601 wington st, Orlando, FL 33020

Understanding Health Insurance

Health insurance is a contract between you and an insurance company that helps cover your medical expenses. Instead of paying the full cost of healthcare services out of pocket, you pay a monthly premium, and your insurance helps cover the rest when you need medical care.

Why Do You Need Health Insurance?

Protection Against High Costs

Medical expenses can be overwhelming. A single hospital stay can cost tens of thousands of dollars. Health insurance protects you from these unexpected costs.

Access to Quality Care

With insurance, you have access to a network of doctors, specialists, and hospitals, ensuring you get the care you need when you need it.

Preventive Care

Most health plans cover preventive services like annual checkups, vaccinations, and screenings at no extra cost, helping you stay healthy.

Peace of Mind for Your Family

Knowing you and your loved ones are covered provides security and allows you to focus on what matters most without worrying about medical bills.

Types of Health Insurance Plans

We offer various plan types to match your healthcare needs and budget. Here's a simple breakdown:

HMO (Health Maintenance Organization)

Most Affordable

An HMO requires you to choose a primary care physician who coordinates all your care and provides referrals to specialists.

Best For:

  • Those who want lower monthly premiums
  • People who don't mind coordinating care through one doctor
  • Families who stay within a specific area
Pros: Lower costs, coordinated care
Cons: Limited to network providers, need referrals

PPO (Preferred Provider Organization)

Most Flexible

A PPO offers more flexibility in choosing healthcare providers and doesn't require referrals to see specialists.

Best For:

  • Those who want freedom to choose any doctor
  • People who see specialists regularly
  • Families who travel frequently
Pros: More provider choices, no referrals needed
Cons: Higher premiums, higher out-of-pocket costs

EPO (Exclusive Provider Organization)

Balanced Option

An EPO is a middle ground between HMO and PPO. You must use network providers but don't need referrals for specialists.

Best For:

  • Those seeking a balance of cost and flexibility
  • People comfortable with a network of providers
  • Those who want to see specialists without referrals
Pros: No referrals, moderate costs
Cons: Must stay in-network for coverage

What's Typically Covered?

Doctor Visits

Primary care and specialist consultations

Hospital Stays

Inpatient care and surgeries

Prescription Drugs

Coverage for medications

Emergency Care

ER visits and urgent care

Lab Tests & X-rays

Diagnostic and imaging services

Preventive Services

Annual checkups and screenings

Maternity Care

Prenatal and postnatal services

Mental Health

Therapy and counseling services

How to Choose the Right Plan

1

Assess Your Healthcare Needs

Consider how often you visit doctors, any ongoing medical conditions, medications you take, and whether you need specialist care.

2

Understand Key Terms

Premium: The monthly amount you pay for insurance
Deductible: What you pay before insurance kicks in
Copay: Fixed amount you pay for services
Out-of-Pocket Maximum: The most you'll pay in a year
3

Compare Plans

Look at monthly premiums, deductibles, copays, and what services are covered. Consider both your budget and healthcare needs.

4

Check Provider Networks

Make sure your preferred doctors and hospitals are in the plan's network to avoid higher costs or denied coverage.

5

Get Expert Help

Our team at ProjectCW Health is here to guide you through every step, answer your questions, and help you find the perfect plan for your situation.

Ready to Find Your Perfect Health Insurance Plan?

Our expert team is here to help you navigate your options and find coverage that fits your needs and budget.