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FFS Plans for Self-Employed

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Not being answerable when you come in late and being your own boss are some of the perks that self-employed individuals enjoy.
But there is a downside to this bliss as well, especially when you consider that self-employed have to fetch for, as well as pay for their medical insurance.

This may seem like an easy task due to the overwhelming choice at your disposal when it comes to health insurance, but at times, choosing self employed health insurance that suits your needs can be either daunting or too time consuming. One of the easy choices that you may want to consider is Fee For Service (FFS) plans.
The main advantage that fee for service plans offer is that the insured has the freedom of choosing their doctor, hospital or medical care provider. Unlike other health insurance plans such as the managed care plans, the insured doesn’t have to go to a specified provider network of doctors or hospitals when medical care is needed. Many will definitely be enticed by the flexibility of the plan, however, it should be noted that this flexibility comes at a price; FFS plans are generally expensive and the premiums and deductibles of these plans can range from several hundred dollars to several thousands.
The premiums are generally high due to the fact that unlike managed care plans, where the managed network doctors charge a negotiated fee, the doctors are free to charge higher (at their discretion) fees due to the resultant non-regulation. Also, for the plan’s co-payment benefits to kick in, deductibles to the tune of thousands (in many cases) have to be met. It should be noted that these plans are not 100% coverage plans and the insured has to pay upfront at the point of service and then file a claim for reimbursement of the amount. The plans generally have an 80-20 or 75-25 arrangement where the health insurance provider reimburses the bigger percentage of the amount and the latter is borne by the insured. However, there are out-of-pocket caps to limit the financial burden as well.
The plans can be especially beneficial if you travel a lot for business. With other plans, you may have to take permission with a managed provider network or the insurance company before you see a doctor, should you get sick on your trip. Since with FFS plans you can see any doctor of your choice, all you have to do is pay for the medical expense upfront and then file a claim when you get back. This can save the self-employed a lot of time and hassle.
If you think that FFS for self employed serves the best of your interests and is beneficial to you, it might help in knowing that these plans are also known as ‘Indemnity Plans’ since they indemnify your health insurance needs. Again, it should be stressed that the flexibility of these plans is what makes them so lucrative, albeit their higher cost.