Section 14 - HOSPITALIZATION AND HEALTH INSURANCE
- HEALTH MAINTENANCE ORGANIZATION
Expenses usually covered in full, or there may be a modest co-payment at the time of your visit.
- Group/staff type: you go to a central facility (group health center) to receive care.
- Independent practice association (IPA): Providers work from
their individual offices (and are referred to as primary care physicians.)
- FEE FOR SERVICE PLAN
You or your insurance company are generally billed after each visit.
- Traditional fee for service plan: You may go to any doctor or hospital you choose.
- Preferred Provider Organization (PPO): You are given a list of doctors from which
to choose. If you go to a doctor on the PPO list, more expenses are covered than if you go to a
doctor not on the list.
- COMMERCIAL MEDICARE SUPPLEMENT
Voluntary contributory private insurance plan available to Medicare recipients. Covers the costs of
deductibles, coinsurance, physician services, and other medical and health services.
- SPECIAL PURPOSE PLAN
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.
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Go back to Section 14, Part B »
Go back to Section 14, Part C »
Last Modified Date: April 12, 2011