If you are generally healthy (no major or chronic issues), live a low-risk lifestyle (minimal accidents, tears, fractures, breaks), and are responsible with your saving (to have savings to cover high copay and premium) consider the HDHP paired with an HSA. If you are concerned with high deductibles but still want flexibility to see specialists at will without the oversight of a primary doctor, try PPO. If you are bad with saving or extremely frugal and don't mind having the oversight of your primary doctor who can tell you where you can/can't go or what procedures you can/can't get, try HMO.
So true! As a European in one of many countries with universal healthcare, I truly feel sorry for Americans. 30 million of whom have no healthcare at all. Those who do are stuck with useless high deductible plans designed to make you pay most of the yearly costs with your own money. I have literally seen Americans right here on TH-cam literally pulling their own teeth with pliers, because they don't have dental insurance. As a matter of constructive criticism I think the American people have to demand a change. The problem is they are (by design it seems) focused on trivial matters, like conflict with LGBT/ trans etc.. While the real issues effecting the whole country are brushed under the rug. So.... apparently there is no money for universal heathcare in the U.S.. Yet, they can pull out a whopping 60 billion to fund an uinwinnable war in Ukraine? Americans don't know that in the rest of the world healthcare is not a luxury afforded to the privileged. It is a human right afforded to all. Even some developing countries have a form of universal heathcare, like Brazil and South Africa.
0:57 HMO's typically cost less, but give you fewer doctor choices 2:37 PPO's let you choose from lots of doctors but cost more 5:29 HDHP 5:58 HSA (Health Savings Account) 7:08 EPO (Exclusive Provider) - only contracted hospitals and doctors accept
amazing video for a beginner who knows nothing about health insurances since im about the choose a provider for myself. thanks for the insight and information. greatly appreciated :)
How is that evil are you retarded? Lol go get educated moron. Go to a communist or socialist country where you wait for 1 month to see a Dr. No! Medical in those countries is not free! Its called taxes. I swear you morons are so uneducated amd thats the real sadness that lingers
This video shows how a sad state of affairs the system has become, politicians should have the same options as us, maybe that will motivate to do something about it
HMOs are public defenders and ppos are your own attorney you pay outa pocket…SIMPLE…you get more with a ppo(OWN ATTORNEY) rather then hmo ( PUBLIC DEFENDER)!!
Great video........enrolling in medical benefits with a new employer right now! If you're needing to see multiple specialists in various domains, PPO is definitely the way to go since you can avoid continuous primary doctor co-pays by being forced to go through them as you would with the HMO plan. HMO is nice for those in small communities that generally stick to a doctor and don't require much outside of routine checks and tests. I love the flexibility of getting second opinions and not paying double co-pays, think I'll go for the PPO myself.
Same happens with me. It was well explained but for some reason I find it hard to grasp the concepts. In clinics and hospitals one needs to know all this
I think both are expensive either way, I just started my new job and hmo is ridiculously expensive here in nevada for me and my kids i paid 50 dollar less at my prior job for ppo which i prefer i dont like hmo because you have to go get referrals for everything I like the flexibility of ppo. Also it depends on the company you work for the jobs at the las vegas strip which is union way better only 60 per check for the entire family and co pays arent that bad either.
Can someone explain how an hdhp is good for those who hardly go to the doctor? Say the deductible is $2,000. If you hardly go to the doctor you’ll always be paying full price for everything assuming you never go over the $2,000 threshold.
