Purchasing health insurance, especially in Texas is something that any person who places value on their health would do. The benefits would save you a lot of medical costs in the future.
Insurance companies are organizations that provide insurance services to people. You can see these organizations everywhere in the world and Texas is not an exemption.
These companies offer financial protection to their clients against losses from fire, death, accident, etc. In Texas, some companies offer insurance services to the people for their health, and such a service is called health insurance.
If you live in Texas, you might want to check out the top health insurance companies in Texas. You’ll find them on our list.
What is Health Insurance?
Health insurance is protection or coverage taken against sickness. This type of insurance helps you to cover your health expenses in case of any sickness.
Health insurance is the most important type of insurance anybody can think of taking out.
There are different kinds of health insurance and they are:
#1. Health Maintenance Organizations (HMO)
Health Maintenance Organizations allow you to choose from a variety of doctors, hospitals, and facilities.
You will be required to choose a Primary Care Provider (PCP) which is your home base for the medical treatment.
The cost of this type of insurance is lower than the other types of health insurance.
#2. Exclusive Provider Organizations (EPO)
In this case, you will have to choose from the available providers in the network.
This kind of insurance plan is only used when you are within the network but once you are outside the network, the full fees will come from your purse.
You also don’t need a referral from a PCP.
#3. Point of Service Plan (POS)
This is a combination of the Health Maintenance Organization and the preferred provider organization plans.
In this plan, you are required to choose a PCP within the network’s doctors and other experts. This plan gives you the chance to choose within and outside the network.
#4. Preferred Provider Organization (PPO)
This plan offers the client a wide range of doctors, hospitals, and other experts. If you choose to see experts outside your plan’s network, then the majority of the bills will come from your purse.
A PCP is not required in this plan because you can see an expert without a referral.
Does Texas Have Good Health Insurance?
Texas is perceived as the worst state with a bad health system in the United States of America.
Texas, also regarded as the Lone Star state, has been graded poorly by the National Healthcare Quality and Disparities Report (NHQDR).
It was reported that 4.5million people are living without healthcare services in Texas.
The expensive nature of healthcare insurance and poor healthcare in the Lone Star State has made low-income families prone to sickness.
So due to the poor healthcare in Texas, pregnant women are prone to death. It is recorded that out of 100,000 births, about 35 women die during childbirth. Although, there have been improvements in Texas health insurance so far.
How Much Does Health Insurance Cost In Texas?
In the Lone Star State, the average cost of health insurance for an individual is $6,324 while that of a family of four will sum up to $25,294.
The major types of health insurance in Texas are Group insurance, Individual insurance, Medicaid insurance, and Medicare insurance.
Individual insurance, also known as Obamacare or the affordable care act is for people who cannot afford the other types of insurance. The group insurance is also known as employer-sponsored health insurance.
It is named that way because it is co-sponsored by the employers and the enrollee. Individual insurance has about 1,442,581 enrollees, Medicaid has about 4,018,298 enrollees and then Medicare has about 1,099,941 enrollees.
As of 2016, an individual pays about $3000 for health insurance. Meanwhile, Group Insurance costs about $4000-$5000 while Medicaid insurance costs about $9000, and Medicare costs about $11000- $12,000.
What Is The Most Common Health Insurance in Texas?
The most common types of health insurance in Texas are the Health Maintenance Organization (HMO) and the Preferred Provider Organization (PPO).
This is because in the HMO, you are given a list of doctors to choose from and it is the most affordable among all as it focuses on wellness and preventive care.
However, the negative part of it is that your choices are limited and the insurance company won’t pay if your choice is outside the network.
Also, you will need a referral from your primary care physician before you can visit a specialist. Whereas for the PPO plans, the insurance company pays 60% of the cost while you pay the remaining 40% of the bills.
In this case, you won’t require a referral to visit any doctor but it will cost you more than the HMO.
There are different health insurance companies in Texas but we will be showing you the top health insurance companies in Texas that are highly rated by their people.
These companies offer the best plans for the people and they are:
- Blue Cross and Blue Shield of Texas
- United healthcare insurance company
- Humana insurance company
- Superior health plan network
- Aetna life insurance Company
- Celtic insurance company
- Cigna health and Life Insurance Company
- Amerigroup insurance company
- Metropolitan life insurance Company
- Sierra health and life insurance company Inc.
- Oscar insurance company
- Molina Healthcare
1. Blue Cross and Blue Shield of Texas
The first on our list of top health insurance companies in Texas is Blue Cross and Blue Shield of Texas.
The company, also known as a public welfare organization was founded in the year 1982 with over 1000 employees.
Its headquarters is located in Chicago, Illinois, United States of America. It has over 100 million people as clients in the United States of America.
The Blue Cross and the Blue Shield company are different companies that were later merged. The Blue Cross was founded in the year 1929 while the Blue Shield was founded in the year 1939 but they were merged in the year 1982 though they still maintain their purposes.
