This
guide contains:
Overview of health insurance
Different
types of health insurance
How
to find the best health insurance for you
This
independent guide was created to help you understand
the basics of health insurance and to help you choose
the right health insurance policy for you. We do not
sell any health insurance ourselves, so you can be confident
that all of the information in this guide is unbiased
and independent.
Overview
of health insurance
Health care and health insurance is a major political,
economic and social topic in America today. The costs
of health care keep rising and companies and individuals
struggle to keep up with the rising costs. Many millions
of Americans simply cannot afford any health care, and
are at risk to injuries and disease. This site was created
to give you a basic understanding of how health insurance
works so that you know what to look for when searching
for health insurance for you and your family.
Different
types of health insurance
There are basically two kinds of heath insurance - Indemnity/Fee-for-Service
and Managed Care. Although these plans differ, they
both cover an array of medical, surgical and hospital
expenses. Most cover prescription drugs and some also
offer dental coverage.
Indemnity/Fee-for-Service
Until about 30 years ago, most people had traditional
indemnity coverage (these days, it's often known as
fee-for-service). Indemnity plans are a lot like auto
insurance: you pay a certain amount of your medical
expenses up front in the form of a deductible and afterward
the insurance company pays the majority of the bill.
Under this type of health coverage, you have almost
complete autonomy when it comes to selecting doctors,
hospitals and other health care providers. You can refer
yourself to any specialist without getting referrals,
and the insurance company doesn't get to decide whether
the visit was necessary.
On
the down side, fee-for-service plans usually involve
higher out-of-pocket expenses. Most of the time there
is a deductible, usually between $200-$1,000, before
the insurance company starts paying. Once you've met
the deductible, the insurer will kick in about 80 percent
of any doctor bills. Fee-for-service plans often include
a ceiling for your out-of-pocket expenses, after which
the insurance company will pay 100 percent of any costs.
You might have to pay up front and then submit the bill
for reimbursement, or your provider may bill your insurer
directly. Under fee-for-service plans, insurers will
generally only pay for reasonable and customary medical
expenses, taking into account what other practitioners
in the area charge for similar