Individual Health Insurance and Prescription Assistance Programs For People in The United States

December 30, 2009

Private medical insurance offers reimbursement for medical care. Prescription assistance programs might be included in some plans. Various programs may provide for payment of health bills incurred on a reimbursement basis by paying benefits to the policy owner, payment on a service basis by paying those who provide the services directly, or payment of an indemnity by paying a fixed sum regardless of the sum charged for health bills. Health expense or hospitalization insurance can be written on an individual or group basis. Some of these policies will provide prescription help.

While there are several types of benefits offered, personal health expense insurance might generally be categorized as basic health expense coverage, major medical coverage, comprehensive medical coverage, and special programs. These Programs ought to cover prescriptions because prescription drugs help so many patients. The largest part of these plans have mainly been replaced by managed care policies and are no longer sold as stand-alone programs. These types of policies have been adapted and replaced in answer to changes in the health care field relative to cost containment and market competition.

Basic coverage provided by a personal medical expense policy includes hospital expense, surgical expense and medical expense. These three basics could be written together or individually. Often this is written as “first dollar” insurance, which means it does not possess a deductible.

Like the name indicates, hospital expense insurance offers benefits for bills incurred during hospitalization. Hospital indemnities are ordinarily classified into 2 general categories:

• Room and board, plus nursing care and special diets

• Miscellaneous medical expenses, as well as x-rays, laboratory fees, prescription medication, medical supplies, and operating and treatment rooms

In some cases, surgical benefits may possibly be incorporated for several types of surgery and associated costs. Hospital expense medical insurance offers benefits for daily hospital room and board and miscellaneous hospital expenses whilst the insured patient is confined to the hospital. The policy can provide for a specific dollar amount for the daily hospital room and board benefit, even though the movement is in the direction of health insurance of not more than the semiprivate room charge unless a private room is medically needed. The room and board benefit could be paid on either an indemnity basis or a reimbursement basis, depending on the individual policy.

Indemnity plans are now and then called dollar amount plans. Room and board rates fluctuate by geographic location, but it is not atypical to find room and board rates ranging from $200  to $1000  per day or more.

Usually, the maximum number of days is from 70  to 450 . More commonly, room and board charges are paid on a reimbursement basis. This is {frequently called an expenses incurred basis~Frequently known as a expenses incurred basis~This is frequently called a expenses incurred basis}. Under this deal, the plan will reimburse in one of two methods.

• The actual bills for a semiprivate room are covered.

• A percentage of the actual expense is paid, with no explicit dollar limit.

Under the first reimbursement option, the insurance company will pay the full actual semiprivate room rate, regardless of what it is. Under the second reimbursement option, the healthcare insurance carrier pays a specific percentage, regardless of what the actual charges are. A familiar percentage is 80%.

To summarize, with the actual charges kind of reimbursement program, the insurance will pay the actual amount charged for a semiprivate room without regard to a specific dollar limit. With the percentage type of reimbursement plan, the program will pay a certain percentage of the actual charges.



Comments are closed.