Guide to Buying an Individual Health Insurance in Texas

Individual health insurance is coverage that you purchase for yourself or your family. It doesn’t matter whether you are self-employed, between jobs or work for a company that doesn’t offer an adequate healthcare coverage; individual health insurance plan is an affordable way to ensure that you have the coverage for your individual health insurance in Texas to protect you and your family from those unforeseen medical expenses.

Why Individual Health Insurance?

Individual health insurance plans are often much more affordable than group insurance plans, which makes them an ideal option for not only individuals but also for small businesses. There are a variety of plans available which helps you to meet your financial and benefit level requirements. A person can purchase different types of health plans depending on his/her needs and number of dependents.  Finding difficulty in choosing the best individual insurance plan in Texas? Seek the assistance of a health insurance agent or broker to guide you through the process.

Types of Individual Plans

There are various types of affordable plans that are available to meet your particular health care needs. Few of these plans are listed below to give you a better idea of it.

  • Indemnity plans: This plan offers you the flexibility to choose your doctors. The only limitation of this plan is the amount of reimbursement that an insured party can receive to cover their medical expenses. The reimbursement amount can range from per day cost and set percentage to the actual amount of the medical expenses.

  • Health management organizations: Under this insurance plan you will be assigned a primary care physician (PCP) who’ll be managing all your health care needs. In case you need to see a specialist or someone else, you will need a referral from your PCP for the same. Any other treatment received outside this network is generally not covered or is covered at a significantly decreased level.

  • Preferred Provider Organizations (PPOs): In this plan, the insurance provider has a contract with a network of hospitals and doctors who provide their services at a negotiated rate. Therefore, insurance holders have access to any PPO provider in the network whether it’s a primary care physician or a specialist. PPO members can go to doctors and hospitals outside the PPO network, but they will have to pay a higher cost for the same. Hence, this is a great plan for someone who’s looking for affordable and flexible insurance.

Important Note

A health insurance agent or a broker based on their knowledge and expertise helps you to glide through the available options and purchase the best individual insurance plan in Texas.