Health Insurance
Health Insurance is designed to provide benefits for
medical care. Insurance contracts may provide for payment
of medical expense by reimbursing a policyowner for
services received or by paying those who provide the
services directly, or a contract may pay a set predetermined
amount to the insured regardless of the amount charged
for medical expenses. Medical expense or hospitalization
insurance can be written on an individual basis or on
a group basis. Coverage is provided to the individual
and eligible dependents.
In an effort to reduce medical costs several arrangements
are offered:
PPO – A form of managed care whereby
a group of independent hospitals and physicians in a
certain area agree to provide a range of services at
prearranged costs that are usually at a discounted rate.
Insureds may seek care outside of the network at an
additional cost. Plans are usually administered by the
insurance company. Members may be charged cop
HMO – Also a form of managed care
that provides benefits or services rather than reimbursement
for medical expenses. The HMO is similar to a PPO system
where the emphasis is on prevention thus the benefits
offered are broader than those of a PPO. Members select
a primary care physician who in turn provides or authorizes
all care for the particular member. Members of an HMO
may be charged nominal amounts or copayments for services
in addition to the monthly payments.
POS – Point of Service plan where
the individual is given a choice of receiving care by
a group of in-network or participating group of doctors
and hospitals in the plan or out-of-network providers.
All care, including referrals to specialists and arrangements
for hospitalization is coordinated by the insured’s
primary care physician. Out-of-network coverage applies
when the insured receives care by a provider not associated
with the network and who is not referred by the primary
care physician. The cost for an out-of-network physician
will usually be more than those services provided an
in-network provider.
Indemnity Policy – Reimbursement is
paid by a specified, pre-established amount per day,
as shown in the schedule of the policy, for a stated
maximum number of days. For example: The policy may
pay $100 dollars a day for up to 90 days for hospital
room and board.
Health Savings Account – combines
a high deductible health plan with a tax-deductible
medical savings account. The savings account is used
primarily to pay for medical expenses. To be eligible
an individual or group must be covered under a high-deductible
health plan (HDHP), who is not entitled for benefits
under Medicare; and are not claimed as a dependant under
another person’s tax return.