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New York Health Insurance Information - Family or Individual
(HMO, PPO, POS or Major Medical Coverage)
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Individual or family health insurance can provide the important protection
needed in the event of illness and for regular preventive care. Using the strength and experience of our health insurance markets, Edouard Insurance Agency can offer affordable HMO, PPO, POS, and Major Medical Health Insurance policy coverages throughout New York, including New York City. |
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Health insurance plans that allow you the most choices in doctors and
hospitals also tend to cost more than plans that limit choices. Individual and family health insurance plans that help to manage the care you receive, such as PPO and POS plans, usually cost you less, but you must give up some freedom of choice. |
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Learn more about HMO, PPO, and POS managed health care insurance
policies we offer throughout New York by clicking on a link below or click on the link for information on Major Medical health insurance. |
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Click on the link below to fill out a secure quote request form for a New
York health insurance policy that provides excellent health insurance coverage and services at an affordable cost. Or you can speak with one of our New York Health Insurance specialists at (845) 426-0868 to discuss the features. |
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We are your local Rockland County, NY insurance agency, offering affordable New
York health insurance policy premiums to residents located in the following cities and counties: Spring Valley, Congers, Nyack, Palisades, Sparkill, Tappan, Orangeburg, Pearl River, West Nyack, New City, Blauvelt, Nauraushaun, Nanuet, Chestnut Ridge, Montebello, Suffern, Monsey, Piermont, Rockland Lake, Wesley Hills, New Hempstead, Pomona, Sloatsburg, Tuxedo Park, Southfields, Ramapo, Hilburn, Greenwood Lake, Warwick, Bellvale, Wickham Village, Monroe, Harriman, Chester, Goshen, New Hampton, Highland Mills, Willow Grove, Mt. Ivy, Thiells, Tomkins Cove, Ladentown, Haverstraw, Stony Point, Tomkins Cove, West Haverstraw, Bear Mountain, Jones Point, West Point, Cornwall-on-Hudson, Mountainville, Salisbury Mills, Craigsville, Washingtonville, Newburgh, New York City, Middletown, Poughkeepsie, Port Chester, Harrison, Mamaroneck, Larchmont, New Rochelle, Yonkers, White Plains, Rye Brook, Scarsdale, Rye, Ardsley, Eastchester, Pelham, Greenville, Hartsdale, Bronxville, Tuckahoe, Mt. Vernon, Bronx, Irvington, Glenville, Valhalla, Elmsford, Dobbs Ferry, Hastings-on-Hudson, Greenburgh, Tarrytown, Sleepy Hollow, Hawthorne, Scarborough, Thornwood, Briarcliff Manor, Ossining, Harmon, Montrose, Crugers, Buchanan, Peekskill, Millwood, Pleasantville, Armonk, Chappaqua, North Castle, Mt. Kisco, Bedford, Pound Ridge, Bedford Hills, Cross River, South Salem, Yorktown Heights, Goldens Bridge, Amawalk, Yorktown, Katonah, Salem Center, Somers, North Salem, Croton Falls, Jefferson Valley, Shrub Oak, Putnam County, Orange County, Dutchess County, Ulster County, Sullivan County, and Westchester County, NY. |
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* Preventive care emphasis
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* Primary care physician (PCP) coordinates your total care
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* Must get a referral from your PCP to visit a specialist
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* Fixed monthly fee
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HMO Health Insurance Policy Overview - New York
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Subscribers to an HMO receive medical services from participating physicians,
clinics and hospitals. You choose a primary care physician (PCP) from a list of participating doctors from where you live in New York. That doctor is used for typical circumstances such as annual exams and usual health issues. If you need to see a specialist, be hospitalized, or have lab or X-ray work, your doctor will refer you to a provider or facility within the HMO system. Your doctor must give authorization for those services to be covered by your HMO. In other words, you must see HMO approved physicians and use HMO approved facilities or pay the entire cost of the visit yourself. |
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Similar to Point-of Service (POS) and PPO's, HMO's have made arrangements
for lower fees with a network of health care providers and give their policyholders a financial incentive to stay within that network. |
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You may have to pay some portion of the cost (co-payment) for each office or
hospital visit, such as $20 - $30 per doctor visit, regardless of what the services cost. Also, some services such as emergency room, mental health and chemical dependency services, may carry additional costs in a New York HMO health maintenance plan. |
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Click on the link below to fill out a secure quote request form for a New York
HMO health insurance policy that provides excellent health insurance coverage and services at an affordable cost. Or speak with one of our New York Health Insurance specialists at (845) 426-0868 to discuss the features. |
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* Convenient access to quality health care
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* Large and diverse network available of primary care physicians,
specialists, hospitals & clinics. |
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* Pay for services as they are provided
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PPO Health Insurance Policy Overview - New York
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You can see any health care professional in the network any time you
choose to make an appointment. You don't need referrals for specialists or other services as you do in an HMO. You can see doctors or specialists outside your PPO network, however, your portion of the costs will be higher. |
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You may have to pay some portion of the cost (co-payment) for each office
or hospital visit, such as $20 - $30 per doctor visit, regardless of what the services cost. Also, some services such as emergency room, mental health and chemical dependency services, may carry additional costs in a New York PPO health insurance plan. |
