Sleep-at-night coverage with a Private Health InsuranceHealth Insurance: a sense of dissatisfaction The three C's, customization, consumerization and customer-satisfaction, seem to be at
core of
business mantra for every service provider. The health insurance provider industry is no exception to this rule. With an increasing concern among
tax payers of US regarding
number of people uninsured in
country, there is a burgeoning market for
providers. Even though, this seems to be a buyer's market, there seems to be a lot of dissatisfaction among
people with
red tape and bureaucracy involved in claims processing, exclusions and limitations. Based on a survey conducted a couple of years ago, only 1 in 4 Americans said, they are "very satisfied" with their medical coverage. In general,
consent was that
people were dissatisfied with
bureaucracy of
provider, rather than
health plan itself. http://www.healthinsurancedepth.com
Taking a closer look at
Indemnity Plans Let us now try to take a microscopic view of
intricacies of
two major types of health insurance: Indemnity vis-à-vis
Managed Care. The Indemnity is
traditional fee-for-service plan allowing more flexibility in terms of choosing your physicians and health care providers in lieu of an annual deductible amount. This is also referred to as
typical private or individual health insurance plan, tailored to
person's situation. Exclusions are defined when you buy your policy for your particular scenario. Due to
personalization nature of
policy and
subsequent risk exposure to
insurer, this comes with a higher price tag.
Exploring
intricacies of a Managed Care Plan A Managed Care plan will typically restrict
individual to visiting in-network set of physicians, hospitals and health care providers. This encompasses
Group Health Insurance plan, usually extended as part of an employer benefit. A single policy is designed for a big group of individuals belonging to different age groups and with varied medical conditions. Due to
economies of scale, in terms of risk distribution, these plans have lower premiums and out-of-pocket expenses than
private health insurance plan. ( http://www.healthinsurancedepth.com )There are three variations of
Managed Care plans: PPO (Preferred Provider Organization), HMO (Health Maintenance Organization) and POS (Point-of-Service). The in-line exclusions of these plans are a major concern, which are probably not always evident to
policy holder till
unforeseen happens. The provisions in
policy are decided between
insurer and
policy owner (typically your employer). Due to
restrictions imposed to visit doctors registered with
plan, you may come across a situation where you do not have a doctor to treat your specific illness. Simple surgeries and diagnostic tests can add up to thousands of dollars in medical expenditures due to
exclusions. In
long run,
lower premiums may not actually save your money due to these occasional exclusions/limitations. Thus, it always becomes an annoyance for
consumer to choose a well-rounded managed care plan that covers all or most of
medical diseases and/or illnesses.( http://www.healthinsurancedepth.com ) The bureaucracy and red tape involved in these policies to obtain authorizations and referrals even for
slightest of variations, for cost control measures always lead to a lot of dissatisfaction. Typically, you are also required to go through a primary care physician (PCP) for any of your treatment needs and may not be able to get your treatment done with
doctor of your choice to avoid excessive costs to
insurer. http://www.healthinsurancedepth.com
Private Health Insurance gives you
freedom of choice! Comparing
two major variations, private health insurance seems to be
option to get
peace of mind for your healthcare needs. With
rising discontent among policy holders, this seems to be a more economically viable option for
long run depending on your health conditions. It is all about
"freedom of choice" and
flexibility to guarantee you
best medical care. The exclusions are defined at
onset of
contract based on your specific requirements and if you can afford
extra dollars, you actually get
perfect "sleep-at-night" coverage! Unlike group coverage,
provisions are negotiated by
policy holder and depending on
financial ability
policy can be designed as comprehensive as possible. In addition to
customized health care,
next most important advantage is
flexibility to choose your own doctor or specialist and
hospital of your choice. Private health insurance is a surging business in
United States because of
freedom that policy holders have in choosing what they want and how they want to be insured. You can secure yourself against any financial devastation for any and every imaginable health condition.