You pay a low amount, but then a high copayment/ deductible, vs a high amount and a low copayment/ deductible. It’s all the same, it’s all a sham! you’re spending a bundle and getting minimum return in actual care. Lol
hi i just signe up with hmo i went from ppo to them one cuz the benefits were better do u have a copay for your meds pls pls reply i need to know before this takes affect thnx
Why do we put up with this? Some insurance companies are getting upwards of 70% of their income from tax dollars collected by the government, and given to them to "help" provide health care to the citizens. But we STILL have to pay premiums and deductibles to them, while they do everything in their power to keep from paying for the healthcare we've already paid for in multiple ways. PLUS, even if you're paying your taxes, you're not guaranteed to have insurance (outside of Medicare/Medicaid), as "The Affordable Healthcare Act (Obamacare) has a list of reasons for exemptions from having heath insurance. Eliminate the Insurance Middlemen, and then FAR MORE of our money comes back to us, and not into people collecting our taxes as bonuses for NOT providing us the healthcare we've paid for multiple times.
Describe the healthcare system in the United States; Explain the functions of BlueCross and BlueShield; Review how drugs are paid for; Discuss healthcare plans and how they are regulated; Outline the differences between healthcare in the US and Europe; Analyse the key reasons for rising healthcare costs in the US; Describe the functions of Medicare and Medicaid;
In-network refers to physicians and medical establishments that deliver patient services covered under the insurance plan. In-network providers are generally the cheapest option for policyholders. Insurance companies typically have negotiated lower rates with in-network providers. Out-of-network refers to physicians and medical establishments not covered under your insurance plan. Services from out-of-network providers are usually more expensive than those rendered by in-network providers. This is because out-of-network providers have not negotiated lower rates with your insurer. Links with more info about healthcare www.healthcare.gov/glossary/ www.kff.org/
Please don't limit your learning to this video alone. Health insurance is far too complicated to cover in 8 minutes, and this video neglects key aspects of health insurance. Keep learning with other resources!
HMO sounds like it should be our go to American health care plan with a little more open leniency on Physican Options, Hospital Networks and Available Tests. Kinda all for one, one for all
You wanna know what I think? there should be no acronyms and everyone should have open access to whatever the fuck they want. This video did a great job breaking it down, and did an even better job explaining how awful healthcare seems in a private system
If you are generally healthy (no major or chronic issues), live a low-risk lifestyle (minimal accidents, tears, fractures, breaks), and are responsible with your saving (to have savings to cover high copay and premium) consider the HDHP paired with an HSA.
If you are concerned with high deductibles but still want flexibility to see specialists at will without the oversight of a primary doctor, try PPO.
If you are bad with saving or extremely frugal and don't mind having the oversight of your primary doctor who can tell you where you can/can't go or what procedures you can/can't get, try HMO.
The most helpful comment 🙌 thank you!
Wow, thanks so much
Thank you Marvin! You are appreciated brother! Sending you love and health!
You rock ❤
American health insurance is trash. It’s all about how I want to get screwed over
😹😹so true
Exactly
basically lol
So true! As a European in one of many countries with universal healthcare, I truly feel sorry for Americans. 30 million of whom have no healthcare at all. Those who do are stuck with useless high deductible plans designed to make you pay most of the yearly costs with your own money. I have literally seen Americans right here on TH-cam literally pulling their own teeth with pliers, because they don't have dental insurance. As a matter of constructive criticism I think the American people have to demand a change. The problem is they are (by design it seems) focused on trivial matters, like conflict with LGBT/ trans etc.. While the real issues effecting the whole country are brushed under the rug. So.... apparently there is no money for universal heathcare in the U.S.. Yet, they can pull out a whopping 60 billion to fund an uinwinnable war in Ukraine? Americans don't know that in the rest of the world healthcare is not a luxury afforded to the privileged. It is a human right afforded to all. Even some developing countries have a form of universal heathcare, like Brazil and South Africa.
This comment means more now then it ever did.
0:57 HMO's typically cost less, but give you fewer doctor choices
2:37 PPO's let you choose from lots of doctors but cost more
5:29 HDHP
5:58 HSA (Health Savings Account)
7:08 EPO (Exclusive Provider) - only contracted hospitals and doctors accept
I guess will pick the HMO
@@iwishyou1956 I ended up getting an EPO through Covered California
amazing video for a beginner who knows nothing about health insurances since im about the choose a provider for myself. thanks for the insight and information. greatly appreciated :)
What an evil system we have.
