"We make buying Health Insurance as simple as possible!"
California Health Insurance License #0436537

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Your Guide to Buying
Health Insurance

Good Advice for Buying
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(Designed for the Young
and Healthy)

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GROUP HEALTH PLANS

We'll attempt to save you money and improve your group health insurance coverage. Rates can change monthly and your current plan may be improved upon for both price and benefits. Please click here: "Group Health" for your easy online quote form .  We would like to mail you a real comprehensive portfolio of all rates and benefits from all the major California health insurance companies.


        

Your guide to buying
Health Insurance
!

  #1. PPO plans are very popular now.

  • One of the reasons is that Premiums can be reduced with the purchase of higher deductible plans such as a $2500, $3500, or $5000 deductible plan.

   #2. PPO plans can be divided into five categories.
  • Plans with no deductibles. Doctor visits range from $30 to $50 copays per visit. Other services are usually paid by you at 40% until you reach the out of pocket maximum. One example;  is Health Net's simple value plans.
     

  • PPO plans with deductibles range from $500 to $5000 dollars----- once you reach the deductible (what you have to pay before the insurance company begins paying) Then usually you pay 30% of the remaining bill until you reach the out of pocket maximum. Sometimes these plans have separate low copayments for doctors office visits and prescriptions. All of the insurance companies have these types of PPO plans.
     

  • Once you pay the deductible, your covered 100%. Some new PPO plans have been introduced that once you reach the deductible for the calendar year, the insurance company pays 100% of all on-going medical bills. Usually you must pay for all medical services until you have reached the deductible. Some do offer low copayments for prescriptions and doctor office visits. Examples;  of these plans are the Blue Shield Essential Plans, the Blue Cross $3500 Deductible Plan, the Health Net's Simple Choice Plans, and the Blue Cross Tonik Plans.
     

  • Some PPO plans include Maternity Benefits and some exclude these benefits.
     

  • HSA Type Plans: These are usually high deductible PPO plans that allow you to set up a special savings account; to have monies set aside on a tax favored basis to cover your deductible. These are called "Health Savings Accounts." All the Insurance companies have HSA type plans. (Blue Cross has a HSA plan called "Lumenos" that offers 100% coverage for preventive care.)

   #3. Some plans are designed for young and healthy people.
  • These PPO plans also have deductibles, but once you reach the deductible, then the insurance company will pay 100% for all on-going medical services. These plans have office visit co payments that range from $20, $30, and $40 dollars. Generic drugs are covered with a $10 copay. Also, very minimum dentist and vision plans are included. Examples of these plans are the Blue Shield Essential Plan and the Blue Cross Tonik Plan.

   #4. HMO Plans:
  • With HMO Plans, you receive the most coverage for your money. You will pay less out of pocket for any type of testing and/or hospital care. Examples;  of HMO plans can be found with Blue Cross, Blue Shield, PacifiCare and Health Net.--- "Blue Cross has a HMO Plan called "-Select HMO-." It offers a $25.00 doctors office visit copay and after you pay a hospital $250.00 copay per day for the first 4 days, you are then covered 100%. The "Select HMO" plan does have fewer doctors on its provider list, but your doctor may just be on it. And still there are plenty of doctors to choose, even if you don't have one---."


Contact us Today at:

Ablitz Health Insurance
California Insurance License #0436537
Phone: 1-800-556-7176 / Fax: 1-818-557-1371
E-Mail us at:
enroll@ablitzhealthinsurance.com