How Health Insurance Works

This is famous all over the world’ health is wealth’. Health is a great blessing which is given by the God Load. That’s why, in the world, many health insurance companies are caring and providing many facilities for individuals’ health.

Insurance is an agreement where someone pays money, and that company assures and having guaranteed to pay back the cost money when a person has an accident, injury, and in the case of death. There are many kinds of insurance, such as Life, Health, Car, Travel, and many others.

Health insurance is a specific type of insurance that covers the cost and payments of insured persons for their medical and surgical expenses. Insurance companies provide hospitals, clinics, doctors, laboratories, healthcare centers, and pharmacies to the insured persons for their health treatment. Health insurance is a universal system for the caring of individuals’ health as well as it helps individuals for their excellent treatment whenever they are having some health problems like suffer in a disease or have an accident and injury.

Health insurance is not despicable. If a person is insured in a health care company, then it doesn’t need to worry as much about the health problems like an internal disease or some injury. Maybe it would have to say right; the health insurance is too essential for every individual because these companies help to the insurer in their difficult time of illness.

There are many plans and types of health insurance, which is providing many facilities to insure persons. But there are mainly two types of health insurance. The one is the “Private health Insurance,” and the other one is Public or “Government Health Insurance.” There is one more important thing that what type of person has medical insurance like private health insurance or public health insurance. Insurance companies have multiple plans as well, which are very useful and helpful.  Every insurance company commonly offers four types of the project such as (HMOs), (PPOs), (CPs) plans, (HSAs).

These are the different Plans and Types of health insurance companies.

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Private Health insurance;

Private health insurance is generally referred to as the insurance that is on the self’s behalf. No any kind of interference of Govt. or public health insurance. The center of disease control and prevention experienced in an interview research survey the 66 percent of people under the age of 65 years in the U.S.A having private health insurance.

Public or Govt. Health insurance;

Public or Govt. health insurance is under the Govt. health centers. In this kind of health insurance, the state sponsors health care in exchange for a premium. All the Medicare and Medicaid Services, which is handling by Govt. are the public or Govt. health insurance. There are prominent examples of Govt. health insurance systems are the Veteran’s health administration, and the other is Indian health services.

Health maintenance organizations (HMOs) Plan;

The HMO’s health plan describes if the doctor who is not in the network then a person pays his/her bill and if the doctor is in-network later itself not pay the bill all expected expenditures having hospital but if a doctor treats his or her which is not in-network. Still, he is treating you in that specific hospital than he or she has to pay the whole doctor’s bill.

Preferred Provider Organization (PPOs) Plan;

In the PPOs plan patient having more freedom then HMOs plan means that if a patient is healing by the primary doctor and then he moves to another specialist, later he will pay more bills according to the specialist fee. If patients checkup his self under the network doctor, he doesn’t spend more of his insurance fee, but if he moves to a specialist, then he will pay more cost by his pocket as well as more paperwork if he has out of network.

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Catastrophic Plan;

Suppose an individual is fewer than 30, then they got a catastrophic health plan. It is more beneficial, such as having a lower premium, also three primary care visits before deductible prices. There is also a significant benefit of free preventive care if they don’t have a deductible.

Managed care Plan;

This type of plan where an insurer has contracted with a health care provider network to give a lower cost medical care and services according to their policyholder. As well, there will also be penalties and additional charges added to out of network hospitals, clinics, and doctors. But it will provide health services and treatment. If the policy is more expensive, then the charges will be more flexible with the network of the hospital.

Indemnity, Free services Plan;

Indemnity or free services plan is covering the treatments equally between all healthcare insurance providers. It allows the insurer to select a place of treatment according to their choice. But the person who takes the healthcare services as the same insurer will be paid just 80 percent charges on an indemnity plan. Even though the insurer cost of co-insurance will remain the same, it will not be altered.

Point of Services Plan;

A POS (point of services) plan is a combination of HMOs and PPOs healthcare plans. The insurer person selects between coordinating all the treatments by a primary doctor and receives treatments from the provider network. The point of services plan will utter the progress of healthcare and medicines.

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Summary;

Health insurance is an excellent way to provide services and facilities for insurer persons. There are many types of health insurance like private health services and public and Government health services, which both are providing health care plans and better amenities for the clients and customers. The insurers are also having many benefits from the health care insurance companies. Almost all health insurance companies have different kinds of plans for their costumers such as Health maintenance organizations (HMOs) Plan, Preferred Provider Organization (PPOs) Plan, Catastrophic Plan, Managed care Plan, Managed care Plan, Free services Plan, Point of Services Plan which are providing the best facilities to their customers. The health insurance companies playing a very vital role in health matters and also helps the insurer in their difficult time of illness.

 

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