Below you will find concise answers to frequently asked questions about health insurance coverage in Montana:
A large group health insurance plan is the best choice for businesses with over 50 employees in Montana. The key benefit of large-group health insurance plans is that they offer a significant discount when you purchase them.
Student health insurance plans are also available through large groups. People who cannot afford individual health insurance can benefit from this health plan. Other benefits include:
A perfect health plan for your company depends on what you and your employees want and how much you are willing to spend. The following are four popular types of health insurance plans:
The “Health Maintenance Organizations” (HMOs) are health care organizations whose members receive health care services through a network of medical providers contracted with the organization. Most HMO plans require employees to select a primary care physician (“PCP”) to handle the majority of their health care and refer them to specialists as needed.
An HSA-qualified plan is typically a PPO plan designed specifically for use with a Health Savings Account (HSA). HSAs are special bank accounts that allow participants to save money at pre-tax rates to use for future medical expenses. Due to their advantages for employers, Section 105 Healthcare Reimbursement Plans (HRPs) are often used instead of HSAs.
PPOs, or preferred provider organizations, are the most common insurance plans. The insurance company will pay at the full level if employees receive medical care from a doctor or hospital listed on the company’s preferred provider list.
With an indemnity plan, members can choose their own doctors and hospitals. Insurers cover the remaining charges. A company may require employees to pay upfront for some services and then apply for reimbursement from an insurance company.
A number of medical treatments and equipment are covered by health insurance plans in Montana, including surgeries, doctor’s visits, and prescription drugs.
However, some healthcare services, such as plastic surgery, for instance, are not covered by most companies because it is viewed as unnecessary. Vision or dental services are not covered by most healthcare plans, so they must be purchased separately.
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