as the "insured."


mental health - inpatient

Inpatient mental health care is generally reserved for severe mental health problems, such a schizophrenia and severe depression. State laws vary widely on the degree to which insurance companies must cover mental illness. Most plans do provide some coverage, though there may be limitations such as the severity or nature of the illness and the duration of care.


mental health - outpatient

Outpatient mental health benefits are generally divided into two categories, severe and non-severe health care. State laws vary widely on the degree to which insurance companies must cover mental illness. Most plans do provide some coverage, though there may be limitations such as the severity or nature of the illness and the duration of care.


Monthly Administration Fee

The fee some insurance plans charge for record keeping, filing, data upkeep, etc.


Monthly Premium

The highest amount you would consider paying the insurer for your health insurance policy.  The dollar amounts listed here represent a range of amounts taken from the plan premiums in your personalized quote.


Most Popular

Choosing the "Popular Plans" option will return only the health plans that most consumers acquire.


msa -- benefits

The newest choice in health insurance for the self-employed, Medical Savings Accounts (MSAs) allow you to build up a tax-free savings account to pay for routine medical expenses.

To be eligible for an MSA, you must:

1. be self-employed;

2. obtain coverage under a qualified major medical plan; and

3. not be covered under any other medical plan.

You build the account with tax-free dollars, and they remain tax-free while your MSA is active. Your MSA is used in conjunction with a high-deductible insurance policy.

With the high-deductible insurance plan, the cost of an MSA can be kept competitively low.  Tax-free dollars and an affordable price save you money.


   

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