Benefits of the One Plan Health Insurance Health Plan

Planning ahead for your future is easier said than done, especially when it comes to making sure that your future health is in good hands, and unfortunately many South Africans believe that proper health care is far out of their reach, and financial bracket.

But worry no more, as One Plan Health Insurance is aiming to prove this perception wrong by offering affordable and comprehensible health care to all South Africans. And with various plans available there is sure to be one to suite your needs and your pocket.

Here is a look at the comprehensive Health Plan from One Plan Health Insurance.

What the One Plan Health Insurance Health Plan Offers You

For only R 245 a month a single member on the One Plan Health Insurance Health Plan will receive R8 210 worth of cover per year. This includes doctor and dentist visits, scripted medication, repeat scripted medication, radiology, pathology and maternity and pre-birth care.

A couple can enjoy all of these benefits for only R 490 and a couple with one child will only have to pay R680 to ensure that their entire family is covered.

Under this plan you will also enjoy great eye care benefits, including a frame, comprehensive eye test and specially cut lenses. You will also enjoy the benefits of the Personal Protection Program, which means that in the case of crime related traumas you will be able to receive telephonic or face to face counselling, trauma related legal assistance and in the case of domestic violence you will have access to shelter facilities.

You will also be covered in the case of accidental exposure to HIV and will be give two free blood tests and 31 days free anti-retroviral or prophylactic treatment. This means that the One Plan Health Insurance Health Plan covers you and your family in the vent of almost any medical issue.

And by using your Onecard you will have your benefits paid directly to your card, where you will be able to use it at any medical facility.

Who Will Benefit from the One Plan Health Insurance Health Plan?

With the very competitive price of the One Plan Health Insurance Health Plan everyone under the age of 65 years will be able to benefit from the cover that it provides.

A value added bonus to all One Plan Health Insurance members is that you will get 24 hour access to their emergency helpline, and in the event of a justifiable emergency the insured member will be transported by ambulance to the nearest medical facility.

Dental Insurance and Individual Health Plans

One could rarely find and buy individual health plans that also cover dental care. There is useful information that people should know especially if they consider buying the policies separately.

It is estimated that about 45 million Americans currently do not own any dental insurance policy. Most non-elderly citizens who own individual health plans also own dental care policies. However, majority of people who buy health insurance plans on their own do not have dental insurance. This data is according to a report released by Centers for Disease Control and Prevention.

While individual health plans cover several added services like basic emergency care as well as costs of prescription drugs, they logically are not required to include coverage for adult oral care. However, for health care insurance policies for children, dental services are required.

In March 2010, reforms to the healthcare insurance were set. However, despite the push exerted by many advocates, that bill did not include a wider dental component. Supporters and proponents of the reform argued that individual health plans already cover costs for other pressing health conditions like diabetes and heart diseases.

About 75% of 172 million Americans under the age of 65 years (who own private health insurance policies) have dental insurance plans as well. Their employers mostly provide the health insurances. Among those with separate dental coverage, more than a quarter of them have comprehensive plans with dental insurance while a quarter have stand-alone plans. Some have both.

About 90 million American citizens own individual health plans through Medicaid and Medicare, which both do not offer dental care plans for adults. There is no figure available pertaining to public health insurance plans. Medicaid shoulders dental care for people under 21 years old. The insurer currently serves up to 45 million people belonging to the low-income group. However, such patients complain about troubles in finding accredited dentists.

A separate government-sponsored program provides dental care, albeit limited. It is the Children’s Health Insurance Program. As for the older people, they could always opt to purchase separate dental care policies from health insurers.

Do you look for health insurers that also offer dental care plans? Data from the Association for Health Insurance Plans reveal that there are only a few insurers that do so. Those include Cigna Corp, Aetna Inc, Assurant Inc, Humana Inc, and UnitedHealth Group Inc. The association represents up to 80 of overall dental insurance plans in the US. There are also health insurance plans that offer dental coverage as part of health policies. They include several and specific plans from MetLife, Principal Financial Group Inc, and Blue Cross Blue Shield Association.

Experts advise people to buy dental care insurance policies even if they already own individual healthcare plans. Purchasing separate plans is more advisable especially because it would be very hard, if not impossible, to find and buy health insurance policies that also include dental coverage.

Best Individual Health Plans For You

If you work for yourself, or if your company does not provide a group medical benefit, you probably need to shop for an individual health plan. This plan may just cover you, or it may also include your spouse and/or children. Insurers have developed many types of medical coverage to suit different types of customers, but it can be difficult to determine which plan will provide your family with satisfactory coverage at an affordable price. Let’s look at the major types of health insurance plans on the individual market today.

PPO (Preferred Provider Organization) – PPO health insurance plans are very popular because they have a network of medical providers to control costs, while allowing consumers to leave the network if they accept a lower level of coverage. In general, you will still get network coverage if you need to seek medical services for an emergency, even if you go outside the network. If your network does not provide a certain medical service which your need, they may also coverage that service at the network rate. However, you will need to get that service pre-authorized to be sure.
HMO (Health Maintenance Organization) – An HMO provides managed care where the health insurance company controls costs by only covering network provided health care. Again, an HMO will generally make an exception for emergencies or for certain services that are not included in their network.
HSA (Health Savings Account) – An HSA plan has two parts. One is a high deductible major medical plan, and the second is a savings account. HSA contributions can be deducted from taxes (within limits), earn interest, and roll over from year to year. The high deductible health plan may include a PPO network to help control costs.
Indemnity Health Insurance – This is a traditional health insurance plan that simply provides health insurance coverage for amounts over the deductible, and under the maximum specified in the policy.
Specified Benefit Plan or Mini Med Plan – The plans outline specific benefit amounts for different medical services. They may have lower deductible amounts than major medical plans, but tend to have much lower maximum limits for medical services.
So, which health plan is best for you? You need to consider your own expectations, needs, and budget. Your health insurance plan will not do you any good if you need to cancel it because the premiums cost too much. You may need to accept a higher deductible or more cost sharing than you desired in order to reduce monthly payments. When you buy health insurance on the individual market, you will certainly look at it differently than when an employer contributed a large portion of the premium.

If you live near a large HMO network provider, you may find that managed care really helps you control costs. However, many people enjoy the flexibility of a PPO because it still controls costs but does not require them to seek every treatment from the medical provider network. HSA plans work well for good savers because they allow the covered people to participate in the cost control process.