Features of Private Payer and Consumer-Driven Health Plans Stephanie Allen HCR 230 Sunday‚ May 8‚ 2011 Heather Csanky Features of Private Payer and Consumer-Driven Health Plans There are several types of private payer plans including preferred provider organizations (PPO’s)‚ health maintenance organizations (HMO’s)‚ and point of service (POS). Indemnity plans would cost the most for employees and they usually choose a PPO plan. A trend that is gaining popularity with employees and employers
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Individual Features of Private Payer and Consumer-Driven Health Plans Individual Features of Private Payer and Consumer-Driven Health Plans Looking for medical health plans can be demanding on time‚ but it is worth the time to look over all the options offered. There are many features to go through from Private Payer Plans‚ such as Preferred Provider Organizations (PPOs)‚ Health Maintenance Organizations (HMOs)‚ Group HMOs‚ Independent Practice Association (IPA)‚ Point of Service (POS)‚ Indemnity
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Features of Private Payer and Consumer-Driven Health Plans The following reading is to familiarize the reader with private payer plans and types of consumer-driven health plan (CDHP) accounts. Private payer plans such as PPOs‚ HMOs‚ and Group HMOs are the most popular but there are also others to consider when making decisions on health coverage‚ which are IPAs‚ POSs‚ and Indemnity plans. The CDHP accounts are made “for the consumer” and therefore consumers (patients) have a say in what kind of plan
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DOWNFALLS OF CONSUMER-DRIVEN HEALTH PLANS The Downfalls of Consumer-Driven Health Plans Jamiee Coates Professor Rhonda Bunce July 27‚ 2008 Abstract Healthcare today is a very important issue. Lack of health insurance can affect the health and productivity of workers. Many people today do not have health insurance. Employment-based health insurance is in high demand to retain employees. The high healthcare costs make it hard for employers to offer employees quality health plans
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There are nine private payer plans which include preferred provider organizations (PPO)‚ health maintenance organizations (HMO)‚ point of service (POS). Indemnity plans cost the most for employees and they usually have to choose a PPO plan. The new consumer driven health plan (CDHP) which a lot of people are picking‚ it has a high deductible combined with a funding option of some type. All of the plans have unique features for coverage of services and financial responsibility. PPO plans are the most
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Summarizing the Medigap Program HCR/230 Donna DeGrio By Jennifer Cooperman November 25‚ 2011 Summarizing the Medigap Program The core benefits may be covered differently depending on your plan design. As of 2011 the Medigap design still remains the same. The core benefits include hospital coinsurance for up to 365 days more than what is covered by Medicare Part A‚ co-pays and coinsurance for Medicare Part B‚ up to the first three pints of blood per year‚ Medicare Part A hospice care coinsurance
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Financial Policy Here in Dr. Childs’ office‚ we have specific rules and regulations included in our financial policy. We are happy to have you as a patient‚ and look forward to proving all of your health care needs. This office values having a communicable relationship with our patients. We would like to provide you with our financial policies‚ so there is a clear understanding of the policies. If there are any questions regarding this office’s policies‚ please feel free to ask any questions.
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employer-sponsored health plans‚ in which employers buy from insurance companies‚ to self-funded health plans‚ in which employers cover costs of benefits. Include the following factors: Riders Enrollment periods Provider networks Third party administrators Discuss how the following affect cost control within group health plans: Portability Creditable coverage In Chapter 8‚ we learn about employer-sponsored health plans and self-funded
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The original Medicare plan does not cover some physician and hospital services. The Medigap program is a supplemental insurance policy that assists beneficiaries in paying for non-covered physician and hospital expenses. The policy is sold by private insurers to help with these services that Medicare does not cover. An individual must be a member of Medicare plans A or B to meet the eligibility requirement for Medigap. The core benefits for the Medigap program are Part A daily coinsurance for days
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Strategies HCR 230 Employer sponsored medical insurance provides employees coverage under group health plans. Group health plans are managed by the Human Resources department. Employers are able to create a benefits package that can be cost effective and offers reduced costs to employees. There are some benefits that can be omitted an example could be a prescription plan. A specific set of network providers can be established for certain coverage such as mental health. In some cases
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