Reason for Insurance
Post date: February 4th, 2010 |
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Self-employed and family medical insurance is a preferred type of insurance coverage made available to all entrepreneurs and their families. This is for the medical insurance corporations to direct sell to the individual forming a bound contract between the person and the insurance provider. This is the high priced and specialized insurance policy available to the unemployed or self-employed; an individual health insurance policy is always an option, but not an inexpensive one.
The medical health benefits will further be classified into fee-for-service or as what they call, indemnity or traditional insurance and to manage care policies. The group insurance plan and the individual insurance plan can both be classified either a fee-for-service or a managed care plan. There are 3 choices of managed care insurance plans.
1. The Health Maintenance Organizations or HMO
2. The Preferred Provider Organizations or PPO
3. The Point-of-Service or POS
The managed care insurance plans typically use medical health provider networks. These networks agree to perform services for managed care plan patients at pre-negotiated rates and will usually submit the claim or claims to the insurance company. Generally, the self-employed individual have a lower out-of-pocket expenses with the managed care health insurance plan and a broader choice of medical care providers with an indemnity plan.
Each of the three provider insurance plans offer substantial health care coverage benefits to the individual members as stated through some articles published here. If the individual is fortunate enough to have a choice of plan, think of the advantages, and disadvantages.
Compare the cost of care, the difference in premiums, deductible amounts and the freedom to choose a medical doctor outside the insurance provider plan. It is important to cosider the variety of other coverage from the prescription drug programs to dental to alternative therapies.
Indemnity or fee-for-service medical insurance plans usually cover the same expenses as managed care does operating with low cost health insurance. The only difference is that the medical doctors will ask payment everytime they visit , with the claimed filed either the individual patient or medical insurance provider. The fee-for-service allows the individual to personally choose which medical doctors and hospitals they utilized, and this is under the managed care insurance plans.
However, the individual prepares to pay an annual deductible before the medical insurance provider begins to pay on the turned in claims. There are also times when an Indemnity plan will require the individual to pay up front for services rendered before submitting the insurance claims.