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Family or individual health insurance can provide the important protection needed in the
event of illness and for regular preventive insurance care. Health insurance plans that allow you the most choices in doctors and hospitals also tend to cost more than plans that limit choices. Family and individual health insurance plans that help to manage the care you receive, such as PPO and POS plans, usually cost you less, but you must give up some freedom of choice. |
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Learn more about HMO, PPO, and POS managed health care
insurance plans below or click on the link for additional information on Major Medical health insurance. |
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Subscribers to an HMO receive medical services from participating
physicians, clinics and hospitals. You choose a primary care physician (PCP) from a list of participating doctors. That doctor is used for typical circumstances such as annual exams and usual health issues. If you need to see a specialist, be hospitalized, or have lab or X-ray work, your doctor will refer you to a provider or facility within the HMO system. Your doctor must give authorization for those services to be covered by your HMO. In other words, you must see HMO approved physicians and use HMO approved facilities or pay the entire cost of the visit yourself. |
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Like Point-of Service (POS) and PPO's, HMO's have made
arrangements for lower fees with a network of health care providers and give their policyholders a financial incentive to stay within that network. |
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You may have to pay some portion of the cost (co-payment) for each
office or hospital visit, such as $20 - $30 per doctor visit, regardless of what the services cost. Also, some services such as emergency room, mental health and chemical dependency services, may carry additional costs in an HMO health maintenance plan. |
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You can see any health care professional in the network any time you
choose to make an appointment. You don't need referrals for specialists or other services as you do in an HMO. You can see doctors or specialists outside your PPO network, however, your portion of the costs will be higher. |
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Less restrictive than an HMO or PPO, a (POS) or Point of Service plan
lets you see any licensed health care professional for anything covered by the insurance. Care you receive from out-of-plan health care professionals is reimbursed, but you must pay an often times much higher co-payment or deductible amount. While you may choose to see a physician outside the network, if you don't receive permission from your (PCP) primary care physician, you're likely to end up submitting the bills yourself and receiving only a small reimbursement - if any.
Costs that exceed your deductible are covered by a co-insurance plan in
which you and the insurance company share the cost for services covered by the policy. |
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Copyright 2003-2008 Kapatoes Insurance Services - All rights reserved
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Answer a few questions and we will
provide you with a quote from our exclusive insurance program specifically designed for Health Food and Vitamin stores. Use the menu above to reach an insurance quote request form. |
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Kapatoes Insurance Services
705 Boston Post Road
Suite 8
Guilford, CT 06437
203-453-0392
Toll Free: 1-888-467-3330
Fax: 1-888-453-5755 (toll free)
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Substantial Group Discounts
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Up to 50% off of standard
insurance company pricing for Workers Comp Insurance and Business Owners Insurance! |
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(Discounts vary by state)
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We are licensed in all of the states listed below and offer an exclusive
insurance program designed specifically for Health Food Store and Vitamin Store businesses. |
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Individual / Family Health Insurance Services
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Click on the link below to fill out a quote form for a
health insurance policy that will provide exceptional insurance protection for you and your family at an affordable cost. |
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HMO Health Insurance Plan Overview
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* Must get a referral from your PCP to visit
a specialist
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* Fixed monthly fee
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* Preventive care emphasis
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* Primary care physician (PCP) coordinates your
total care |
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PPO Health Insurance Plan Overview (Family or Individual)
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* Convenient access to quality health care
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* Large and diverse network available of primary care physicians,
specialists, hospitals & clinics. |
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You may have to pay some portion of the cost (co-payment) for each
office or hospital visit, such as $20 - $30 per doctor visit, regardless of what the services cost. Also, some services such as emergency room, mental health and chemical dependency services, may carry additional costs in a PPO health insurance plan. |
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* Pay for services as they are provided
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POS Health Insurance Plan Overview (Family or Individual)
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* Preventive care emphasis
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* Pays benefits for out-of-network care, but at a lower level
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Also, some services such as emergency room, mental health and
chemical dependency services, may carry additional costs in a POS health insurance plan. |
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Individual Insurance
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Health Insurance
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Commercial Insurance
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The Country's Largest Insurance Broker for Retail Health Food Stores & Vitamin Stores
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Kapatoes Insurance Services
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Health Food Store & Vitamin Store Insurance Specialists
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Request a Quote Here!
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Individual Health Insurance
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