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Providing Health Insurance

in Jacksonville & Northeast Florida

If you've ever been injured or sick, you certainly know the importance of having health insurance.

The many types of health insurance is generally available through employee groups and to individuals. Or maybe you’re a Senior citizen with Medicare who wants supplemental health insurance or a Prescription drug plan. And there are many types of health coverage. Maybe your employer offers several health plans and you must select. Perhaps you're undergoing a major life change, such as retiring or starting a family, and you want to examine your health coverage options. Or maybe you're an older person with Medicare who wants supplemental health insurance.

Choosing the right health coverage is not always easy because health plans can differ widely in service, choice of providers and out-of-pocket costs. But the more you know, the easier it will be to decide which plan fits your needs, situation and budget. George Koury & Associates can help streamline the process and help you to make the right decisions for yourself, your family and even your business.

Types of Health Plans

Traditional, fee-for-service plans Medicare Supplement Plans
Managed care plans Temporary Health Insurance
Health Maintenance Organization (HMO) Other Health Insurance Plans
Preferred Provider Organization (PPO) Self-funding & Partial Funding Plan
Point-Of-Service (POS) Plan    
Traditional, fee-for-service plans are traditional health insurance plans in which you pay a monthly premium to an insurance company. You also pay part of the cost (co-payment) for health care services that you receive. Often, the insurer pays 80 percent, while you pay 20 percent, sometimes after paying a deductible. You may pay more for a fee-for-service plan, but there's a broader choice of providers than with a managed care plan.

Managed care plans can save you money over traditional health insurance and offer broader coverage, but your choice of providers is often limited. There are three main types.

Health Maintenance Organization (HMO)
- This type of plan provides health care in return for a fixed payment from you or your employer. There are several types of HMOs. A common feature is that you receive care from physicians who are affiliated with the HMO. Many HMOs require you to be referred by your primary care physician if you wish to see a specialist. However, many HMOs pay most of the cost of prescription drugs and preventive care, which most traditional insurance plans don't.

Preferred Provider Organization (PPO) - This health plan contracts with independent doctors and hospitals to provide care for plan subscribers. In return for bringing together subscribers and contract doctors, a PPO pays lower fees for the doctors' services. Subscribers may be able to see doctors outside this network but they may end up paying more.

Point-Of-Service (POS) Plan - Many HMOs offer this option which allows you to seek care outside the plan's network. You usually must pay an additional monthly premium and a higher percentage of the cost of your care for this option.

Medicare is a federal program that provides health insurance for people 65 and older, for some disabled people and for people with advanced kidney disease. Medicare Part A is funded entirely through a payroll tax and covers hospital, skilled-nursing and home-health care costs. If you qualify for Social Security, you qualify for Part A. In addition to Part A, you can opt to enroll in Medicare Part B. For a premium, Part B covers physician fees and costs of outpatient care and physical therapy.

Temporary Health Insurance can be a perfect solution for people who are:

Between jobs or laid off
Graduating from college
Waiting for group coverage
Dependents falling off their parent's health plan

No one plans to have an unexpected illness or accident happen to them. But let's face it - the unexpected does happen. That's why going without health insurance, even for a short time, puts you or your family at serious financial risk. Short Term Medical is a temporary health insurance plan (30-185 days) designed for people who are between permanent health plans.

You choose the plan that best meets your needs and budget. Simply select from your choice of deductibles, rate of payment options, and length of coverage. Since this plan is not an HMO or PPO, you choose your own doctors and hospitals. Short Term Medical can provide you with the peace of mind you deserve.

Other Health Insurance Plans Other types of health coverage through George Koury & Associates include:

Americans Traveling Abroad
Foreign Nationals Plan

For health insurance, contact George Koury & Associates for help in making the right decisions for yourself, your family and even your business.