Pennsylvania Health Insurance
Family or Individual
(HMO, PPO, POS or Major Medical Coverage)
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, 1 Stop
Benefits, Inc. of Yardley, PA can offer affordable HMO,
PPO, POS, and Major Medical Health Insurance policy
coverages throughout Pennsylvania.
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.
We are a Yardley, PA insurance agency offering affordable, less expensive Pennsylvania
individual and family health insurance policy coverage to residents of the following towns,
cities and counties in Pennsylvania: Philadelphia, Bridgewater, Croydon, Bensalem,
Nottingham, Edgely, Newportville, West Bristol, Strafford, Devon, Berwyn, Port Kennedy,
Newtown Square, Gradyville, Cheyney, Concordville, Narberth, Milltown, Westtown, Trainer,
Marcus Hook, West Chester, Lancaster, York, Reading, Bethlehem, Pottstown, Coatesville,
Kulpsville, Warminster, Montgomeryville, Levittown, Valley Forge, Malvern, Green Tree,
Paoli, Devault, Chatwood, Goshenville, Sugartown, Glenloch, Chester Springs, Audubon,
Eagleville, Evansburg, Worcester, Blue Bell, Center Square, Fort Washington, Doylestown,
Chalfort, Quakertown, Perkasie, Sellersville, Soudertown, Willow Grove, Warrington,
Morrisville, Ambler, Lower Gwynedd, Washington Crossing, New Hope, Richboro,
Feasterville, Southampton, Langhorne, Holland, Newtown, Emmanus, Hellertown, Whitehall,
Cetronia, East Texas, Lanark, Dorneyville, Wagnersville, Catasauqua, Walbert, Farmersville,
Stiles, Friedensville, Mechanicsville, Hanover, North Catasauqua, Stroudsburg, King of
Prussia, Springfield, Woodlyn, Chester, Norwood, Ridley Park, Prospect Park, Folcroft,
Darby, Swarthmore, Drexel Hill, Rutledge, Yeadon, Upper Darby, Secane, Milmont Park,
Garden City, Wallingford, Morton, Aldan, Primos, Pilgrim Gardens, Colwyn, Lester,
Essington, Eddystone, Landsdowne, Fernwood, Milbourne, Havertown, Broomall, Penn
Wynne, Merion Station, Wynnewood, Haverford, Penn Valley, Bala-Cynwyd, Ardmore,
Rosemont, Overbrook, Belmont Hills, Villanova, Rebel Hill, Gulph Mills, Gladwyne,
Conshohocken, Kings Manor, Swedeland, Swedesburg, Bridgeport, Norristown, Lafayette
Hill, Plymouth Meeting, Erdenheim, Oreland, Flourtown, Ardsley, North Hills, West
Conshohocken, La Mott, Cheltenham, Melrose Park, Elkins Park, Glenside, Wyncote,
Roslyn, Abington, Huntingdon Valley, Rydal, Meadowbrook, Jenkintown, Hollywood,
Rockledge, Somerton, Bustleton, Torresdale, Holmesburg, Tacony, Kensington, Feltonville,
Frankford, Olney, Andalusia, Cornwells Heights, Bucks County, Philadelphia County,
Delaware County, and Montgomery County, PA. We can also offer affordable health
insurance policy services throughout New Jersey, including in Ewing, White Horse,
Mercerville, Hamilton Square, Slackwood, Lawrenceville, Ewingville, Bakersville, Bordentown,
Princeton, Camden, Trenton, Hunterdon County, Mercer County, and Burlington County, NJ.
HMO Health Insurance Policy Overview - Pennsylvania
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 Pennsylvania. 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.
Learn more about HMO, PPO, and POS managed
health care insurance policies we offer throughout
Pennsylvania by clicking on a link below or click on the
link for information on Major Medical health insurance.
Click on the link below to fill out a secure quote request form for a
Pennsylvania health insurance policy that provides excellent health
insurance coverage and services at an affordable cost. Or you can
speak with one of our Pennsylvania Health Insurance agent specialists
toll free at 800-662-3982 to discuss the policy features in more detail.
* Preventive care emphasis
* Primary care physician (PCP) coordinates your total care
* Must get a referral from your PCP to visit a specialist
* Fixed monthly fee
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.
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 Pennsylvania HMO health
maintenance plan.
Click on the link below to fill out a secure quote request form for a Pennsylvania HMO
health insurance policy that provides excellent health insurance coverage and
services at a cheaper cost. Or you can speak with one of our Pennsylvania Health
Insurance agent specialists toll free at 800-662-3982 to discuss the policy features.
* Convenient access to quality health care
* Large and diverse network available of primary care physicians,
specialists, hospitals & clinics.
* Pay for services as they are provided
PPO Health Insurance Policy Overview - Pennsylvania
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.
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 Pennsylvania PPO health
insurance plan.
Click on the link below to fill out a secure quote request form for a Pennsylvania
family or individual PPO health insurance policy that provides excellent health
insurance coverage and services at an affordable cost. Or you can speak with one
of our Pennsylvania Family or Individual Health Insurance agent specialists toll free
at 800-662-3982 to discuss the features in more detail.
* Preventive care emphasis
* Pays benefits for out-of-network care, but at a lower level
POS Health Insurance Policy Overview - Pennsylvania
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.
Also, some services such as emergency room, mental health and chemical
dependency services, may carry additional costs in a Pennsylvania POS health
insurance plan.
Click on the link below to fill out a secure quote request form for a Pennsylvania
family or individual POS health insurance policy that provides excellent health
insurance coverage and services at an affordable cost. Or you can speak with one
of our Pennsylvania Health Insurance agent specialists toll free at 800-662-3982 to
discuss the policy features in more detail.
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 Pennsylvania 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.
With Pennsylvania 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.
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. Pennsylvania
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
Pennsylvania HMO, PPO, or POS plan.
Click on the link below to fill out a secure quote request form for a Pennsylvania
family or individual Fee-for-Service / Major Medical health insurance policy that
provides excellent health insurance coverage and services at an affordable cost. Or
you can speak with one of our Pennsylvania Health Insurance agent specialists toll
free at 800-662-3982 to discuss the policy features.
Learn more about the other types of Pennsylvania Individual or Family Health
Insurance polices we offer by clicking on a link below!
Learn more about the other types of Pennsylvania Individual or Family Health
Insurance polices we offer by clicking on a link below!
Managed Health Care Plans:
Fee-for-Service Health Plan:
Learn more about the other types of Pennsylvania Individual or Family Health
Insurance polices we offer by clicking on a link below!
Managed Health Care Plans:
Fee-for-Service Health Plan:
Learn more about the other types of Pennsylvania Individual or Family Health
Insurance polices we offer by clicking on a link below!
Managed Health Care Plans:
Fee-for-Service Health Plan:
Managed Health Care Plans:
**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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Pennsylvania
Personal Insurance
Health Insurance
1 Stop Benefits, Inc.
1546 Old Farm Court
Yardley, PA 19067
Bucks County, Pennsylvania
Toll Free: (800) 662-3982
Secure Fax: (888) 662-3920
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