Let us create a 3D eBook for you!
Let us create a 3d Digital eBook for you! DigyCat.com

Sleep-At-Night Coverage With A Private Health Insurance ( Affordable Health Insurance )


Health Insurance: a sense of dissatisfaction

The three C's, customization, consumerization and customer-satisfaction, seem to be at the core of the business mantra for every service provider. The health insurance provider industry is no exception to this rule. With an increasing concern among the tax payers of US regarding the number of people uninsured in the country, there is a burgeoning market for the providers. Even though, this seems to be a buyer's market, there seems to be a lot of dissatisfaction among the people with the red tape and bureaucracy involved in claims processing, exclusions and limitations. Based on a survey conducted a couple of years ago, only 1 in 4 Americans said, they are "very satisfied" with their medical coverage. In general, the consent was that the people were dissatisfied with the bureaucracy of the provider, rather than the health plan itself.

Taking a closer look at the Indemnity Plans

Let us now try to take a microscopic view of the intricacies of the two major types of health insurance: Indemnity vis--vis the Managed Care. The Indemnity is the traditional fee-for-service plan allowing more flexibility in terms of choosing your physicians and health care providers in lieu of an annual deductible amount. This is also referred to as the typical private or individual health insurance plan, tailored to the person's situation. Exclusions are defined when you buy your policy for your particular scenario. Due to the personalization nature of the policy and the subsequent risk exposure to the insurer, this comes with a higher price tag.

Exploring the intricacies of a Managed Care Plan

A Managed Care plan will typically restrict the individual to visiting in-network set of physicians, hospitals and health care providers. This encompasses the Group Health Insurance plan, usually extended as part of an employer benefit. A single policy is designed for a big group of individuals belonging to different age groups and with varied medical conditions. Due to the economies of scale, in terms of risk distribution, these plans have lower premiums and out-of-pocket expenses than the private health insurance plan. There are three variations of the Managed Care plans: PPO (Preferred Provider Organization), HMO (Health Maintenance Organization) and POS (Point-of-Service). The in-line exclusions of these plans are a major concern, which are probably not always evident to the policy holder till the unforeseen happens. The provisions in the policy are decided between the insurer and the policy owner (typically your employer). Due to the restrictions imposed to visit doctors registered with the plan, you may come across a situation where you do not have a doctor to treat your specific illness. Simple surgeries and diagnostic tests can add up to thousands of dollars in medical expenditures due to the exclusions. In the long run, the lower premiums may not actually save your money due to these occasional exclusions/limitations. Thus, it always becomes an annoyance for the consumer to choose a well-rounded managed care plan that covers all or most of the medical diseases and/or illnesses. The bureaucracy and red tape involved in these policies to obtain authorizations and referrals even for the slightest of variations, for cost control measures always lead to a lot of dissatisfaction. Typically, you are also required to go through a primary care physician (PCP) for any of your treatment needs and may not be able to get your treatment done with the doctor of your choice to avoid excessive costs to the insurer.

Private Health Insurance gives you the freedom of choice!

Comparing the two major variations, private health insurance seems to be the option to get the peace of mind for your healthcare needs. With the rising discontent among policy holders, this seems to be a more economically viable option for the long run depending on your health conditions. It is all about the "freedom of choice" and the flexibility to guarantee you the best medical care. The exclusions are defined at the onset of the contract based on your specific requirements and if you can afford the extra dollars, you actually get the perfect "sleep-at-night" coverage! Unlike group coverage, the provisions are negotiated by the policy holder and depending on the financial ability the policy can be designed as comprehensive as possible. In addition to the customized health care, the next most important advantage is the flexibility to choose your own doctor or specialist and the hospital of your choice. Private health insurance is a surging business in the United States because of the freedom that policy holders have in choosing what they want and how they want to be insured. You can secure yourself against any financial devastation for any and every imaginable health condition.

Consider your priorities for a secured health insurance, make an informed decision!

In order for a person to have a secured life, the right health insurance will give the shield for any medical emergency. The comparative analysis is very much subjective and varies from one individual to another. Considering the issues highlighted in this article, here are some other pointers to keep in mind in choosing the side between a managed care vis--vis private health insurance plan. Consider the quality of care with the doctors in your policy. In times of distress, mental peace is probably the most important thing you are looking for and with a private health insurance plan; you can easily switch physicians, if you are not satisfied with the service. With the restrictions imposed in a managed care policy, you should give it a second thought by considering the list of in-network doctors and health care providers. Consider the lifetime payout on the policy, which is the maximum reimbursement offered by the policy for your whole life. Lower premiums are not the end of the world, it is a decision you need to make for your life, so you actually maybe better off paying the higher premiums of a private health insurance plan as opposed to rapid depletion of a managed care lifetime payout. Consider the delicate balance between the paying out too much on your out-of-pocket expenses vis--vis the risk of your exposure to a serious illness. If you feel, you are more prone to getting infected, you might be better off taking up the more expensive individual health insurance option to save you money in the long-term. Provisions for emergency care, is another major factor to be considered in choosing your health insurance. Typically, some of the managed care plans have been occasionally criticized due to the requirement of primary care physician's approval for an emergency care. You must definitely put your step down on this one, as emergency care is something you do not want to jeopardize due to higher premiums on the policy. Last but not the least, are the pre-requisites defined in the policy before you are eligible for getting medical attention. Keep in mind; if you are not feeling well, you deserve the right to visit your doctor, do not let the limitations in your health insurance policy scare you away from getting your treatment. Occasionally, people have compared buying a private health insurance policy to buying a Rolls Royce, but wouldn't you rather enjoy the tranquility of a peaceful ride rather than traversing the rough terrains with the restrictions put in by the managed care policies? It is a rhetorical question!

