SDHP Health Plans in Georiga
A SDHP (Self-Directed Health Plan) is a type of health insurance that combines features of a PPO plan and a self-directed account. It is basically a type of PPO with a high deductible to keep the monthly premiums low. In order for the insured to also receive coverage for preventive care expenses that are less than the deductible, he or she has a savings account that money is paid into at regular intervals.
In a SDHP plan, the insured is encouraged to use network providers, and may have a primary physician in the group. Costs are reduced through the discounts available within the network. However, the insured must pay all costs up front until the deductible is met, and must pay a percentage of costs afterwards.
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Advantages of a Self-Directed Health Plan
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Insured people who visit the doctor infrequently can save in lowered premiums
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Preventive care expenses can be covered by the savings deposits
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Thelower premiums and the savings deposits are less costly than the higher premiums in other plans
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Using the preferred provider list and choosing a primary care physician can substantially lower costs
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The savings or allowance left over from each quarter may be rolled over to the next quarter
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Disadvantages of a Self-Directed Health Plan
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Out-of-pocket costs are very high because of the high deductible. Coverage from the plan does not begin until you have paid for care up to the deductible amount
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You will need to pay out-of-pocket for the expenses between the preventive care allowance and the deductible
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You will pay more for care unless you choose an in-network doctor
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Pre-certification is required of all hospitalizations and most elective treatments
Self-Directed Health Plan (SDHP) Details
The focus of a SDHP is to cut costs by lowering premiums with a high deductible and emphasizing preventive care. Young, healthy people who don’t often get sick would be able to take advantage of this plan. They would have the flexibility to manage the wellness care they need, and be in a position to accumulate a sizable amount in their accounts over time if they did not need care very often. This might not be the best choice for families with young children, who need frequent doctor visits.
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