Southern California Large Group Health Insurance Varies From Policy To Policy

By Jeannie Monette


As an employee you may be eligible to be covered by Southern California large group health insurance. Your employer might offer an HMO, which is a health maintenance organization policy. HMOs impose a number of restrictions on the care covered.

The regulation most people object to is the one saying the insured has to use providers that are in the network of the HMO. A primary care physician has to coordinate the insured and all care he needs. This includes what hospitals he can go to.

All kinds of health coverage policies, from those that are provided by large-size employers to those that are managed by the government, are complicated. There are things the insured can and cannot do. One policy may require you to go to one hospital, or one doctor from a list of those who are approved.

Most now have a schedule of co-payments for the varied services and treatments. When someone gets a new job, the company may require a waiting period before they can get coverage. The employee pays a part of the premium in most cases.

There are some employers who make the employee pay the entire premium. Good coverage is one of the things prospective employees consider when applying for a job. Although expensive for the company, it attracts the best employees.

An employer must offer good benefits. However, he has to maintain a profitable business. An insurance company has requirements. Employees must work full time, which is 25 or more hours per week. Part time employees cannot be covered.

As for the number of employees who must participate in the group plan, fewer than 25 percent are allowed to decline. But, if they are covered by another policy, such as a husband or wife being covered by under another employer, that rule does not apply. An employer must cover at least ten percent of the monthly premiums.

There are plans that include vision and dental coverage. As for prescription medication, there are likely to be co payments required. Co payments are likely to be required on dental and vision coverage as well.

For residents in the state, Southern California large group health insurance will have a variety of features depending on the employer and the insurer. Knowing what is offered in the way of insurance benefits might help a prospective employee decide to accept a position. The employer is often willing to provide these higher benefits to obtain high quality employees.




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