Why you need health insurance
The United States has not socialized medical care. If you have no health insurance, you must pay for health care of their own finances at the time of service. This may be thousands of dollars for serious diseases.
You buy health insurance for the same reason you buy other types of insurance to protect themselves financially. With health insurance, you protect yourself and your family in case you need medical care that could be very costly.
You can not predict what your medical expenses will be. In a good year you can feel your costs low. But if you fall ill, your bills, you can be very high. If you have health insurance, many of your costs are covered by a third party payer, not by you. A third charge is insurance or, in some cases it may be your employer.
Many people in the United States are enrolled in some kind of managed care insurance. This is an organized way to both provide and pay for it. Suppliers of different types of managed care plans are different, and preferably (PPO), Health Maintenance Organizations (HMOs), Point-of-service (POS) plans and compensation plans of service.
Individuals enrolled in health care pay a monthly or quarterly as insurance for when they need medical care. When a service is rendered, the insurance pays all or a portion of the tax, to minimize the amount you paid when you receive the service.
The information presented here will help you create a health insurance plan is for you. If you are married or single, have children or no children, this information will help you find how to choose a health insurance that best meets your needs and your financial situation. The definitions for terms used in health insurance are included in the section called Understanding Health Insurance Terms.
Health Insurance Basics
Coinsurance
The amount you are obligated to pay for medical care in a fee-for after the service plan you have met your deductible. The insurance is usually expressed as a percentage. For example, if the insurance pays 80 percent of demand, you pay 20 per cent.
BenefitsA system coordination to avoid duplication of benefits, if you have more than one group plan. Benefits under both plans is limited, generally not exceeding 100 percent of the claim. Co-payment
Another way of sharing medical costs. You pay a lump sum whenever you receive a medical service (eg $ 5 for each visit) the doctor. The insurance pays the rest.
Covered health insurance ExpensesMost if they do not pay a rights-for-service, HMO, PPO or for all services. Some can not afford prescription drugs. Others can not pay for mental health. Services covered are required to pay the medical procedures of insurers. They are listed in health insurance.
FeeMost current Medicare pay only for what are reasonable and customary, they call for a particular service. When repairing your doctor charges $ 1,000 for a hernia, while most physicians are in your care, only $ 600 area, you asked the difference of $ 400 into account. This is in addition to deductible and coinsurance you would expect to pay. To avoid this additional cost, ask your doctor, your insurance payment is paid in full upon acceptance. Or shop around for a doctor to be found. Otherwise, you will pay the rest yourself.
DeductibleThe amount of money you pay each year in medical costs before your insurance starts to cover the payment.
ExclusionsSpecific conditions or circumstances which do not offer political advantages.
HMO (Health Maintenance Organization) health plans prepaid. You pay a monthly premium and your insurance covers doctors visits, hospitalization, emergency medicine, surgery, medical examinations, laboratory tests, x-rays and treatment. You need doctors and hospitals designated by the HMO.
Managed Care
Use patterns, costs, and manage, and quality health care. All HMO and PPO and fee-for many service dealing with managed care.
Maximum Out-of-pocket ExpensesThe more money you will be asked to pay a year’s deductible and coinsurance. This is an amount set by the HMO says, in addition to regular premiums.
Non-cancelable policy Policia guaranteed health insurance, as long as you can get the refund. There is also a guaranteed renewable policy.
PPO (Preferred Provider Organization), a combination of traditional fee for service and an HMO. If you use doctors and hospitals that are part of the PPO, you can find many of your medical expenses covered. You can also use other doctors, but at higher cost.
CONDITIONAL health problem that existing before the date it was your insurance became effective.
PremiumThe amount paid by you or your employer for health insurance. Primary Care DoctorUsually your first contact for health care. It is often a family physician or internist, but some women use their gynecologist. A doctor monitors your health and diagnoses and treats minor health problems, and refers to specialists if another level of care is necessary. Many health insurance, health care professionals are only paid if you are referred by your doctor. An HMO or POS plan gives you a list of doctors from which your doctor (usually a general practitioner, internist, obstetrician-gynecologist, or pedicatrician) choose. This could mean that you may have to choose a new doctor, if your date is not part of the plan. PPO members to use the family doctor outside the PPO network () at a higher cost. Compensation schemes may be used by any doctor. ProviderAny person (doctor, dentist) or institution (hospital or clinic), provides medical care available.
PayerAny third-party payer for health care other than you. This may be an insurance company, an HMO, the PPO or the federal government
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