|
Group Health
Insurance Offerings
Health Maintenance Organizations (or HMOs)
With an HMO, you receive a range of health benefits for a set
fee. Generally, there are no deductibles – but most plans
require a small copay per office visit (around $10-25). You must
choose a primary care physician from the plan’s list. This
doctor becomes your “gatekeeper” for all your medical needs.
This is the doctor you call or see when you are sick, and he or
she will refer you to a specialist or other providers within the
HMO network. With most HMOs you will not receive benefits if you
go out-of-network, except for emergency care.
Types of HMOs:
- Staff Model HMO
A form of HMO in which doctors are employees of the HMO and
you see them at a central medical facility.
- Individual Practice Associations (IPAs)
Here, an HMO contracts with outside physician groups or
individual doctors who have private practices. This means
the HMO network will include doctors in various locations
rather than only at a central facility.
Preferred Provider Organization
(PPO)
This isn't an HMO, but it is another type of managed care. In
this system, you may seek treatment from an approved network of
providers, or may see other providers outside the network.
Usually, you will pay small copay and satisfy a deductible
before benefits are paid. Then you’ll pay a set coinsurance
amount. It’s less expensive to visit one of the providers in the
plan’s list. You can go outside the plan’s list, but your share
of the bill will be higher.
Point of Service (POS)
A hybrid of the HMO and PPO is known as a POS plan. Like a
standard HMO, your primary care doctors make referrals to other
providers within the plan. But if you want to go to a physician
outside the network without consulting your primary care doctor,
the POS plan will pay a predetermined amount of the bill and
your share of the bill will be higher than it would if you stay
in-network. These plans usually cost more in monthly premiums
than straight HMOs, but they give you the flexibility to call
any doctor – within the plan or not.
Las Vegas
Health Savings Account Qualified Group Plans
A Las Vegas High Deductible Health Plan (HDHP) with a Health
Savings Account (HSA) provides traditional medical coverage and
a tax free way to help you build savings for future medical
expenses. The HDHP/HSA gives you greater flexibility and
discretion over how you use your health care benefits - Great
for the Self-Employed here in Las Vegas.
The HDHP features higher annual deductibles (a minimum of $1,100
for Self and $2,200 for Self and Family coverage) than other
traditional health plans. The maximum amount out-of-pocket
limits for most Health Savings Account Qualified HDHPs in 2007
is $5,500 for self and $11,000 for Self and Family enrollment.
Depending on the HDHP you choose, you may have the choice of
using in-network and out-of-network providers. Using in-network
providers will save you money.
While HDHPs with Health Savings Accounts may seem similar to
health care flexible spending accounts (FSAs) and traditional
insurance, because both enable you to pay for eligible medical
expenses with tax-free dollars, the funds in an HSA can
accumulate without limit year after year, while the funds in a
Flexible Spending Account must be used every year or else they
are forfeited
Las Vegas Group Dental and
Vision Plans
Not all Dental and
Vision Carriers are created equal. And as your Insurance
Broker, we are committed to you getting the best plan for the
dollars. Be it an HMO, PPO or Indemnity style dental plan, our
goal is to make sure the dentist you trust are members of the
plan you choose. Dental and Vision Insurance can also be
offered as Voluntary Products which can also be a way for
employers to offer these plans while lowering their insurance
premium obligation.
|
Guaranteed
Issue Group Life Insurance
Without
adequate life insurance, millions of people may be
exposing their families to potential financial
hardship. Because there is an increasing focus on
the need to save and prepare for retirement, many
Americans may neglect to plan for their family's
financial well-being due to the risk of premature
death. This is why, as an employer, offering your
employees the ability to purchase additional
protection can be a valuable part of your employee
benefit package. And, because this is group life
insurance, it can placed on a "guaranteed issue"
basis for both the employees and their dependants
Guaranteed Issue Group Short
and Long Term Disability Insurance
Long and Short Term Income
Protection insurance offers benefits that recognize
and support the realities of daily life which are of
true value to employees, whether or not they have a
disability. Whether the package you choose is
voluntary or employer sponsored, it's an affordable
way for your employees to help protect their incomes
and lifestyles from the impact of disability. These
insurance packages can be designed to easily
integrate with one another - maximizing disability
management and return-to-work support through early
intervention. With the various carriers available
we can provide choice and flexibility with creative
benefit solutions that support a broad spectrum of
employee needs, while providing the tools to
effectively control costs
Partially and Fully Self-Insured Plans In Las Vegas
As
your Insurance Broker we have found that
Self-Funding can be a successful alternative for
Employers to control rising health care costs.
While flexibility in making key decisions on
benefits, administration and funding are attractive
to most employers; limiting liability can be
problematic. Partial Self-Funding / Self-Insurance
with Stop Loss Coverage is an attractive alternative
for cost conscious employers in choosing an employee
benefits plan.
The advantages of self-funding
are numerous. Most importantly, the employer is
able to develop the flexibility it desires in making
key decisions on benefits, administration and
funding. Control as to what will be covered and
what will not, allows the employer to exclude or
limit certain vaccinations, drugs, behavioral
diseases such as obesity or alcoholism, or
infertility. The key is the employer has the
ability to tailor the plan to meet the specific
needs and budget of the employer
Voluntary and Supplemental Employee Benefits
Sometimes referred to as
voluntary insurance, supplemental means the
insurance is offered in addition to an employer's
core or standard benefits. Employers can offer core
benefits plus a menu of supplemental products to
give their employees an enhanced benefits program.
This gives "choice" back to the employees by
allowing them to create a benefits package that
whelps meet their specific needs. The employees
choose and pay for supplemental benefits and the
premium is typically deducted from their paycheck.
As your Insurance Broker, we can help you select the
best voluntary insurance providers and the plans
which would best suit your employees needs
Please Complete the below form for your Free Las
Vegas
Group Health Insurance Quote |
|
