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-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 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-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!
Web Designer, PHP & SEO Expart
Give Your Auto Policy A Tune-up
When you originally purchased your auto insurance policy, you purchased a certain type of coverage to meet your needs at that time. Since then you have probably experienced many changes in your life. Have these changes changed your auto insurance needs? Is it time to "give your auto policy a 'tune-up'"?As you probably already know, the term 'tune-up' is usually discussed with vehicles. A new vehicle rarely experiences any mechanical problems. However, over time a vehicle's performance and efficiency levels may decline. At that time, you may need to 'tune-up' your vehicle's engine to bring its levels of performance and efficiency to an acceptable level.As stated earlier, you have probably...(related: Insurance)
Inexpensive Life Insurance To Protect What You?ve Earned
Adequate life insurance to cover your income producing ability is a product that is really needed today to give peace of mind. Life insurance was originally conceived to protect a man's family when his death left them without income. Over time is has developed into a variety of policy plans. In a "whole life" policy, fixed premiums are paid throughout the insured's lifetime; this accumulated amount, augmented by compound interest, is paid to a beneficiary in a lump sum upon the insured's death; the benefit is paid even if the insured had terminated the policy. Under "universal life," the insured can vary the amount and timing of the premiums; the funds compound to create the death benefit.With "variable life," the fixed premiums are invested in a portfolio (with earning reinvested), and the death bene...(related: Insurance)
What Do You Mean My Auto Insurance Policy Doesnt Cover This!!
Auto insurance is an agreement between you and your insurance company where you arrange to pay a premium in an exchange for the peace of mind that your insurance agency will pay for vehicle related financial losses during the duration of the policy. You need auto insurance because you are liable by law to pay for losses you cause to others in the event of an automobile accident. Purchasing auto insurance is the sur...(related: Insurance)
Medical Insurance - Health Insurance Coverage & Plans Explained
If you're trying to decide between health insurance plans, you'll find that there are several different kinds from which to choose. It's important that you weigh ...(related: Insurance)
Keys To Controlling The Future Of Health Care
Several key changes are necessary to get control of the costs associated with the run away health care system in the United States.Here are just a few suggestions:1) Cost information about medical procedures and cost comparisons to alternative treatments need to be more easily available so that consumers can make better educated health care choices.2) Outcomes and outcome comparisons of alternative medical procedures need to be more ava...(related: Insurance)
How To Reduce Home Insurance Premiums
Here are some useful tips on how to reduce Home Insurance premiums.Home insurance, also known as Household Insurance is a policy designed to cover your home and if applicable its contents against the possible risks.With most aspects of household insurance, the premium is based upon factors over which you have no control. The location of the property, its age, the value of its contents are all fixed and there is little that you can do about it.There are three factors, however, that ca...(related: Insurance)
Car Insurance Rates ? Can You Lower Them?
Car insurance rates are prohibitive nowadays. Many families really struggle to pay the car insurance bill each month. And car insurance rates vary all the time. So if car insurance cost is an issue for you, what can you do about it?
Life Insurance Without Life Value: Why Young People Are Snubbing Financial Advice
This article is written by a 27 year old female (borderline Generation X / Y) called Rachel. Rachel spent six years at university, has no outstanding debts with the exception of government student loans. Rachel also has no pension p...(related: Insurance)
Online Insurance: The End Of The High Street Broker?
When I was a lad, some 25 years ago, the Insurance Company called to your door every month to collect your life insurance premium. My recollection is of a drab suited man having to run the gauntlet of neighbourhood dogs rather like the postman.Then through the eighties more and more people found their wages being deposited directly into hastily set up bank accounts; this led to the standing order for paying all sorts of regular bills including insurances and heralded the demise of the door to door representative. An economy quickly realised by big insurance companies in the UK.Then during the nineties big firms latched on to the idea of "direct" which is a handy abbreviation for cutting out the ...(related: Insurance)
Finding Life Insurance Quotes For Adult Children
Shopping for life insurance quotes for adult children isn't any different than it is for adults or seniors. Underwriting issues can vary a little but essentially life insurance quotes for adult children follows the same routine.Where we do see a difference is in qualifying. Some companies don't allow you to buy more than (2) times what the adult parent has, other companies may use other multiples. Underwriting also considers the premium paying capabilities of the person being insured and etc.A certain amount of caution exists when companies receive applications for children. A simple explanation on the back of the application will normally set everyone at ease. Being a advocate of carrying insurance myself I bought a liufe policy on my 12 year old son simple to get him started at an early age and lock in his rates forever. It als...(related: Insurance)
Insurance Or Assurance - Do You Need Reassurance?
Insurance versus assurance: what is the difference?Should you care?Yes!!The world of finance is extremely complicated and there are many factors to consider when choosing any financial protection product.When looking for a policy you need to know what you are looking for and what is on offer in order that you get the right cover for your needs.One thing that many people find confusing is the specific use of the term "insurance" and the use of "assurance". What are the differences between them?In general, the term insurance refers to providing cover for an event that might happen while assurance is the provision of cover for an event that is certain to happen.For the purposes of financial provisions, a life insurance policy provides cover for a set p...(related: Insurance)
Are You Sure That Heirloom Oriental Rug From Your Aunt Hilda Is Really Insured?
Gone are the days of the cinder block and wood plank bookcases. You've come along way from that old reliable jut rug and CDs (or in some cases, actual vinyl albums) stored in milk crates. That's the way it is with first apartments, and sometimes second and third apartments too. It's what you were able to afford when you first set out own your own. And it was fun, sort of. But today's a new day, and you've paid your dues and then some. You're the king or queen of your own castle, a castle as well-appointed as any luxury model home, with beautiful area rugs, antique furnishings, and other treasurers that you'd hate ever to see lost.Because your home, and to a certain extent the items in that furnish it, will most like...(related: Insurance)
The Surety Bond Domino Effect
I have written many articles about the hard surety bond market. To my surprise many want to know more details as to how we got to where we are at. Like all industries the surety bond industry is heavily influenced by the economy. We can all remember the strength of the US economy at the end of the millennium; it seemed that businesses were flourishing with prosperity everywhere you turned. By the end of 2000 the economy began to slow down. The success of any contractor is directly...(related: Insurance)