Health Knocking

65

By Dame Scribe

Models of Available Health Insurance

A few hundred years ago, countries around the world had a local herbalist providing medical help and aid when needed. Today, we have centralized medical facilities and teams of medical professionals to answer our medical care needs. Along with this marvelous industry and team of skilled workers, care and medication, we get a bill!

The medical profession is expensive to cover all costs for the medical care received during your visit. Every item that is dispensed for the care of the client is noted. These items can add up quickly especially with the use of highly technological medical instruments.

Assistance for people with their medical costs is made available with various medical insurance options. They are as follows;

Private, purchased by individuals or families. Some or all costs are paid by the insurer.

Group, medical insurance covering a group. Premiums are paid by the employee, the employer or both will pay. Premiums cost lower.

Health Maintenance Organization, HMO, prepaid fees to cover health services. Billed either monthly or at intervals. HMO’s focus on prevention and maintenance of health as it costs less than treating illness.

Preferred Provider Organization, PPO, made between a PPO and a company. Rates are reduced for employees of medical facility.

Medicaid, sponsored by the Federal and state governments and vary state to state. People usually over 65, disabled or low income are usually eligible. No premiums to pay.

Medicare, provided by the Social Security administration of the Federal government and available to people 64 and over. Disabled may be eligible. Benefits and regulations change often so is recommended to stay informed at your local Social Security office.

'Medical Savings account, MSA, held by a subscribing family and therefore leaves the "insurance" pool. The healthy family does not spend the entire amount deposited to the account. The fund balance remaining is "lost" to the health care system that therefore harms the less healthy'. http://benefitslink.com/articles/msa.html

Diagnostic Related groups, DRG, legislated to reduce Medicaid and Medicare costs BEFORE a person is hospitalized. Hospitals keep monies if extra is left over after treatment or lose altogether if above the set amount.

 

The use of Alternative medicine and treatment is not accepted or may not even be negotiable with some health insurers as they don’t qualify covering for these services even if supported by the traditional modern hospital and medical professionals. People will be required to pay out-of-pocket for these services even if lower in cost. A need to bring this to the attention to local government may be in order to change this attitude.

Health reform may be in the works and best to stay up-to-date so we are not caught without insurance to pay for medical care when it's needed. Health insurance providers are numerous and I probably didn't mention all of them but the best practice is to shop around for the best deal for you and your loved ones. Read more --> here.

Please feel free to leave your comments, observations and experiences. Give your vote and/or send a email if interested in having a article about a topic of your interest.

Article(C)2011 Dame Scribe, all rights reserved. Dame Scribe creates articles and posts online. She creates articles on business skills & development, health, science, technology and society and has a strong passion for writing.

Comments

Dame Scribe profile image

Dame Scribe Hub Author 15 months ago

Hi Daniel, I agree that insurance companies strive to compete for paying clients. Keeping to affordable prices is difficult and dependant if the health facility is public or private. Thank you for visiting and sharing your comments. :)

Daniel C. Metz profile image

Daniel C. Metz 16 months ago

Ideally health insurance companies will be forced to provide competitive benefits for the cost or their customers will search for other health insurance companies. I worked for a physical therapist and there were numerous companies who have extremely poor reimbursement, especially for non tradition methods and billing codes.

http://www.quickmedical.com

Dame Scribe profile image

Dame Scribe Hub Author 3 years ago

I think all health insurance for maintenance and prevention should be low -cost and the same but only cosmetic stuff cost more, lol. Maybe a sliding scale sort of thing. Rises temporarily after care is given.? :) am glad you enjoyed this.

Spirit4112 3 years ago

Yeah, when it comes to health insurance, I don't even know where to start. I'm generally a healthy person who only gets sick about once a year. I've only been to the hospital once in my life. Quite frankly, some of the health coverage in my opinion is overpriced. And the people who's health are in more danger are too poor to afford anything, not to mention their own food on their plate. On the other hand, the technology in America's medical field is the absolute best in the world. Capitalizing medication and service creates competition and better quality. However, I don't think that everything in the medical field should be capitalized. Something needs to change in the structure, but I have no idea. I'm glad I'm not the one in charge of the process!

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