Small Business Group Health Insurance

Oregon Small Business Health Insurance


Employers and employees using Oregon small business health insurance have chosen to be proactive instead of reactive. Everyone gets sick and employees that have Oregon group health insurance can be productive than someone who cannot afford the necessary medical coverage. This is something that companies have realized in Oregon so they are searching for the best health care coverage options. This site will give employers and employees free rate quotes on Oregon small business health insurance.

Health care is important for the nation right now as the government looks at more ways to offer medical services to those without coverage. A small business can receive a tax break if they offer their employees quality group health care coverage in Oregon. That fiscal incentive can help companies save, as can finding a Oregon group health insurance plan that fits their employees’ needs.

How Companies Qualify for Oregon Small Business Health Insurance

Only certain companies can use Oregon small business health insurance. If a company has two full time employees and no more than 50, they can qualify to be a small business in Oregon. That means that the employee will work around 30 hours a week and not be seasonal or contract. So essentially, any business, no matter where they are can meet this criterion. That means a small business in Portland, Eugene or Salem, OR can qualify. It has nothing to do with which region of the state a company is located in.

After the company has the required amount of employees, they must then find a plan that employees will want to enroll in the Oregon small business health insurance plan. If they do not do this they cannot meet the second criterion for offering Oregon group health insurance. Most medical care coverage providers require at least 50 percent of the eligible employees sign up for the plan, but they could require up to 75 percent. They can deny a company’s offer and tell them which plans they would be more inclined to enroll in.

Understanding Managed Care for OR Group Health Insurance

Managed care is a restrictive way of offering group health medical care insurance to a small business in Oregon. However, managed care may be the most affordable option companies can offer as part of their Oregon group health insurance. There are three common types of managed care in Oregon and they are Health Managed Organization (HMO), Preferred Provider Organization (PPO) and Point-of-Service (POS). Each provides medical care coverage within a specified network of health care providers. That means employees’ benefits are restricted to a designated set of physicians, hospitals and other health care professionals.

A Health Managed Organization form of Oregon small business health insurance is the most restrictive. It only allows employees to receive their benefits if they are in the network. Even if an employee requires emergency medical attention, he or she will solely be responsible for the charges accrued if it occurs outside of the specified health coverage network. In addition, an employee must be referred by a primary care physician from within the network to see a specialist. Some employees can see this as limiting their health care choices.

There is a reason however, that makes an HMO so popular with both employers and employees and that is the price of Oregon group health insurance. Employees are only required to make a copayment at the time a medical service is rendered; they are not responsible for a share of the invoice. These copayments are relatively affordable, and can be compared to the price of a medium pizza or buying a new CD when it comes out.

Offering managed care does not mean employers have to restrict their employees’ choices. A Preferred Provider Organization is around the same ballpark in price as an HMO, but allows employees to be covered outside of the network. This type of Oregon group health insurance still requires a referral from a primary care physician, but it allows a portion of their benefits to be used to pay for the medical service. There is no situation where employees can receive full coverage from their Oregon small business health insurance plan if they go outside of the network.

A PPO Oregon group health insurance plan also uses a copayment and coinsurance plan. When a provider says they offer coinsurance that means that the insured is responsible for a certain percentage of the total medical bill. Once this deductible is met, the provider will cover the remaining balance. Therefore, while an HMO lacks flexibility they do not have to do a coinsurance plan. However, this does not mean a PPO is not a credible option for Oregon small business health insurance.

Now for companies who have employees who want the most flexibility a managed care plan can provide, they will want to consider a Point-of-Service option. This allows employees to choose their primary care physician from any network, even if it means staying with the doctor they’ve had for decades. This provides an employee a comfort because they can continue to use the doctor who knows his or her medical history, without becoming just a number. Employees can also go outside of the network and use some of their benefits for medical services. However, employees can receive full coverage if they are first referred by their primary care physician.

A POS uses a coinsurance system and this can add on to the already high cost of this form of managed care for Oregon group health insurance. There is a strong correlation between higher premiums and more coverage options. However, employees can keep the flexibility and nix the high prices by increasing their deductible. When a deductible is increased, the premium rate is usually lowered.

Other Options for OR Small Business Health Insurance

Employees do not have to use a managed care system, and companies can look at other options instead of using providers focused on a constricted medical coverage network. Independent plans can also be used for employees wanting Oregon group health insurance. This is what most people may think of when they think of purchasing a medical coverage plan. It allows the employee to be in total control of their health care plan.

An independent health care coverage plan will vary in cost and in group health insurance coverage options. Employees should consult with the provider’s consultant to figure out which type of coverage options is best. In addition, an independent insurance plan may not be extended to an employee’s spouse and/or dependants. An Oregon group health insurance plan is automatically extended to a spouse and dependant without a medical history clearance. However, when the medical coverage policy is personal, medical history can play a big part of coverage options and premium rates.

To help employees cover this type of Oregon small business health insurance plan and managed care types of group health plans, an employer can offer a Health Savings Account. It works as a savings account at your local bank would. It earmarks a certain amount of funds to be used to pay for routine medical services. This helps employees avoid copayments and using their deductibles on their Oregon small business health insurance plan. Often times an employer will start this account and the employee will contribute a set amount each paycheck.