Employee Medical Benefits
Health Insurance continues to be the most scrutinized benefit in the country. Employers face a unique set of challenges today as demographics shift and medical costs continue to rise. There are many medical products available to you, each with its own unique characteristics. JayMar Insurance Agency will assist you in determining the plan or plans that best suit your business needs and the needs of your employees.
There are basically four types of Medical plans, HMO’s, EPO’s, POS and PPO plans. Dual Choice plans and CDHP’s use these plans as a foundation for their program.
Health Maintenance Organizations (HMO’s)
HMO’s are networks of medical care providers that consist of primary care providers, (PCP’s), specialists, hospitals and ancillary providers. Coverage is only available when using the in-network providers, except in an emergency. It is usually the least expensive approach as the patient has the lowest level of freedom with provider care selection.
Exclusive Provider Organizations (EPO’s)
EPO’s are an excellent alternative to the lower cost HMO plans if the insured does not want referrals as a part of their plan.
Point of Service (POS)
POS plans include an HMO element for the in-network benefits and also provides out-of-network coverage.
Preferred Provider Organization (PPO)
PPO plans include coverage for in and out-of-network services and no referrals are needed.
Dual Choice Plans
Dual Choice plans are used to best meet the needs of all employees and provide an excellent overall approach to reducing health care costs compared to PPO plans. Employees have a choice at the beginning of each plan year as to which plan they want for the upcoming year, the HMO or PPO.
Consumer Driven Health Plans (CDHP)
CDHP’s are designed to engage employees to better understand and manage their own health expenses
JayMar Insurance Agency Helps You Choose the Right Plan
The most important goal we want to achieve is to provide you with the best coverage for yourself, your employees and their families at the lowest possible cost. We will review the demographics of your employees, specifically their zip code location to make sure that the network (or networks) under the Medical plan (or plans) being considered, will give each person the maximum coverage available. In certain circumstances, a dual option plan could be the most effective program for your company as it offers each employee a low cost alternative (HMO or HSA plan) along with a higher cost alternative (POS or PPO) that could be subject to employee contributions through payroll deductions.
JayMar Insurance Agency will work closely with you to help manage the process of choosing the right plan through the implementation and communication processes.
Request A Quote From JayMar
Request a quote from JayMar Insurance Agency by supplying us with some basic information pertaining to your interests and your contact information. We will respond to you promptly by setting up a meeting for a no cost-no obligation review of your insurance plans.
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