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Health Insurance is available
through two types of plans:
Group plans are offered through an employer or association
Individual or non-group plans are purchased directly
from an insurance company
There are different options that may be available
under a group plan or to an individual.
Fee-For-Service plans are often called traditional
or indemnity health insurance. The health insurance
company pays the bills after services are received
by the insured.
Managed Care plans refer to a variety of health
insurance programs such as:
Health Maintenance Organizations (HMOs) which are
organized systems for health care that provide comprehensive
services directly to enrolled members for a fixed,
periodic fee. They provide or arrange health care
services through a network or group of health care
providers.
Preferred Provider
Organizations (PPOs) are groups
of doctors, hospitals and other health care providers
that have contracts with health insurance companies.
The providers agree to serve the company's members
and charge negotiated rates. These become the company's
preferred providers.
Point of Service
(POS) is a health care plan that
allows enrollees to choose whether to receive
a specific service from a contracted preferred
provider
or a
non-contracted provider. POS plans are a combination
of either an HMO or PPO plan with a traditional
indemnity plan.
The following are considered supplemental policies.
Disability Insurance pays a monthly or weekly amount
if the policyholder is disabled and cannot work.
It will not cover claims that are covered by workers'
compensation.
Long-Term Care Insurance may cover services ranging
from nursing home care to home health care, to providing
benefits during an extended period of convalescence.
Medicare does not pay benefits for most long nursing
home stays or other types of long-term care.
Medicare Supplement Insurance is specifically designed
to provide benefits to help pay what Medicare does
not pay. However, these policies may not pay all
the expenses that are not covered by Medicare.
Some health care coverage can be acquired through
a government-sponsored program.
Medicare is a federal program that provides health
insurance benefits for people age 65 and older, those
receiving Social Security benefits for disability
and those with end stage renal disease.
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