It’s become increasingly important for companies to effectively manage health care costs recently, especially given the changes that come along with full implementation of the Affordable Care Act (also referred to as “Obamacare”). Many small and medium sized businesses are confused what their role is in the process is and the ways in which they can best leverage their own employer sponsored health plans for the benefit of their employees and their overall cost of doing business.
For over 25 years Taylor Benefits has helped companies manage employee health insurance and group benefits offerings across a wide array of industries in Milpitas. Here are some of our major plan offerings in the area.
A key difference between health care plans is whether the medical coverage is administered through a health maintenance organization (HMO) or a preferred provider organization (PPO). An HMO is a group of medical professionals from which a patient chooses a primary doctor that oversees all of their medical needs and provides referrals when necessary. A primary care physician (PCP) works as a patient’s “personal” doctor under the HMO arrangement and all health care goes through them.
With a PPO, the patient gets a choice among a group of doctors within a common network. Unlike an HMO, a primary doctor does not have to be chosen with a PPO and referrals are not required if you see another doctor that is in the same network. Going outside of the network does still sometimes offer coverage with a PPO, though the reimbursement is less.
Visit the Stay Smart Stay Healthy website for more information on the difference between an HMO, a PPO and other types of group medical insurance plans.
Advantages Of Employer Sponsored Coverage – From the National Business Coalition on Health, a resource that explains the benefits and drawbacks of offering group health insurance and benefits to employees.
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