Health Insurance Options for Small Business Owners



There are many health insurance coverage options open to your small business. Each option comes with its own pros, cons and varied costs. 

What are the differences between small business health insurance options? 
  • Provider network size
  • Cost of premiums
  • Out-of-network coverage
  • Referral requirements
Here’s what those choices look like in the four most common types of health insurance plans.

PPO (Preferred Provider Organization)

A PPO plan will typically have the largest premiums, but that’s because it also offers the most options. These plans come with large provider networks, meaning you have more options for doctors, hospitals, and specialists. They also provide out-of-network coverage and do not require referrals to see a specialist. PPOs are the most flexible health insurance plans and the most expensive.

HMO (Health Maintenance Organization)

HMOs are highly restricted health insurance plans with very small networks that require you to select a primary care physician or PCP prior to receiving care. So you may have a difficult time finding an appropriate doctor, specialist, or hospital. They do not cover out-of-network visits and require referrals from your PCP, but this means they are the most affordable option of the bunch.

POS (Point of Service)

POS plans are the most flexible because they can vary greatly depending on the insurance carrier and your needs. They offer similar options to a PPO, but usually with smaller networks and more limited out-of-network coverage. As for your premiums and referral requirements, those vary widely but fall somewhere between a PPO and HMO.

EPO (Exclusive Maintenance Organization) 

EPOs are mid-range health insurance plans that fall somewhere between PPOs and HMOs. They offer many of the same benefits of a PPO, including no need for a referral and large provider networks, but they do not provide out-of-network coverage. This means you still pay high premiums, but the cost is typically less than a PPO though higher than an HMO.

Apart from all of this, family health insurance in Lancaster is another option which will help you to choose the right plan according to your budget.

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