Private 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 PlansLet us now try to take a microscopic view of the intricacies of the two major types of health insurance: Indemnity vis-à-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 PlanA 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-à-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-à-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!
Visit Health Insurance Blog: http://affordable-health-insurance-quote.blogspot.com
Mr. Ariful Anam
Web: http://www.dsdwebfactors.com [Coming Soon],
Flat Insurance In The Uk
What are the factors involved in flat insurance? Do I need to provide both buildings and contents cover? Who will cover shared flats or flats with student tenants?The responsibility to insure the building fabric of a flat lies with the freeholder. This means that if you own your flat on a leasehold basis then you only need to insure the conten...(related: Insurance)
Everybody Wants The Best Term Life Insurance Quote
The information you need about the best term life insurance quote is only a click away when you search for term life insurance online. You don't even have to know anything about the insurance industry to get the best term life insurance quote from an online insurance company.So many life insurance companies have an online presence that you can shop for anywhere from one year to 30 year life insurance terms. Term life insurance is cheaper than whole life insurance because your family only collects a settlement if you die during the term of the life insurance. If you are still alive at the end of the term, then you have to start looking all over again for the best term life insuran...(related: Insurance)
Health Savings Accounts (hsa): Do They Vary From State To State?
The Health Savings Account (HSA) is an amazing tool that a lot of people have been talking about. It is meant to help you save money on insurance and make your life simpler, maybe even help you be healthier.Is this tool available in all states? And are HSAs in each state the same?The Health Savings Account (HSA) was passed in the U.S. Congress in December 2003. It was signed by President George W. Bush. That means it is a federal law. The HSA is availa...(related: Insurance)
New Jersey Car Insurance - What Do You Need To Know About It?
When purchasing New Jersey car insurance there are many decisions you will have to make. You need to understand what kind of car insurance coverage you need and how much you can afford to pay. New Jersey car insurance will have no trouble meeting your needs but you, yourself, must know what you need in insurance for New Jersey driving before you purchase. Just keep in mind that there are many options for Nj insurance available with all the different companies selling insurance.When purchasing NJ car insurance, there are some things the agent is bound by law to inf...(related: Insurance)
Poor Call Centre Performances Driving Motorists Online For Insurance
In their efforts to cut costs more and more finance companies are looking to use offshore call centres to provide their customer services and administration. This is especially prevalent in the insurance industry, where it seems as if there is a newspaper announcement of previously UK based services migrating abroad every day. As more insurers use offshore call centres, recent research from Swinton insurance shows that motorists are increasingly turning to the internet to find the best deal on th...(related: Insurance)
Terrorism Insurance - What It Costs Small Business
The Terrorism Insurance Act of Nov. 26, 2002. This helps businesses who must have insurance from being denied, which would kill those businesses. Our General Liability Insurance Numbers have jumped about $100-300 depending on the market area. But if you consider that there have been no terrorist attacks since 9-11 this is high. For instance you are 500 times more likely to incur hail damage in Colorado than you are to get car jacked by a terrorist if you are driving a fuel truck. The trucker...(related: Insurance)
Why Would I Need Auto Insurance Specialists?
If you do not understand the way that auto insurance works, you really need to deal with auto insurance specialists. These are the agents that work for the insurance companies and they can answer any questions you might have. You don't have to get the auto insurance policy through the company because a quote and information is free. When you need to find out how the automobile insurance industry works, your best source of information is from auto insurance specialists.If you have classic, vintage autos, you really do need to have them insured, even if you don't drive them. Think about all the money you would lose if one of these cars were stolen. The Classic Auto Insurance Company has the auto insurance specialists you need to get the right policy for your classic cars.Many of the auto insurance progra...(related: Insurance)
Business Insurance; Information You Will Need
When you start a small business you will need to have insurance. You would be wise to shop around. Triple A rated carriers like Farmers Insurance, State Farm and All State are definitely places to get quotes from, but also be sure to check out your local independent insurance agents as well. When shopping for a quote there is some things you will need to know. For instance you SIC code and business category. If you are involved in more than one, it pays to look at both SIC codes to see which category is preferred by the agents underwriters. Some SIC codes many insurance companies will not even touch. For instance Car Washes, Amusement Parks, Aviation Businesses and security companies. But there are insurance companies who specialize in these areas. Perhaps you might wish to thumb through a recent trade journal to see which insurance c...(related: Insurance)
Why Do You Need Homeowners Insurance?
The biggest single investment most people make in their lifetime is buying a home, condominium or townhouse. What you want to do is protect your home, personal property and any type of liability with a homeowner's insurance policy.Homeowner's insurance just does not cover homes, but it will cover those who rent homes, apartments, condos, and townhouses. These homeowner's policy are referred to at renter's homeowner policies. If you are a renter, you will not need protection against damage to the building itself, but you will need protection against damage or theft of your personal property and any type of liability just in case so...(related: Insurance)
Hidden Ways To Cut Car Insurance
Consumers are countering rising gasoline prices and other vehicle operating costs by capitalizing on lower auto insurance rates, according to leading insurers.Auto policy costs and regulations vary significantly from state to state, but there are a number of areas that consumers are able to...(related: Insurance)
Medical Insurance Overseas
Thousands of people have work related commitments and in order to fulfill those commitments they have to travel abroad. Have you ever realized that most of the insurance company's provide only domestic medical coverage? So, whenever you are leaving your home country, do check up with your current Insurance Company whether they have Medical Insurance Overseas.The purpose of taking medical insurance is that you should be covered under all circumstances and to get the medical cover where it is required. So, "Do not postpone for tomorrow; there maybe law against it" and try to get the Medical Insurance Overseas benefits as soon as possible.Things like medicines, fees charged by the doctors, evacuation if required and all other hospitalization fees are incl...(related: Insurance)
Choosing Affordable Health Insurance For Children
In most cases, private health insurance comes through a person's employer, who picks up the majority of the cost of premiums. However, today many people, who are either self-employed or who work for a company that doesn't offer health insurance, find it necessary to obtain quality affordable health insurance for children.There are a wide range of plans and offerings of affordable health insurance for children and it's necessary to pick and choose from among the many plans available. For example, if you feel your family may need alternative health options such as massage therapy or acupuncture, you'll want to make sure your plan covers these choices.Affordable...(related: Insurance)
Online Insurance Quotes California Auto
Finding insurance quotes for California auto is now pretty easy. There was a time where finding auto insurance at a price we were willing to pay took a lot of driving and calling around. You'd select different agents that represented different companies, ca...(related: Insurance)