It’s sad
It’s the white mans systems
Go to Africa
Seriously
How is that evil are you retarded? Lol go get educated moron. Go to a communist or socialist country where you wait for 1 month to see a Dr. No! Medical in those countries is not free! Its called taxes. I swear you morons are so uneducated amd thats the real sadness that lingers
as a doctor, I can really see how insurance made healthcare more complicated and expensive than it should've been.
This video shows how a sad state of affairs the system has become, politicians should have the same options as us, maybe that will motivate to do something about it
I thought the SAME thing. Health Care should be simple and for everyone REGARDLESS of status. Smh.
Its a good information with good video presentation ..... ☺
Thank you. PPO sounds like the best bet for me and my situation.
Excellant video. Very effective presentation
Well-made video. So very helpful- thank you!
Very well and simply explained 🤝
It is a great video thanks for the great information and well delivered. This is exactly what I was looking for.
The Most easiest way of explanation.....!!!! 👏👏👏👏
Dont put "most" when you used easiest. Cuz thats already superlative.
Excellent video, It helped me a lot, awsome!
Extremely like the video, man. Very helpful and informative. Thank you very much. It is presented so well too. Great, positive work.
HMOs are public defenders and ppos are your own attorney you pay outa pocket…SIMPLE…you get more with a ppo(OWN ATTORNEY) rather then hmo ( PUBLIC DEFENDER)!!
So government vs free market lol.
Great video........enrolling in medical benefits with a new employer right now!
If you're needing to see multiple specialists in various domains, PPO is definitely the way to go since you can avoid continuous primary doctor co-pays by being forced to go through them as you would with the HMO plan. HMO is nice for those in small communities that generally stick to a doctor and don't require much outside of routine checks and tests. I love the flexibility of getting second opinions and not paying double co-pays, think I'll go for the PPO myself.
Great helpful....thank you...👍👍
Very good information thanks
very well put together. Thank you
Helpful information, thanks.
What if I cannot afford neither of those?
Excellent video! Although you explained it well, this still doesn't make sense.
Just as yourself do you want freedom and are you willing to pay for it.
Same happens with me. It was well explained but for some reason I find it hard to grasp the concepts. In clinics and hospitals one needs to know all this
@@ariik8993 so ppo?
Thanks for video. Now I can choose the right plan for me.
Thanks so much superb explaination
Great overview! Thanks for posting.
Would be nice if we used actual words!...they used these letters to confuse us
Can explain about 10 stages of claim adjudicatotion??
I think both are expensive either way, I just started my new job and hmo is ridiculously expensive here in nevada for me and my kids i paid 50 dollar less at my prior job for ppo which i prefer i dont like hmo because you have to go get referrals for everything I like the flexibility of ppo. Also it depends on the company you work for the jobs at the las vegas strip which is union way better only 60 per check for the entire family and co pays arent that bad either.
Can someone explain how an hdhp is good for those who hardly go to the doctor? Say the deductible is $2,000. If you hardly go to the doctor you’ll always be paying full price for everything assuming you never go over the $2,000 threshold.
If you hardly go to the doctor you save money in the long run by paying super low premiums.
You pay a low amount, but then a high copayment/ deductible, vs a high amount and a low copayment/ deductible. It’s all the same, it’s all a sham! you’re spending a bundle and getting minimum return in actual care. Lol
@@nachc6459 I agree. HMO is just code for, you suck cuz you're poor so you'll be rejected if you don't join the PPO & EPO clubs...
Can someone change their employer provided insurance in the middle of the year in the event of having a baby born?
Yes
This was very helpful ty.
None of these options seem good 🥴
Very helpful. Thanks.
