What Are Some Common Cost-Containment Procedures Used By Insurance Companies? In order to curtail health insurance costs from spiraling out-of-control, most insurance companies have instituted a variety of cost-containment features to their Individual and Group health insurance plans → Read More
There Are So Many Different Health Plans Out There. What Does All Those Letters – Hmo, Ppo, Pos, Etc.—Mean? HMO: An HMO (Health Maintenance Organization) is an organization that provides or arranges for coverage of certain health care services required by members of the… → Read More
I am trying to select an individual policy but the descriptions all seem to be written in some language other than English! Seriously, how on earth can I compare plans and avoid pitfalls? I don’t understand all these “initials”: HMO, PPO, EOB, EOC, etc Trying to figure out and understand health insurance terms and policy provisions can be time consuming, but each medical insurance policy has key factors to consider before making a choice. → Read More
My under-aged daughter is pregnant. Will my grandchild also be covered on my group plan? The insurance company can only extend coverage to a legally adopted or placed dependent child. → Read More
I just got married last week. When can I add my new spouse and step-children to my plan? To add a new husband and stepchildren into a group health insurance policy, you generally have to enroll within 30 days of a marriage. For individual coverage, state laws vary, but you can apply imkmediately after the marriage. → Read More
Glossary Of Health Insurance Words And Phrases Actual charge: the charge(s) for a particular service/treatment by a health care provider Alternative medicine: some medical techniques once considered outside the boundaries of standard practice have become more accepted in recent years and may now be eligible for coverage → Read More
What Will Determine My Insurance Premium? Insurance premiums are determined by actuaries employed by insurance companies → Read More
Ways Health Insurance Companies Can Use Advertising To Mess With You Most insurance companies wish to provide you with benefits due under the policy – not more than what are due, just what are due. However, sometimes because of corporate pressure, the claims adjuster may pay less than is actually due according to the provisions of the policy you purchased. → Read More
Can my group health insurance carrier drop me from the policy? Once you are accepted onto an employer-sponsored group health insurance plan, carrier cannot drop you, as long as the plan remains in effect and you remain eligible. → Read More
Out of Network Health Coverage for Diagnostic Medical Tests, Lab and X-Rays If you are to have medical tests and x-rays done, as ordered by your doctor, make sure they are in network labs or diagnostic facilities, or you will be liable for the out-of-network costs. → Read More
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