Health care insurance is a type of insurance coverage that covers the
cost of medical and surgical expenses for the insured.
Insurance companies use the term "provider" to describe a hospital or
clinic, doctor, laboratory, health care practitioner, or pharmacy that
treats an individual. The "Insured" is the owner of a health insurance
policy or person with health insurance coverage.
It depends on the type of insurance, whether the insured pays the costs of
his pocket and receives reimbursements, or makes insured payments directly
to the provider.
Countries that do not have universal health coverage, such as the United
States, usually include health insurance packages in favor of the employer.
In the United States, the number of people with insurance decreased from 44
million in 2013 to 28 million in 2016, researchers put this to recent
changes in legislation, according to the Kaiser Family Foundation.
The Commonwealth Fund reported in 2011 that a quarter of US citizens of
working age with experience had a gap in health insurance coverage. Many
people have lost their health insurance survey due to the fact that they
either lost their jobs or were changed.
The level of emergency treatment varies with the type of health insurance
contracted.
What types of health insurance?
- There are two basic types of health insurance:
Private health insurance:
The Centers for Disease Control and Prevention (CDC) says that the US
healthcare system relies heavily on private health insurance. In a National
Health Survey interview, researchers found that 65.4 percent of people under
the age of 65 in the United States had a type of private health insurance
coverage.
Government or public health insurance:
This type of insurance is a health care benefit from the state in return for
premium. Such as health care, medical assistance, health management,
veterans, the Indian Health Service or the United States Public Health
Insurance.
Other types
Managed Care Plans:
In managed care plans, the insurance company contracts healthcare networks
to provide low-cost medical care to their medical insurance cardholders.
Additional fines and costs are added to hospitals and clinics outside this
network with some treatments provided as the higher the cost, the more
likely they are available.
Fees, or Indemnity-for-service plans:
This plan covers treatment fees for all healthcare providers equally,
allowing the insured to choose his or her preferred treatment. The insurance
company will pay at least 80 percent of the treatment costs on the
compensation plan, and the patient pays the remaining costs as
co-insurance.
Point of Service Plans (POS):
The POS plan acts as a combination of HMO and PPO. The insured can choose to
coordinate all treatments through a primary care physician, receive
treatment within an insurance provider's network, or using off-grid
providers. The type of plan will dictate the progress of treatment.
Health maintenance organizations (HMOs):
These are organizations that provide medical care directly to the insured.
The policy usually has a primary care physician who coordinates all
necessary care.HMO usually funds the treatment referred by this doctor and a negotiation fee will be charged for each medical service to reduce costs. This is usually the cheapest type of plan.
Preferred Provider Organizations (PPOs):
The PPO is similar to a compensation plan, allowing the insured to visit any
doctor he prefers.PPO also has a network of accredited service providers who have negotiated costs with them.
The insurance company will pay less for treatment with off-line providers. However, people in the PPO plan can refer to specialists without having to see a primary care physician.
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