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Sunday, 13 October 2013

Southern California Large Group Health Insurance Varies From Policy To Policy

By Jeannie Monette


There is more than one way you can obtain Southern California large group health insurance. If you are not eligible for a plan sponsored by the government, you can get a health maintenance organization, known as an HMO policy. There are restrictions imposed by an HMO that many people do not like.

The regulation most people object to is the one saying the insured has to use providers that are in the network of the HMO. A primary care physician has to coordinate the insured and all care he needs. This includes what hospitals he can go to.

The dictates of any insurance policy regulations, tell what the insured employee may or may not do. An employer will choose from available plans. A plan may say you have to be treated in a specific hospital. It may have a list of approved doctors.

Most now have a schedule of co-payments for the varied services and treatments. When someone gets a new job, the company may require a waiting period before they can get coverage. The employee pays a part of the premium in most cases.

There are some employers who make the employee pay the entire premium. Good coverage is one of the things prospective employees consider when applying for a job. Although expensive for the company, it attracts the best employees.

An employer must offer good benefits. However, he has to maintain a profitable business. An insurance company has requirements. Employees must work full time, which is 25 or more hours per week. Part time employees cannot be covered.

No more than 25 percent of all employees can decline insurance coverage unless they are covered under another policy, for example, a spouse covered under the policy of the marriage partner. The employer has to pay ten percent or more of the premium.

There are plans that include vision and dental coverage. As for prescription medication, there are likely to be co payments required. Co payments are likely to be required on dental and vision coverage as well.

For individuals living in the state, a Southern California large group health insurance will be a major advantage to them as employees. The employer and the insurer agree on what the group policy will cover. A prospective employee may choose to take a job based on the quality of the insurance benefits. Often a business owner will be willing to provide more coverage to attract employees who will enhance his business profitability.




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