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Health Insurance Plans

You have many choices when it comes to the types of medical coverage's available.

Finding the right health insurance plan is important for ensuring you have sufficient health insurance coverage at affordable premiums & out of pocket expenses. Individual health insurance policies vary and are best suited for an individual whose employer does not offer any, or adequate, small group insurance or group insurance coverage. We work with over 25 of the nations best medical insurance companies and offer plans that can be tailored to individual needs and group business insurance requirements.

Small Group Medical Insurance

  • for smaller businesses with 50 employees or less. While individual health insurance plans can deny coverage or increase rates to a specific individual due to poor medical conditions, a group medical plan cannot. Insurance companies must accept the entire group or none at all, and they cannot increase rates to one individual. With group insurance plans, there is strength in numbers.

Fee-For-Service Policies

  • the least restrictive plans
  • employees can choose the care provider of their choice
  • May have higher out-of-pocket expenses
  • If employees prefer preventive care and low out-of-pocket expenses, a managed care plan may be better suited

Managed Care

  • More affordable if the insured stay within their network of care providers
  • Restriction to doctors and hospitals within a managed care network (may be an issue for some employees)
  • higher out-of-pocket expenses for freedom of choice

If your employer does not offer group insurance, or if the insurance offered is very limited, you can buy an individual policy. Plans include: 

  • Fee-for-service
  • HMO
  • PPO
  • POS

Fee-for-Service (Indemnity) Health Insurance

  • Traditional health care policy
  • Insurance companies pay fees for the services provided to the insured
  • Offers the freedom to choose doctors and hospitals
  • Can change doctors at any time
  • Can use any hospital in any part of the country
  • Generally a yearly deductible is charged and a percentage of costs above the deductible are covered. An example might include a $250.00 deductible and 80% coverage once the deductible is reached

HMO (Health Maintenance Organization) Coverage

  • Prepaid health plans
  • Monthly premium pays for the HMO to provide comprehensive care for the insured, including doctor visits, hospital stays, emergency care, surgery, lab tests, x-rays, and therapy
  • Care is provided directly in its own group practice or through doctors and other health care professionals under contract
  • Limited choice of doctors and hospitals to those under agreement with the HMO (exceptions can be made in emergencies or when medically necessary.)

PPO (Preferred Provider Organization) Coverage

  • A cross between traditional fee-for-service and an HMO
  • Like an HMO, there are a specific doctors and hospitals from which to choose
  • Can use doctors who are not part of the plan and still receive some coverage
  • Best for individuals who want an HMO style prepaid plan, but want a doctor that is not part of the network
  • Geared towards preventative care
  • Includes a broad range of services

Obtaining Sufficient Medical Coverage

Whether you are a business owner or an individual, obtaining the right medical insurance coverage is crucial. Our team of professionals can help you put together the right health insurance plan for your specific needs. To get started, give a Lighthouse Insurance representative a call today at 1-888-399-0300!

 
 
 
 
Wantagh
3245 Merrick Rd.
Wantagh, NY 11793
Phone: (516) 541-9600
Email Office

Westbury
976 Old Country Rd.
Westbury, NY 11590
Phone: (516) 338-0001
Email Office

Deer park
1456 Deer Park Avenue
North Babylon, NY 11703
Phone: (631) 274-3500
Email Office
Ronkonkoma
218 Ronkonkoma Ave
Lake Ronkonkoma, NY 11779
Phone: (631) 580-7000
Email Office

Patchogue
259 Medford Avenue (Route 112)
Patchogue, NY 11772
Phone: (631) 289-6400
Email Office

Shirley
960-B Montauk Highway
Shirley, NY 11967
Phone: (631) 399-0300
Email Office
Rocky Point
678 Route 25A
Rocky Point, NY 11778
Phone: (631) 821-0700
Email Office

Westhampton
51 Montauk Highway, PO Box 167
Westhampton, NY 11977
Phone: (631) 288-0008
Email Office

Riverhead
21 West Main Street
Riverhead, NY 11901
Phone: (631) 369-9600
Email Office
Islip
241 Islip Avenue (Route 111)
Islip, NY 11751
Phone: (631) 581-0100
Email Office

Selden
1200 Middle Country Road
Selden, NY 11784
Phone: (631) 696-0003
Email Office

Southampton
1730 North Highway
Southampton, NY 11968
Phone: (631) 283-7000
Email Office
 
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