What Is Not Covered?
While HMO benefits are generally more comprehensive than those of traditional fee-for-service plans, no health plan will cover every medical expense. Very few plans cover
October 14, 2011
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While HMO benefits are generally more comprehensive than those of traditional fee-for-service plans, no health plan will cover every medical expense. Very few plans cover
Many people worry about coverage for preexisting conditions, especially when they change jobs. The Health Insurance Portability and Accountability Act (HIPAA) helps assure continued health
Health insurance is generally available through groups and to individuals. Premiums – the regular fees that you pay for health insurance coverage – are generally
HMOs, PPOs, and fee-for-service plans often share certain features, including pre authorization, utilization review, and discharge planning. For example, you may be asked to get
Your employer may have set up a financial arrangement that helps cover employees’ health care expenses. Sometimes employers do this and have the “health plan”
The three major types of managed care plans are health maintenance organizations (HMOs), preferred provider organizations (PPOs), and point-of-service (POS) plans. Managed care plans generally
This type of coverage generally assumes that the medical provider (usually a doctor or hospital) will be paid a fee for each service rendered to
The term health insurance refers to a wide variety of insurance policies. These range from policies that cover the costs of doctors and hospitals to
If you have ever been sick or injured, you know how important it is to have health coverage. But if you’re confused about what kind
On October 7, 2011, the Institute of Medicine (IOM) publicly issued its highly anticipated “essential health benefits” (EHB) policy principles to the Department of Health and Human Services (HHS). Among the proposals included in the 297-page report, the IOM recommended that the package of “essential health benefits” be based upon a typical small employer plan in today’s market and linked to the national average premium cost of a “silver” level plan in the Exchange.