What is Catastrophic PPO Health Insurance?

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Choosing the right health insurance plan isn’t easy. You don’t want to spend a lot of money on coverage you will never need, but you also want to have good coverage when you need it.

That’s what I love about Catastrophic PPO Health insurance plans. They provide insurance coverage for big medical events, but at a cost that most people can afford. You may also know it as an Indemnity plan.

Here’s what you need to know:

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Are You a Good Candidate for Catastrophic PPO Health Insurance?

Do you only go to the doctor once or twice a year or only see your doctor for preventive care? Then Catastrophic PPO health insurance may be just what you’re looking for. You see, this type of health insurance is for people who are generally healthy and typically don’t go to the doctor very often.

Since the monthly premium costs are typically about half the cost of major medical that is purchased through Obamacare, it can be ideal for those who want to save money each month and aren’t concerned about paying out-of-pocket costs for the more minor healthcare expenses that may come up from time-to-time.

As an example, a minor health care expense would be if you were to go to the doctor for a sinus infection or if you needed to have a routine physical for preventive care, such as a woman going to the doctor for her annual ob/gyn visit.

While both of these are routinely covered under the major medical health insurance you might purchase through the government’s Healthcare Exchange, they would not be covered under a Catastrophic PPO Health insurance plan, which is the reason you would pay half the price of what you would with the regular health insurance plan.

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A Catastrophic PPO Health insurance plan may be a good fit for you though if:

  • You rarely go to the doctor.
  • You can comfortably pay for minor health care expense out-of-pocket as they occur.
  • You want to save money by having a lower monthly premium.
  • You want to have a zero deductible.

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What does Catastrophic PPO Health Insurance Cover?

Catastrophic PPO Health insurance is designed to cover the costs of unforeseen medical emergencies, or rather, this plan kicks in and pays when something bad happens from what I like to refer to as the “outside in.”

As an example, one of my clients was stung by a bee and went into anaphylactic shock. This incident was covered since it happened to them from the outside in.

Some of these major medical events include:

  • Accidents
  • Cancer
  • Heart attack
  • Hospitalization
  • Surgery
  • Trauma

Why You Need to Buy Catastrophic PPO Health Insurance Sooner than Later

One of my favorite things about Catastrophic PPO Health insurance is that you can have great coverage if you need it, and still have an affordable monthly cost. The thing that I really, really like about it though, is that the younger you are when you purchase a Catastrophic PPO Health insurance policy, the more money you can save over time.

The reason for this is that once you purchase a policy, your rates never change. This means that if you purchase a policy when you are in your 30s or 40s, you’ll still pay the same monthly premium even when you are in your 50s and 60s.

You can also keep your policy right up to the point when you are about to turn 65. At that point, it’s time for you to start thinking about Medicare and we can sit down and begin talking about all the different kinds of Medicare options that are available.

For now, though, let’s take a closer look at how you’ll save money by locking in your rate.

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How You Can Save Big if You Lock in Your Rate Now

I know that when you are young and healthy, buying health insurance probably isn’t one of your biggest concerns. Let me show you how much difference it can make, however, when you buy a health insurance plan while you’re still in your 20s or 30s instead of purchasing a plan when you’ve grown older.

Let’s say that you decide to buy a Catastrophic PPO Health insurance plan right around the time you turn 30 years old. You have a premium that is less than $250 a month.

Since you bought your plan while you were still young, for the next 35 years, until you reach the golden age of 65 and switch over to Medicare, the premium on your health insurance plan will remain exactly the same, which is less than $250 month.

Now, compare this with purchasing health insurance through Obamacare (or whatever plan the government may have) 10 or 20 years later when you’re in your late 50s or even 60s. With the way that health insurance costs keep getting higher and higher, it’s not unreasonable to consider that an insurance plan for a 60-year-old could be well over $2,000 or $3,000 a month.

Let that sink in for a minute.

Do you see just how much money you can save?

That is a huge savings!

And think about this — you could save even more if you bought your health plan while you are still in your 20s.

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What if You’re Not in your 20s or 30s?

You may think that you missed the boat, but that’s not really the case. As long as you’re in good health, a Catastrophic plan can provide huge savings no matter what your age is.

One of the examples that I like to give to my clients is about me personally. I’m 55 and I have a Catastrophic PPO plan. Even though I’m only 10 years away from receiving Medicare, I still pay less than $350 a month because I purchased my plan three years ago. If I had chosen to go with a health insurance plan through Obamacare, I would be paying over $800 month.

This shows that there are huge savings that can be had at any age, provided you can qualify for coverage.

Catastrophic PPO Health Plan Coverage and Pre-Existing Conditions

I love just about everything about Catastrophic PPO Health plans except that not everyone can qualify for them.

Unfortunately, this is one of the areas where a private Catastrophic plan differs from having regular health insurance. The insurance company not only can make you wait a period of time for coverage if you have a pre-existing condition, if you don’t meet their criteria for coverage, they can even turn you down.

This is why I feel like the younger you can get coverage, the better off you are going to be. Since most younger people are healthy, you don’t have to worry about whether or not you can qualify for coverage. You’ll also save all that money, so buying when you’re younger makes it a win-win.

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If You’ve Got Healthcare Questions – I’m Here to Help

We all know that having good healthcare coverage is important. When you have a medical emergency or illness strikes, you don’t want to ever have to worry about how you’re going to pay your medical bills while you try to get well. Catastrophic PPO plans can help you have peace of mind when something bad happens.

If you want to learn more about Catastrophic PPO plans, contact me today. I’m here and ready to help answer all your questions, so I can assist you in making the right decision for your personal healthcare needs.

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