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You also have the option to get health care insurance directly from an insurer or through a private exchange. Medicare is the federal health insurance program for people who are 65 or older, certain younger people with disabilities and people with end-stage renal disease. Learn more at medicare. Learn more at medicaid. When choosing a plan, there are many factors that affect the overall price of a plan and costs you may pay:. Health insurance plans have different requirements for you to receive coverage.

For some, you must stay in network to get coverage except for emergencies , while others offer lower costs to encourage you to stay in network. Some plans also require a referral for procedures and specialists. According to healthcare.

It generally won't cover out-of-network care except in an emergency. An HMO may require you to live or work in its service area to be eligible for coverage. HMOs often provide integrated care and focus on prevention and wellness. Preferred Provider Organization PPO : A type of health plan that contracts with medical providers, such as hospitals and doctors, to create a network of participating providers. You can use doctors, hospitals and providers outside of the network for an additional cost.

POS plans also require you to get a referral from your primary care doctor to see a specialist. When considering what type of plan may work best for you, consider trends in how you and your family use health care.

Accepted Insurance Plans. Patient Resources. Where to get health insurance Many people have access to health insurance through their employer.

What to know about your cost for health insurance When choosing a plan, there are many factors that affect the overall price of a plan and costs you may pay: Premium : This is the monthly amount you pay for your coverage. Deductible : This is the amount you pay for covered services before your insurance plan pays a portion of your bills. This typically resets each year. Co-pay : This is a set amount you are responsible to pay at the time you receive a certain service or medication.

Your plan may have an out-of-pocket maximum for in-network services and another out-of-pocket maximum for out-of-network services. In-network facilities and doctors : If you are choosing a plan, you should verify your preferred providers are in network with the plan.

Check with the plan to get a list of doctors and facilities that are in network. Types of plans Health insurance plans have different requirements for you to receive coverage. Questions to ask yourself When considering what type of plan may work best for you, consider trends in how you and your family use health care.

Does the plan give you access to any current providers you see and would like to continue seeing? Do you need to see specialists often and prefer to access them without a referral? Or would prefer your primary care physician to provide a referral?

Because of your location, do you need to see providers that are out of network to get the care you need? National coverage determinations. Learn about the special needs plans SNPs we offer in select states and the critical role you play in the care of our SNP members. Special needs plan presentation , opens new window. Quality materials. Medicare and Medicaid information This webpage offers publications and other information for healthcare professionals who treat patients with Humana Medicare, Medicaid and dual Medicare-Medicaid coverage.

Provider manuals. Other resources. National coverage determinations Special needs plans presentation Learn about the special needs plans SNPs we offer in select states and the critical role you play in the care of our SNP members.

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