Group Major Medical Plan Options
IHA Health IS (I)nsurance for (H)ealthly (A)mericans.
IHA Health offers four comprehensive major medical plans. These plans are specifically designed for Independent Contractors and Owner Operators across the country, providing a competitive choice to the ‘Affordable Care Act’ (Obamacare) exchange programs, with a strong PHCS/Multiplan National Provider Network. If you are an Independent Contractor or Owner Operator in good health and want a health plan that has comprehensive coverage, great networks, and affordable premiums, IHA Health has exactly what you are looking for.
NO Limited Networks.
Glossary of Terms
Coinsurance: A part of the insurance in which the insured (you or you insured family member) pays a share of the payment made against the claim (bill from provider).
Copay: A specific charge that your health insurance plan may require that you pay for a specific medical service or supply. For example: Your health insurance plan may require a copay for an office visit or brand name prescription drug, after which the insurance company often pays the remainder of the charges.
Deductible: A specific dollar amount that your health insurance company may require that you pay out-of-pocket each year on medical expenses before your health insurance begins to make payments for claims. Individual is for the plan with member sign-up only. Family is for the member plus all family to be insured on the plan.
HSA: A specific type of a PPO health insurance plan, generally having lower premiums and higher deductibles than a traditional PPO health insurance plan. This plan requires deductibles to be paid in full prior to health insurance making payments for claims. This includes regular doctor visits and prescriptions. This plan is also qualified for a Health Savings Account that may give end-year tax reduction benefits. Please consult your tax advisor. The IHA does NOT offer a Health Savings Account benefit.
Network: With a network plan, you’ll need to get your medical care from doctors or hospitals in the insurance company’s network for the best benefit. Services rendered by out-of-network providers may not be covered or may be paid at a lower level.
Out of Pocket Maximum: An annual (contract or calendar year) limitation on all cost-sharing for which patients are responsible under a health insurance plan. This limit does not apply to premiums, balance-billed charges from out-of-network health care providers or services that are not covered by the plan. Individual is for the plan with member sign-up only. Family is for the member plus all family to be insured on the plan.
PPO: Preferred Provider Organization. A type of health insurance arrangement that allows plan participants relative freedom to choose the doctors and hospitals they want to visit. Highest savings to the insured will be providers with in the plan network.
Preventative: Medical care rendered not for a specific complaint but focused on prevention and early-detection of disease.