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Tips for Navigating Corporate Health Care Plans

Filed Under  Products & Services

With more and more individuals encountering health care questions and concerns, even navigating your corporate or group health plan may seem daunting. Here are some tips for navigating your health care plan and what options may be available to you outside of a traditional group plan.

What is a Group Plan?

A group plan is a benefit plan for employees created and maintained by an employer providing medical care to employees. Dependents can also receive coverage through this plan if opted in either directly through the plan insurance, reimbursement, etc. A group plan may also cover employee organizations and unions.

Is A Group Plan Right For You?

Options for group plans vary by employer with other health plan options available outside of employee group plans. Coverage may be available through an insurance company, a health maintenance organization (HMO) or even through a student or professional organization. Other health insurance plans are preferred provider organizations (PPOs) and point-of-service organizations (POS). Finding the best fit for you and your dependents depends on many factors and is a personal decision with no right or wrong answers.

What to Be Aware Of When Joining a Group Health Plan

No matter the health care coverage you choose, take note of any breaks in coverage. This can also occur when changing coverage. Try to avoid any significant breaks (60 or more days) in coverage which can lead to high medical bills in case of an emergency and can especially affect those with a pre-existing condition.

Whether you’re just starting out in the job market, re-entering the workforce or transitioning to a new position, adding the stress of choosing the right health care plan can be overwhelming. For more information regarding your group health plan offerings for various employment scenarios visit the Department of Labor site.

If you have specific questions regarding your group health plan or need assistance wading through health care paperwork, a Member Advisor can help. Call for more information today.