Section 14 - HOSPITALIZATION AND HEALTH INSURANCE
- HEALTH MAINTENANCE ORGANIZATION
Expenses in this type of plan are usually covered in full or there is a
modest co-payment at the time of your visit. There are two basic types
- The first is the group/staff type in which you go to a central
facility (group health center) to receive care.
- The second type is an
independent practice association (IPA) in which providers work from
their individual offices and are referred to as primary care physicians.
- FEE FOR SERVICE PLAN
In a fee for service type of plan you or your insurance company is
generally billed after each visit. In a traditional fee for service plan you
may go to any doctor or hospital you choose. In a Preferred Provider
Organization (PPO) you are provided with a list of doctors from which
you may choose. If you choose to go to one of the doctors on the PPO
list, the amount of expenses covered is higher than if you go to a
doctor not on the list.
- COMMERCIAL MEDICARE SUPPLEMENT
A Commercial Medicare Supplement is a voluntary contributory private
insurance plan available to Medicare recipients, to cover the costs of
deductibles, coinsurance, physician services and other medical and
- SPECIAL PURPOSE PLAN
A special purpose plan is one which covers only specific health needs.
Examples of special purpose health insurance plans are -
| ||Dental Insurance || ||Mental Health Insurance
||Dread Disease Policy
||Prescription Drug Insurance
Do not include Medicare Prescription Drug plans.
Go back to Section 14, Part A.1 »
Go back to Section 14, Part A.2 »
Go back to Section 14, Part B »
Go back to Section 14, Part C »
Last Modified Date: April 16, 2009