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::: Health Insurance New Orleans Articles :::



Types Of Health Insurance Plans

by Ariful Anam

There are a variety of affordable health insurance plans to choose from, they include;

- Managed Care Plans
- Fee-of-Service Plans
- Health Maintenance Organizations (HMOs) Plans
- Point-of-Service Plans
- Preferred Provider Organizations (PPOs) Plans

Managed Care Plan

Managed Care plans help insurers to control costs. Here the insurance companies sign an agreement with doctors and hospitals to provide health care services for their members. In a managed health care plan, you choose to visit doctors and hospitals from the insurance company's network list of hospitals and specialists. If you want to see a doctor outside your plan, you will have to pay more. Most people get their managed care health insurance through their jobs. Here the employer pays the managed care plan a fixed amount of money in advance to pay for all your health care needs. You pay only a small amount.

Fee-of-Service Plan

In a Fee-of-Service plan, the insurance company pays part of your doctors and hospital bills, while you pay a monthly premium fee. This is a traditional form of health care. Here the insurance company basically pays fees for the services provided to the insured people covered by the policy. With this type of health plan you get the best choice of doctors and hospitals. To receive a claim for a fee-of-service plan you have to fill out forms and then send them to your insurance company. You also need to keeps receipts and bills for your medication and other medical costs. In this plan you are basically responsible for keeping a track of your own medical expenses.

There are two kinds of fee-of-service coverages - basic and major medical. Basic coverage covers the cost of the hospital room and care while you are at the hospital. It also covers some hospital services and supplies, such as x-rays and prescription medications. Basic coverage also extends towards the cost of surgery, whether it is preformed in or out of the hospital and for some doctors visits. Major medical coverage on the other hand covers the cost of long term, high cost illness or injuries.

Health Maintenance Organizations (HMOs) Plans

An HMO plan is a pre-paid health plan, where you pay a monthly premium. This plan provides comprehensive care, including doctor's visits, hospital stays, emergency care, surgery, lab tests, x-rays and even therapy if needed. Under this plan, your choice of doctors and hospitals is limited to the doctors and hospitals under contract with the insurance company. However, in the case of medical emergencies exceptions are made. As HMOs receive a fixed monthly fee, they make sure that you get basic health care for any injury or illness before it becomes serious. HMOs also provide preventative care such as regular doctors' visits, immunizations, well-baby checkups, mammograms, and physicals, plus other services such as outpatient mental health care, which is provided only on a limited basis. Most people like to use HMO plans as they do not require the filing of any claim forms for hospital visits or stays. Members of the plan simply pay via a membership card.

In nearly all HMO plans, you are either assigned or you choose a doctor to serve as your primary care physician. This doctor monitors your health and provides most of your medical care, referring you to specialists as and when needed. You usually cannot see a specialist without a referral from your primary care doctor; this is why HMO plans can limit your choice of physicians.

Point-of-Service Plans

Many HMO plans also offer a Point-of-Service plan. Here the primary care doctor mainly refers you to other providers in the plan, but you also have a choice of being referred outside the plan, and can still get some insurance coverage. This means that if a doctor refers you to another specialist outside the insurer's network, the plan will pay most or at least part of the bill.

Preferred Provider Organizations (PPOs) Plans

The PPO plan is a combination of a fee-of-service plan and an HMO plan. Here, you have a limited number of doctors and hospitals to choose from; however, when you do visit the doctor, you pay by membership card like in the HMO plan. With this plan most of your bills are paid if you go to your network provided doctor. The PPO plan is similar to an HMO plan because the PPO plan also requires you to choose a primary health care provider to monitor your health. Most PPO plans also receive preventative health care. You are allowed to visit a doctor outside your PPO plan, but you will have to pay a larger portion of bill, while the affordable health insurance company only covers a small part.


About the Author:

Insurance Expert - (http://www.healthinsurancedepth.com) - Affordable Health Insurance Quote

Source: www.isnare.com


::: Health Insurance New Orleans News :::

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Community health clinic opens in eastern New Orleans (New Orleans Times-Picay...
12 May 2008 at 9:17pm
Eastern New Orleans residents with little or no health insurance again have access to a community health clinic.
Father, daughter team up at New Orleans clinic (Concord Journal)
14 May 2008 at 9:26pm
In a house transformed into a four-room clinic in New Orleans, the Bilodeaus, along with a group of volunteers from Lahey Clinic?s Global Outreach Program, treated as many as 30 people each day. ...
Health fair in Hanford (The Hanford Sentinel)
16 May 2008 at 8:32am
HANFORD -- A health and safety fair sponsored by Family HealthCare Network will take place from 1 to 4 p.m. Sunday at 329 W. 8th St. in downtown Hanford. Everyone in the community is invited to attend...
N.O. clinic's reins shift to Charity Hospital system (New Orleans Times-Picay...
13 May 2008 at 5:42am
Eastern New Orleans residents with little or no health insurance again have access to a community health clinic. The Charity Hospital system has taken over operation of a clinic at 5501 Read Blvd. pre...
Former HMO officials guilty of fraud (New Orleans Times-Picayune)
13 May 2008 at 5:27am
A New Orleans federal court jury Monday convicted two officials of The Oath for Louisiana, a defunct health maintenance organization, of mail and wire fraud in a scheme to inflate the firm's net worth...
Former execs of The Oath guilty of conspiracy, fraud (New Orleans Times-Picay...
12 May 2008 at 9:27pm
A New Orleans federal court jury today convicted two officials of The Oath for Louisiana, a health maintenance organization that was $45 million in the red when the state shut it down in April 2002, o...
Washington DC (The San Francisco Examiner)
16 May 2008 at 10:09pm
JUNCTION CITY, Ore. ( Map , News ) - Democrat Hillary Rodham Clinton unveiled three new ads Friday in the upcoming primary states of Oregon and Kentucky , including one that pokes fun at Washington pu...
Jury convicts 2 in HMO case (KATC 3 Lafayette)
13 May 2008 at 1:41pm
NEW ORLEANS -- A federal jury has convicted two officials of The Oath for Louisiana in a scheme to inflate the defunct health maintenance organization's net worth and ability to pay...


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