You can click here for more details on their health insurance packages.
2. United Healthcare Insurance Company
This company is bent on helping life better and making the insurance industry better and safer for everyone. Under their network, they have over 1.3million doctors and about 6500 hospitals.
They also have about 125,000 employees working to make life better. No doubt, this company deserves a spot on our list of top health insurance companies in Texas.
You can click here for more details on their health insurance plans and packages.
3. Humana Insurance Company
Another entry on our list of top health insurance companies in Texas is Humana Insurance Company.
Founded in 1961, Humana Insurance Company is a profit-oriented company that also provides health insurance services.
Its position as the third-largest health insurance company in the country has made it one of the major medical insurance companies in Texas.
It was acquired by Aetna in July for 37 billion dollars. It also has over 4000 workers and its services extend to Texas.
You can click here for more information.
4. Superior Health Plan Network
It was established in El Paso in 1999. As one of the best health insurance companies in Texas, Superior Health Plan Network has over 1 million clients in Texas.
Interestingly, they also work with the Texas Health and Human Services (HHS). They have scored high in the National Committee for Quality Assurance (NCQA), making them one of the top healthcare insurance companies in Texas.
You can click here for more information on their health insurance coverage.
5. Aetna Life Insurance Company
Aetna Life Insurance Company is another company that made it to our list of top health insurance companies in Texas.
It was established in the year 1853 and since then has been providing health care services for several years.
In addition, the company is also a subsidiary of CVS health and has been doing well so far in the healthcare industry.
Feel free to visit their website for more inquiries about them.
6. Celtic Insurance Company
It is one of the top-rated health insurance companies in Texas. They offer mouthwatering healthcare coverage to their clients.
Feel free to check out their website for more inquiries and their health insurance coverage types.
7. Cigna Health and Life Insurance Company
Cigna Health and Life Insurance Company have been in existence for over 225 years and during this time they’ve gone global.
They are dedicated to serving the people and have over 180 million customers. The company Functions in more than 30 countries and the Lone Star State is not an exemption, earning them a position on our list as one of the top health insurance companies in Texas.
You can click here for more information.
8. Amerigroup Insurance Company
Amerigroup was originally known as AMERIAID when it was founded in the year 1994 but the name was later changed in 1996.
Its headquarters is located in Virginia and its offices are spread across 26 states in the U.S. including Texas.
In 2006, they started offering Medicare to low-income earners. They deserve a spot on our list of best health insurance companies in Texas.
You can check their website for more details.
9. Metropolitan Life Insurance Company
Also known as MetLife, the Metropolitan Life Insurance Company is one of America’s largest insurance companies, making it among the top-rated health insurance companies in Texas.
It was founded on March 24, 1868, and they have over 90million customers in over 60 countries with its headquarters in New York.
You can click here for more details about their healthcare coverage.
10. Sierra Health and Life Insurance Company Inc
This company was founded in the year 1906 with its parent companies as PacifiCare Health Systems and Sierra Health Services.
Visit the company’s website for more information.
11. Oscar Insurance Company
Oscar Insurance Company is among the major medical insurance companies in Texas. The company was established in the year 2012 and was built on technology.
It was made that way because they believe all Americans deserve an insurance plan irrespective of their job status.
You can check their website for more details.
12. Molina Healthcare
Molina Healthcare is an insurance company that serves the United States of America, and Texas is not left out.
Its headquarters is located in Long Beach, California. Molina Healthcare offers healthcare insurance coverage through Medicaid and Medicare.
For more information on their services, visit their website.
Frequently Asked Questions
Who needs health insurance?
Everybody in the world needs health insurance no matter your gender, age, or anything else. It is very important in case you fall sick or something life-threatening happens to you.
Can I have both HMO and PPO?
Yes. It is possible to have more than one insurance plan and it is very legal to have it under some circumstances. But you have to understand the plans to know if you should pick both or just one of them.
What does the Texas Department of insurance do?
This department regulates everything that happens in the insurance industry and also looks over the Texas workers’ compensation system. They also give certification to operate to any qualified insurance company.
Who is eligible for Medicaid?
Those eligible for this insurance are those who are residents of a state or citizens of America. Though not all states offer Medicaid to their citizens.
Does Texas provide free healthcare?
Yes, they do. Medicaid is a free health insurance plan for low-income earners and those who do not have insurance. But to qualify, you need to either be a citizen of America or a resident of the state.
Having looked at our list of top health insurance companies in Texas, you should have understood that health insurance is a necessity in the life of every human being and it is open to the earning and the non-earning class of individuals.
Texas health insurance hasn’t been doing well in decades but recently they upgraded and have started doing well in the healthcare system.
So, it is important to grasp the health insurance that best suits you such that in case of any health issues, you can have something to fall back on.
However, if you want to get good plans and good services, you can look up the companies on their various websites to get a better understanding.