Beneficial and easy to understand, thanks for the
PPO definitely seems like a rip off to me. I pay a lot for mine and I’m switching back to HMO. I’m only 26😹
hi i just signe up with hmo i went from ppo to them one cuz the benefits were better do u have a copay for your meds pls pls reply i need to know before this takes affect
thnx
Thanks for creating video
Why do we put up with this? Some insurance companies are getting upwards of 70% of their income from tax dollars collected by the government, and given to them to "help" provide health care to the citizens. But we STILL have to pay premiums and deductibles to them, while they do everything in their power to keep from paying for the healthcare we've already paid for in multiple ways. PLUS, even if you're paying your taxes, you're not guaranteed to have insurance (outside of Medicare/Medicaid), as "The Affordable Healthcare Act (Obamacare) has a list of reasons for exemptions from having heath insurance. Eliminate the Insurance Middlemen, and then FAR MORE of our money comes back to us, and not into people collecting our taxes as bonuses for NOT providing us the healthcare we've paid for multiple times.
I wonder who came up with this complex system.
What is a doctor?
What is a primary care doctor that is not a doctor?
What is a CenterWell, a referral center to a PPO?
Thank you
Describe the healthcare system in the United States;
Explain the functions of BlueCross and BlueShield;
Review how drugs are paid for;
Discuss healthcare plans and how they are regulated;
Outline the differences between healthcare in the US and Europe;
Analyse the key reasons for rising healthcare costs in the US;
Describe the functions of Medicare and Medicaid;
thank you
tyvm!
In short: living the American dream
nice
Otherwords be rich to pay for health care lol
Or get a job, I mean a lot of places offer health insurance at a heavy discount or some fully covered. Sucks, but this is where we are.
Repost this video to scare anyone from countries where medical coverage makes sense
I’m from a country where things are much simpler. The system here is so complicated and confusing that I have to look for videos to educate myself 😂
🤑🤑🤑🤑 " preferred fee for service " = more out of pocket expenses due to someone else not doing their jobs correctly
What do you mean?
It's simple: control costs money
I learn so much just watching this video.smh
Thank you, excellent video. 👏
Mam what is in-network and out network
In-network refers to physicians and medical establishments that deliver patient services covered under the insurance plan. In-network providers are generally the cheapest option for policyholders. Insurance companies typically have negotiated lower rates with in-network providers. Out-of-network refers to physicians and medical establishments not covered under your insurance plan. Services from out-of-network providers are usually more expensive than those rendered by in-network providers. This is because out-of-network providers have not negotiated lower rates with your insurer. Links with more info about healthcare www.healthcare.gov/glossary/ www.kff.org/
The staff of medical billing specialist dealing with our HMO & PPO staff is the weak link in these scenarios
In network means hospital which is contracted with insurance companies and vise a versa.
@@timshanemelton what do you mean by that?
Q1
(January, February, March)
Q2
(April, May, June)
Q3
(July, August, September)
Q4
(October, November, December)
Estimated income:
$500,000,000
Actual income:
$950,000,000,000,000
bruh, this sucks. I understand but this is so sad.
I totally agree. It is like employees are screwed, in one way or another. The best choice is in no way ideal, just the lesser of two evils.
Back ground music is so irritating
very helpful to me (age75)
Hirthe Walks
this is confusing af
helpful thanks
Please don't limit your learning to this video alone. Health insurance is far too complicated to cover in 8 minutes, and this video neglects key aspects of health insurance. Keep learning with other resources!
defend deny depose
scamming people with integrity
The music is sooo annoying and not necessary at all
HMO sounds like it should be our go to American health care plan with a little more open leniency on Physican Options, Hospital Networks and Available Tests. Kinda all for one, one for all
You wanna know what I think? there should be no acronyms and everyone should have open access to whatever the fuck they want. This video did a great job breaking it down, and did an even better job explaining how awful healthcare seems in a private system
Perez Mark Anderson Jennifer Lopez Susan
OH FUCK
It all sucks
Thank you