Here at Melton McFadden we can provide quotes for various health insurance plans for Michigan individuals and families, depending on your needs. There are many Michigan medical insurance plans out there, but we can help you choose the best option for you and guide you along the way.
The most common plans we offer include fee-for-service plans or managed care, which consist of health maintenance organizations (HMOs), preferred provider organizations (PPOs), or point of service (POS) plans.
Here are some of the basics about these plans and how they can benefit your family.
Fee-For-Service Michigan Health Insurance Plans
Non-PPO fee-for-service (FFS) plans are plans in which the health plan will pay medical providers directly or reimburse the insured following the filing of an insurance claim for each medical expense covered. FFS plans with a preferred provider organization (PPO) allow the insured to see medical providers with reduced charges, which means you pay less out of pocket.
Health Maintenance Organization Plans
HMO plans provide care through a designated network of hospitals and physicians located in a certain service or geographic area. One of the key benefits of this plan is the lack of any paperwork that the insured needs to fill out and the ability to avoid being billed for covered services.
Point of Service Michigan Health Plans
In certain HMOs, POS products allow for the use of providers outside of the HMO network. The one downside is that the insured pays more for using these providers, with higher deductibles and coinsurances than what is required with a provider on the plan. Insured parties also need to file claims for reimbursement.
Choose the Plan That’s Right for You and Your Family
There are several options to consider when looking for the right health insurance plans for Michigan individuals and families. If you’re unsure of which plan is suitable for you and your loved ones, we can help you determine which type of coverage is ideal. You won’t need to worry about remaining without coverage with the help of our complete plans.
Buying a Health Insurance in Michigan
The first thing you need to determine is your budget. Look for a health plan within your financial range, or simply tell us your needs and budget so we can find a plan that’s right for you. Contact us to get a free quote, and we will evaluate all of the options you have.
Make sure to look at the out-of-pocket costs so that you can cover any additional expenses. Once you’ve received all of this information, calculate the average costs and choose a coverage that works best.
Does Michigan require you to have health insurance?
As one of the US states, Michigan is part of the Affordable Care Act, which states that every citizen needs to have health insurance. However, things aren’t that simple. The federal tax penalty people had to pay for not having health insurance has been canceled.
Simply put, citizens of Michigan can report that they don’t have coverage on their federal tax returns without any penalties. There are also no state requirements for Michigan medical insurance plans meaning that going without coverage won’t cause you any harm.
How do you get health insurance in Michigan?
There are a couple of ways you can get Michigan health insurance plans. First of all, you can get government insurance by applying on the Michigan government’s website. You can also go to the nearest Department of Human Service office.
However, government insurance doesn’t offer a lot of options for different families and income levels. It’s best to go to a private insurance agency and go through their offers to find the best-suited coverage for your needs.
Can I buy private health insurance at any time?
No, the Affordable Care Act open enrollment is 11/1 thru 12/5 annually. Special Open Enrollment Periods are available for only for certain circumstances.
What is better, PPO or HMO?
There isn’t a simple answer to which one is better. It all depends on the situation of your family and your needs. In general, PPO plans offer more flexibility. You can get help from primary care physicians or specialists out of the network.
HMOs offer in-network coverage for physicians that need to give referrals to specialists. If you are not referred, you won’t get coverage. HMOs are better if you need a primary care provider to rely on to pay higher deductibles.
PPOs have a higher cost out-of-pocket, but you have a larger healthcare provider network at your disposal.
Individual and Family Michigan Health Insurance Plans at Melton McFadden
In addition to health insurance, we can also provide other insurance coverage types for you and your family, including life and home insurance policies. We’ll help you find what you’re looking for in the perfect insurance plan that gives you what you need.
Learn more about our plans by contacting us today and request a quote to get started on receiving coverage.
Melton McFadden also offers small business insurance in Michigan for all of your business needs, including liability.