Prepaid Plans

Prepaid plans in insurance are health plans that require the payment of a fixed amount in advance to cover specific medical services. These plans are often used as an alternative to traditional health insurance and are particularly popular among people who don't have employer-sponsored insurance or who can't afford the premiums for traditional insurance plans.

Here are some key features of prepaid plans:

• Prepayment: In a prepaid plan, the policyholder pays a fixed amount upfront to the health care provider or insurance company to receive specific medical services.

• Limited coverage: Prepaid plans typically cover a limited set of medical services, such as basic medical care, preventive care, and routine checkups. They may not cover more expensive or specialized services, such as hospitalization or surgery.

• Network restrictions: Prepaid plans often require policyholders to use a specific network of health care providers in order to receive covered services. Policyholders may be required to choose a primary care physician from within the network, who will refer them to specialists as needed.

• Cost savings: Prepaid plans can be less expensive than traditional insurance plans because they limit the services that are covered. However, they may not provide as much coverage as traditional plans, and policyholders may still be responsible for some out-of-pocket costs.

• No deductibles or copays: Prepaid plans may not require policyholders to pay deductibles or copays for covered services, but they may have other restrictions or limitations.

An example of a prepaid plan is a health maintenance organization (HMO). In an HMO, policyholders pay a fixed monthly premium and are required to use a specific network of health care providers. They may need to choose a primary care physician and get referrals to see specialists. HMOs often cover basic medical care, preventive care, and routine checkups, but may not cover more expensive or specialized services.

Next Up

The latest economic release from the Bureau of Labor Statistics reports that the U.S. added 175 thousand new jobs last month, while the unemployment rate ticked up to 3.9%.
‍Each month, Mployer Advisor collects and presents some of the most relevant and most pressing recent changes in law, compliance, and policy in areas related to employee benefits, health care, and human resources. 
The average US employee costs their employer about $45.42 per hour in total compensation expenses with a little more than 30% of that expense going toward employee benefits and perks.