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Click on the link below to fill out a secure quote request form for a New York
family or individual PPO health insurance policy that provides excellent health insurance coverage and services at an affordable cost. Or you can speak with our New York Health Insurance specialist at (845) 426-0868 to discuss the features. |
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* Preventive care emphasis
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* Pays benefits for out-of-network care, but at a lower level
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POS Health Insurance Policy Overview - New York
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Less restrictive than an HMO or PPO, a (POS) or Point of Service plan lets you
see any licensed health care professional for anything covered by the insurance. Care you receive from out-of-plan health care professionals is reimbursed, but you must pay an often times much higher co-payment or deductible amount. While you may choose to see a physician outside the network, if you don't receive permission from your (PCP) primary care physician, you're likely to end up submitting the bills yourself and receiving only a small reimbursement...if any.
Costs that exceed your deductible are covered by a co-insurance plan in which
you and the insurance company share the cost for services covered by the policy. |
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Also, some services such as emergency room, mental health and chemical
dependency services, may carry additional costs in a New York POS health insurance plan. |
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Click on the link below to fill out a secure quote request form for a New York
family or individual POS health insurance policy that provides excellent health insurance coverage and services at an affordable cost. Or speak with one of our New York Health Insurance specialists at (845) 426-0868 to discuss the features. |
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Major medical health insurance provides benefits up to a high limit for most types
of medical expenses incurred, subject to a deductible. Once you meet the deductible, our New York Major Medical Insurance plans pay a percentage of what is considered the "Usual and Customary" charge for covered services. The insurance company generally pays 80% of the Usual and Customary costs and you pay the other 20%, which is known as co-insurance. If the insurance company charges more than the Usual and Customary rates, you will need to pay both the co-insurance and the difference. |
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With New York Major Medical Insurance plans you can choose your doctor and
any hospital for your medical services. You or your doctor send the bill to the insurance company, which pays part of it. Usually, you have a deductible such as $250 or more to pay each year before the insurer starts paying. The plan will pay for charges such as medical tests and prescriptions as well as from doctors and hospitals. |
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Major medical insurance coverages offer more choice of doctors (including
specialists, such as cardiologists and surgeons), hospitals, and other health care providers than managed care plans, such as HMO, PPO, and POS. Major Medical Insurance may not pay for some preventive care, such as check-ups, and is usually a more expensive health insurance coverage than utilizing a New York HMO, PPO, or POS plan. |
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Click on the link below to fill out a secure quote request form for a New York family
or individual Fee-for-Service / Major Medical health insurance policy that provides excellent health insurance coverage and services at an affordable cost. Or speak with our New York Health Insurance specialist at (845) 426-0868 to discuss the features. |
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Learn more about the other types of Individual or Family Health Insurance
polices we offer in New York by clicking on a link below! |
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Learn more about the other types of Individual or Family Health Insurance polices
we offer in New York by clicking on a link below! |
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Managed Health Care Plans:
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Fee-for-Service Health Plan:
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Learn more about the other types of Individual or Family Health Insurance
polices we offer in New York by clicking on a link below! |
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Managed Health Care Plans:
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Fee-for-Service Health Plan:
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Learn more about the other types of Individual or Family Health Insurance
polices we offer in New York by clicking on a link below! |
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Managed Health Care Plans:
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Fee-for-Service Health Plan:
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Managed Health Care Plans:
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SSL Secure
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SSL Secure
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**The information, pictures, and other content in this website about particular
insurance services is only provided for informational purposes. Any decisions regarding your insurance needs should be discussed with a licensed insurance agent. |
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Edouard Insurance Agency, Inc.
70 South Main Street
Spring Valley, New York 10977
Rockland County, NY
(845) 426-0868
Toll Free: 1-800-776-0585
Fax: (845) 426-0632
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Working to insure and
protect you since 1987!
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EDOUARD
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Insurance Agency
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Health
Insurance
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Copyright 2006-2008 Edouard Insurance Agency, Inc. - All rights reserved
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New York Health Insurance Services
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