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Small Group Medical Insurance

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 Small Group Medical Insurance
Small Group Medical Insurance

Small group medical insurance basically indicates coverage offered for the small businesses with between two to fifty staffs. Laws for the small group medical insurance plans can differ broadly by state. There are some key distinctions in the rules and regulations as they are applied to large business vs. small business.

Small Group Medical Insurance Choices

Major insurance providers offer some basic choices to the small groups and their staffs; as they provide to individuals, families and large companies. The choices may include,

  • PPOs (Preferred Provider Organizations),
  • POSs (Point of Service plans) and
  • HMOs (Health Maintenance Organizations)

PPOs offer the customers a list of physicians and clinics where they can visit at a lower rate.

POSs permit customers to see you any physician they wish, but they have to pay a small deductible per visit.

HMOs provide the customer with a prepaid healthcare which gives them to see the physicians within the network of the plan.

But, such choices are somewhat available to the small business clients. Prices for these different choices are typically lower for the small business clients than the clients of family or individual insurance plans; because of the insurance providers sell higher numbers of policies to the small business clients. Unlike the choice accessible by the large business clients, while the quantity of insured staffs is lower, the insurers most often provide much more suppleness in the coverage choices and options available to the small business clients.

Guaranteed Small Group Medical Insurance Law

The law which is applicable especially to the small businesses is known as the “guaranteed issue” law. This federal rule indicates that no small business applicant for a policy can be completely refused. As a minimum some type of insurance coverage facility should be rendered to the small business applicants, who are capable of paying for insurance; irrespective of the pre-existing health conditions their staffs may be suffering from. Nevertheless, in case of small group medical insurance, the insurance companies are allowed to check every staff's health background, on the basis of which, the insurer can temporarily exempt some specific health conditions from their list of which health challenges they will provide coverage for as well as the services they will pay for.

Small Group Medical Insurance


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