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March 21, 2008

Individual Health Plans Advantages and Disadvantages

Filed under: health & fitness — admin @ 12:00 pm
Raphael asked:


Whether you are autonomous worker, to have one or two employment or à the retirement, you need d& #39; a good régime d& #39; insurance-santé for you and your family. It is important d& #39; to obtain a good cover of l& #39; health insurance against the imprévus in the dépenses médicales for éviter d& #39; être enterré in the debt. However, a plan which is good for quelqu& #39; a d& #39; another May not être the good one for you. In the countries industrialisés like the tats-Plain à ‰, oà ¹ the santé of the companies d& #39; insurance in évolution constant of their policy, it is nécessaire that you have information adéquate before choosing a régime d& #39; insurance-santé. This article explains the standard différents d& #39; insurance-santé, their advantages and their inconvénients, so that can choose judicious façon if you store an insurance santé. & lt; br/& WP; & lt; strong& WP; Individual d& #39; health insurance & lt; /strong& WP; & lt; br/& WP; & lt; Br/& WP; individual d& #39; health insurance is a form of individual contract between you and a company d& #39; insurance to guarantee the refunding of the totalité or the quasi-totalité of the médicaux expenses. That includes/understands May hospitalization, the dental médicaments, care, to see a spA©cialist, and certain treatments (radiothérapie, chimiothérapie, etc) This service May être provided by a government parrainé program d& #39; Social Security (especially for people à low-income), or of the companies d& #39; insurance privées. & lt; br/& WP; & lt; strong& WP; Which is l& #39; history derrière l& #39; health insurance? & lt; /Strong & WP; & lt; br/& WP; Some, it ya hundred years, before l& #39; appearance of l& #39; health insurance, all patients à to pay their coÔ ts care of santé. Around 1694, Hugh Chamberlen l& #39; aîné (1630-1720) introduced l& #39; health insurance. à € this époque, l& #39; idée n& #39; était not yet très known and accomodated well by the public. Towards the end of the 19ème siècle, l& #39; insurance santé took an expansion, and d& #39; other forms d& #39; insurance such as l& #39; insurance invalidité accidental or commencé à être available in certain à ‰ tats of the tats-Plain à ‰. & lt; br/& WP; Franklin santé, Company d& #39; Insurance of Massachusetts has été première undertaken à to provide l& #39; insurance accidents with the tats-Plain à ‰. However, it covers only the wounds causées by railroads and boat. Like l& #39; industry of l& #39; insurance développe, in 1866, there were approximately sixty companies offering accidental d& #39; insurance with the tats-Plain à ‰. Aujourd& #39; today, it ya more companies d& #39; insurance which we can count. & lt; br/& WP; Well qu& #39; there exist many companies d& #39; insurance, régimes d& #39; health insurances are regroupées into three catégories principal: & lt; br/& WP; & lt; strong& WP; - Fairy of service & lt; /strong& WP; - également known under the name of d&amp plans; #39; compensation is a type of régime d& #39; insurance oà ¹ you, patient, to have à to pay all the médicaux expenses of your own pocket, then to ask a refunding auprès your company d& #39; insurance. These types of plans have their advantages and their inconvénients. & lt; br/& WP; & lt; strong& WP; Advantages: & lt; /strong& WP; , they offer more flexibilité in the choice of your médecin. You can choose time to consult your supplier of care of santé, and this type of treatment which you want, as a long time as you remain within the limit which your insurer will pay & lt; br/& WP; & lt; strong& WP; Inconvénients: & lt; /strong& WP; in the d&amp plans; #39; compensation, the majority of the médecins require the d&amp payment; #39; advances, you must thus subject the forms of rA©clamation à the company d& #39; insurance à to receive a refunding. That requires paper of work and, sometimes, many calls tA©lA©phonic. Fairy-of-limit of the plans of service offers advantages, they do not cover l& #39; annual physical examination and of éducatifs programs. & lt; br/& WP; & lt; strong& WP; HMO (Health Organizations Maintenance) - & lt; /strong& WP; the organizations of maintenance of santé (HMO) are plane of management of the care which offers care of santé à their members by the hôpitaux ones, médecins and other suppliers of care of santé which is in their réseau. C& #39; is, après their service, you êtes limité à members of their réseau. & lt; br/& WP; & lt; strong& WP; Advantages: & lt; /strong& WP; the différence of the expenses for the plans of service, you n& #39; do not have à to pay d& #39; advances; although some d& #39; between them nécessitent one copayment. You n& #39; do not need to subject the forms, après the forms to receive refunding. Moreover, HMO charges usually less a coÔ T. & lt; br/& WP; & lt; strong& WP; Inconvénients: & lt; /strong& WP; you can use people receiving benefits of care of santé which is associés à l& #39; organization. The majority of the HMO (Health Organizations Maintenance) have tendency à to refuse d& #39; to approve certain treatments. Although some their members HMO to agree to see a médecin or spA©cialists who are not in their réseau, they to invoice you expenses supplémentaires. & lt; br/& WP; & lt; strong& WP; (OPP) taking part supplier organization & lt; /strong& WP; , également known under the name of & lt; strong& WP; & lt; /strong& WP; Preferred Provider Organizations - is a form of management of l& #39; organization of the care of the médecins, hôpitaux, the private clinics and other suppliers of care of santé which signs a contract with an insurer to provide services of santé à its members à tariffs réduits. Usually, the OPP of coÔ for the third time expensive than the traditional HMO, but offer more d& #39; options à their members. & lt; br/& WP; & lt; strong& WP; Advantages & lt; /strong& WP;: Preferred Provider Organizations to give more flexibility à their members, they have larger réseau of the médecins and the hôpitaux ones. You can take the service of suppliers of care of santé which does not form part of their réseaux (certain expenses s& #39; often apply). You pay Basse tickets modérateurs for the primary education care of médecins of care. Moreover, you n& #39; do not need d& #39; a reference to see a spA©cialist. & lt; br/& WP; & lt; strong& WP; Inconvénients: & lt; /strong& WP; OPP coÔ T more traditional HMO. You will be likely more to make Co-payment (généralement à to start from $ 10 à $ 30) when you consult a spA©cialist of the santé. & lt; strong& WP; & lt; /strong& WP; & lt; br/& WP; & lt; strong& WP; this that certain companies d& #39; insurances à to offer a better service à their members that d& #39; others? & lt; /strong& WP; & lt; br/& WP; Yes. Certain insurers offer a better service à their members. More on the santé of the companies d& #39; insurance which provides to satisfy each régime d& #39; insurance-santé with the tats-Plain à ‰, visit our page on the list of names www.individualshealth.com & lt; br/& WP;

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