The cost of health care in the United States is expensive and is escalating. A majority of Americans can not afford the cost of medicines, doctors' fees, or hospitalization without some form of health insurance. Health insurance is a contract between an insurance company and an individual or a group for the payment of the costs of medical care. According to the person or group pays a premium for insurance, the insurance pays for part or all of the costs of medical care as a function ofType of insurance and services provided. The type of insurance bought to go big influence, where you provide for health care, the health care, and what medical procedures are performed. The three basic health insurance plans include a private, fee-for-service plan, a prepaid group plan, and a public government-funded plan.
Private fee-for-service insurance plan
Until recently, private, fee-for-service insurance was the main form of health insuranceCover. In this plan, an individual pays a monthly premium, usually by an employer that a health guarantee on a fee-far-service basis. On emergence have medical costs, paid for the patient files a claim to a portion of these costs from the insurance. Typically, a deductible is an amount of the patients are paid before entitlement to benefits under the insurance. For example, if your costs are $ 1000, you will need up to $ 200 before the insurance pays the other charged$ 800. In general, lower the deductible, the higher the premiums will be. After the deductible is met the insurance provider pays a percentage of the remaining balance.
In general, there are fixed compensation benefits, certain amounts that are paid for certain procedures. If your insurance company will pay $ 500 for a tonsillectomy and the actual cost was 1000, you can thank the health care provider $ 500. Often, there are exceptions, certain services that are not covered by the policy. Examples includeelective surgery, dental care, vision care, and coverage of existing illnesses and injuries. Some insurance plans offer options for adding dental and vision Care Other common options include life insurance, which pays a death, and disability insurance, which pays for loss of income due to the inability to work due to illness or injury. Added more options to the insurance company becomes, the more expensive the insurance.
A strategy, insuranceto use in order to lower insurance premiums and out-of-pocket costs to the consumer is the formation of preferred provider organization (PPO). A PPO is a group of private physicians who provide services to sell, reduced rates for insurance. If a patient chooses a provider that is in this society PPO, the insurance pays a higher percentage of the fee. If a non-PPO provider is used to pay a significantly smaller proportion of the fee.
A big advantage of a fee-for-service plan is thatThe patient has options in the selection of providers in the healthcare industry. Some disadvantages are that patients do not routinely You may obtain comprehensive, preventive medicine, health care costs for patients can be high when an unexpected illness or injury occur, and there may be heavy demands on time in the pursuit of medical records, bills and insurance reimbursement forms .
Prepaid Group Insurance
In the pre-paid group insurance, health care is organized by a group of doctors andin a Health Maintenance Organization (HMO). HMOs are managed health care plans that provide a wide range of medical services for a prepaid amount. To be paid a fixed monthly fee, typically by wage and payroll deductions by an employer, and often a small deductible, enrollees receive care from doctors, specialists, allied health professionals and educators that are rented or contract received from the insurance company. HMOs offer the advantage that they provide comprehensive care, includingpreventive services at lower costs than private insurance over a long period of reporting. A disadvantage is that patients in the choice of providers are limited to those who belong to an HMO.
Government insurance
In a national health insurance plan of the government at the federal, state or local level is for the health costs of elgible participants. Two prominent examples of this plan are Medicare and Medicaid. Medicare is financed by payroll taxes and will provideHealth care for persons 65 years and older, the blind, the disabled, and those specific treatments such as dialysis. Medicaid is subsidized by federal and state taxes. It provides limited health care, usually for persons eligible for benefits and assistance from two programs: Aid to Families with Dependent Children and extra security income.
Recommend : lenses-cameras GOLFS DRIVERS leathe-furnitures valley golf
