There are different types of health insurance and today I will writing on 2 categories of health insurance interns of coverage.
1 The Fee-For-Service Insurance Coverage.
The health care service providers(hospitals, clinics, pharmacy, physicians, etc) are paid for sevices they render to a policyholder. You're hot bound to an insurance company to stick to any health care provider.
Limiting factors for Fee-For-Service.
a) Deductible: this is the mandatory amount in percentage imposed on the policyholder by the insurer to bear in the event of the medical bill or medical expenses. Deductibles deal with a specific period of time.
b) Coinsurance: it is a bit similar to deductibles. Here, the policy is implemented a specifically for the policyholder to bear a part of the medical cost.
c) Limited coverage: it is not all sickness that is insurable, everything is not provided for under this policy e.g pregnancy, childbirth.
Advantages for Fee-For-Service.
a) You can choose any doctor or hospital of your choice.
b) You can continue treatment with the same hospital even if there is a change in occupation or give or change of insurance companies.
c) There is no fear of insurance companies administering health care service providers to recommend substandard treatment.
2 Managed Plan.
They provide health insurance coverage for its members and o use health service providers that have a contract with the plan. The access to any medical health service providers will be made known to the policyholder by a body known as the HMO(health maintenance organization). They bring the contractual agreement between the insurer and the person who is to access a health service provide.
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