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Section 14 - HEALTH INSURANCE
Parts A and B - Privately Obtained Health Insurance
Do not include Medicare Parts A, B, or D.- Health Maintenance Organization (HMO)
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 (FFS or PPO)
You or your insurance company are 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 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 (Medicare Advantage, Medicare Part C, Medigap)
Voluntary contributory private insurance plan available to Medicare recipients. Covers the costs of deductibles, co-insurance, physician services, and other medical and health services.
- Other Special Purpose Plan
Covers only specific health needs, generally one type of service. Examples include:
| Dental Insurance | Mental Health Insurance | ||
| Vision Insurance | Dread Disease Policy | ||
| Prescription Drug Insurance | Cancer Insurance |
Do not include Medicare Prescription Drug (Medicare Part D) plans.
Part C - Medicare, Medicaid, and Health Insurance Not Paid for by the Household
- Medicare (Parts A & B)
- Medicare Prescription Drug Plan (Part D)
- Medicaid
- VA Medical, CHAMPVA, Children's Health Insurance Program (CHIP), Indian Health Service (HIS)
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 7,2016