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Health Insurance policy choices

from: Tony




There are two primary types of heath insurance programs these are Managed Care Health Insurance and Fee-for-Service Health Insurance. There are both similarities and differences in health insurance plans so let's examine each type of policy.



Both health insurance programs cover a broad assortment of medical expenses; including hospital visits, surgical procedures, and partial hospital stays. Dental coverage is also provided by most health insurance plans plus reimbursement for prescription drugs.



Managed Care.

More than half of all American citizens have a managed care health insurance plan. Managed Care plans and participating providers vary but will often include: health maintenance organizations - HM0's, preferred provider organizations - PPO's and point-of-service - POS programs. The Managed Care policy is designed to offer coverage on an extensive assortment of health care services and also include financial rewards to policyholders for seeking care from health care professionals participating in the program.



Preferred provider organizations (PPO's) generally offer a wider choice of providers than HMO's. Premiums can be similar to or slightly higher than HMO's, and out-of-pocket costs are generally higher and more complicated than those for HMO's. PPO's allow participants to venture out of the provider network at their discretion and do not require a referral from a primary care physician. However, straying from the PPO network means that participants may pay a greater share of the costs.



Fee-for-Service.

These health insurance plans dictate that the health care or medical professional be paid a set fee for each individual service administered to the patient or policy holder. A doctor or medical practitioner of their choice can see the medical caregiver or the patient - health insurance policyholder, can file Health Insurance policyholders or Patients and the insurance claim.
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Health Insurance Plans In California News

Will health reform cause the next bailout? - The Week Magazine


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Will health reform cause the next bailout?
The Week Magazine
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Why Nation Needs Insurance Reform - Southern Pines Pilot


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Such unnecessary and uncompassionate actions by health insurance companies also have a de-stimulative effect on our economy and will delay our nation's ...
Administration, health insurers point fingers at each other in premium hike ...News-Medical.net
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Fiorina: More competition needed for health care - San Jose Mercury News


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San Jose Mercury News
"The truth is that the health insurance industry is a regulated oligopoly. There isn't enough competition for health insurance companies," she said, ...
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A story from the health-insurance crunch | Philadelphia Inquirer | 03/09/2010 - Philadelphia Inquirer


Scranton Times-Tribune

A story from the health-insurance crunch | Philadelphia Inquirer | 03/09/2010
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Since last month, Obama has focused on similar increases in California and elsewhere as evidence of the need for a health-care overhaul. ...
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Health insurance rate hikes are par for the course - Los Angeles Times


New York Daily News

Health insurance rate hikes are par for the course
Los Angeles Times
California health plans must also provide customers with 30 days' notice of a planned rate hike. Efforts to tighten restrictions are underway at the federal ...
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Anyone Remember What's In The Health Care Bill? - NPR


Reuters

Anyone Remember What's In The Health Care Bill?
NPR
And that will reduce their costs and put pressure on insurance companies to offer lower-cost, higher-quality plans." Another cost-cutting aspect of the bill ...
Senate OKs unemployment, COBRA extensionsCentral Valley Business Times
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