| Health care insurance can be confusing
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| | insurance covers only illness or
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| even for those who have some experience
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| | accidents, and does not pay for
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| with it. For those who are new to it, it
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| | preventive care such as flu shots or
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| can be downright unfathomable. A good
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| | birth control medication or devices.
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| place to begin learning more about the
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| | Depending on your policy, it may or may
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| issues behind health care insurance is
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| | not pay for prescription drugs or
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| with the basics.
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| | psychotherapy.
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| There are, generally, two types of health
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| | Managed care can be thought of as the
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| care insurance: indemnity and managed
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| | opposite of indemnity care. With a health
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| care which is often referred to as HMO.
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| | maintenance organization (HMO), your
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| Indemnity health care insurance is also
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| | deductibles are often smaller than with
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| known as "fee-for-service". This type of
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| | other plans. In some cases, there may not
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| insurance will offer the most flexibility
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| | be any deductibles at all. Co-payments
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| because it allows you to pick your own
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| | are almost always fixed and kept low.
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| doctor, clinics, hospitals, etc. The
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| | Most preventive care, drugs, and mental
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| downside is that it will cost a good deal
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| | health treatments are covered but you
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| more than the managed types of health
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| | should always check on this.
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| care plans. These added costs may be
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| | The downside to managed care health
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| reflected in the premiums that you pay,
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| | insurance is that you must choose from
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| but they will certainly be reflected in
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| | doctors, hospitals, and other health care
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| the out of pocket costs that you have to
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| | providers who have contracts with your
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| pay when you go for care. For many
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| | HMO. In other words, you cannot simply go
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| people, the out of pocket costs can make
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| | to whomever you want. Also, you are
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| indemnity health insurance a non-option.
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| | limited to receive only those medical
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| In addition to much higher out of pocket
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| | services authorized by the plan that you
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| cost you will also be required to pay an
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| | have. If you use non-authorized providers
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| annual deductible, which can range from a
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| | or receive non-authorized care, your
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| few hundred dollars to a few thousand
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| | insurance will not pay any portion of the
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| dollars. This amount must be paid before
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| | bills.
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| the insurance will even begin to pay.
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| | Because many people did not like these
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| Once the annual deductible has been paid
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| | restrictions, managed care has begun to
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| into your account, the insurance company
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| | evolve to include hybrid plans that blend
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| will then pay a portion of what is owed.
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| | HMOs with some of the features of
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| You will normally have to make a
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| | indemnity health care coverage.
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| co-payment of around twenty percent or
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| | One example is the Point-of-Service plan.
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| so, and the insurance company will then
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| | If you are under a point-of-service plan
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| pay its eighty percent. If the doctor or
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| | (POS), you can keep your overall costs
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| other health professional charges high
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| | low by using a network of doctors and
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| rates to begin with, you may end up
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| | hospitals that have contracts with your
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| paying a higher rate because the
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| | insurer. If you decide to go outside the
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| insurance company will normally pay only
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| | network that has been set up for the
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| what it considers to be "usual and
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| | plan, you will have to pay an added
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| customary" fees for the service.
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| | deductible as well as higher co-payments
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| Generally, indemnity health care
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| | for the services rendered.
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