Ariful Anam
Web Designer, PHP & SEO Expart
Email: ariful@rediffmail.com

Visit: http://www.healthinsurancedepth.com


MORE RESOURCES:

Insurance - Google News

This RSS feed URL is deprecated

This RSS feed URL is deprecated, please update. New URLs can be found in the footers at https://news.google.com/news

Insurance Industry Bands Together to Make a Difference in North Carolina City - Insurance Journal


Insurance Journal

Insurance Industry Bands Together to Make a Difference in North Carolina City
Insurance Journal
A group of insurance and risk management professionals are working together to make a difference in one of North Carolina's largest cities. The group, Community Matters: Insurance Partners of Charlotte, started in 2012 to help raise funds to build a ...

Firms buy insurance 'in mad panic' as cyber-attacks soar - BBC News


BBC News

Firms buy insurance 'in mad panic' as cyber-attacks soar
BBC News
With cyber-attacks increasing in frequency and severity, many companies are turning to insurance to cover their mounting losses. But can insurers quantify the risk accurately and could insurance lead to corporate complacency? Many firms feel like they ...

and more »

5 Important New Insurance Executive Changes - ThinkAdvisor


ThinkAdvisor

5 Important New Insurance Executive Changes
ThinkAdvisor
5 Important New Insurance Executive Changes. Symetra's benefits division is getting a new head. Harry Monti (Photo: Symetra). Symetra Life Insurance Company has named Harry Monti to be the senior vice president in charge of its group life and ...

School system insurance benefits raise questions - Crossville Chronicle


School system insurance benefits raise questions
Crossville Chronicle
The Cumberland County school system may have under-collected more than $1.1 million in insurance premiums from certified personnel, Human Resources Director Liz Broderick told the Cumberland County Board of Education during the Jan. 6 work session. “We ...

Have expensive insurance? Thanks to Irma, it may soon go up - WTSP 10 News


WTSP 10 News

Have expensive insurance? Thanks to Irma, it may soon go up
WTSP 10 News
These cases often involve situations where AOBs have been signed over to a contractor who then has their claim denied by the insurance company. This leaves the policyholder in limbo, sometimes with unfinished work on their home, other times liable for ...
In first week of Session, Florida House took big steps toward insurance reform Florida Politics (blog)

all 3 news articles »

Nationwide Insurance Rolls Out Proof of Insurance on the RiskBlock Blockchain - Bitcoin Magazine


Bitcoin Magazine

Nationwide Insurance Rolls Out Proof of Insurance on the RiskBlock Blockchain
Bitcoin Magazine
“The current way that drivers provide proof of insurance is cumbersome and uncertain,” said Christopher G. McDaniel, executive director of The Institutes RiskBlock Alliance in a statement. “Sharing proof of insurance through blockchain is key to ...

and more »

Insurance billing notices threaten young adults' confidentiality - Reuters


Insurance billing notices threaten young adults' confidentiality
Reuters
By Ronnie Cohen(Reuters Health) - Young adults can remain on their parents' health insurance policies until they turn 26, but when they use it for counseling, pregnancy tests, addiction treatment or anything else, insurers frequently notify their ...

and more »

Another lesson from Montecito — even in semi-arid Southern California, we need flood insurance - Los Angeles Times


Los Angeles Times

Another lesson from Montecito — even in semi-arid Southern California, we need flood insurance
Los Angeles Times
Mudslide usually is excluded from typical home insurance. Instead, it is covered by flood insurance. And it is a reasonable bet that few inland Montecitans have flood insurance. Why would they? They simply couldn't conceive of being flooded out of ...

and more »

High-End Wealth Managers Are Embracing Private Placement Life Insurance (PPLI) - Forbes


High-End Wealth Managers Are Embracing Private Placement Life Insurance (PPLI)
Forbes
Private placement life insurance is becoming a staple on the high-caliber wealth manager's platform. Lacking this tool can often be a serious missed opportunity for financial advisors and their affluent clients. But, that need not be the case ...

and more »

LargeFriends.com - the best dating site for plus-sized singles!
SuccessfulMatchCentral.com - the best dating site for plus-sized singles!

PreLaunchX

DigyCat Domain Is For Sale - $105,000 For Enquiries eMail Us

© www.DigyCat.com - 2012

home | site map | links