Personal Health Plans and Prescription Assistance Programs For People in The U.S

Individual health coverage offers benefits for medical care. Prescription assistance programs may be included in some plans. Various programs may possibly provide for payment of health charges incurred on a reimbursement basis by paying benefits to the plan owner, payment on a service basis by paying those who provide the services directly, or payment of an indemnity by paying a fixed sum regardless of the total charged for medical expenses. Medical expense or hospitalization coverage may perhaps be issued on an individual or group basis. Many of these plans will provide prescription help.

Although there are lots of types of benefits offered, personal health expense insurance will generally be categorized as basic medical expense coverage, major medical coverage, comprehensive medical coverage, and special programs. These Programs ought to cover prescriptions because prescription drugs help so many patients. Most of these policies have largely been replaced by managed care options and are no longer available as stand-alone policies. These types of policies have been adapted and replaced in response to changes in the health care field relative to cost containment and market competition.

Basic health insurance provided by a personal health expense plan includes hospital expense, surgical expense and medical expense. These 3 basics may be written as one or individually. Normally this is written as “first dollar” insurance, which means it does not include a deductible.

Like the name implies, hospital expense medical insurance provides benefits for expenses incurred for the period of hospitalization. Hospital indemnities are usually classified into 2 broad groups:

• Room and board, including nursing care and special diets

• Miscellaneous health expenses, including x-rays, laboratory fees, prescription medicine, medical supplies, and operating and treatment rooms

In a few cases, surgical benefits may be included for a variety of types of surgery and associated expenses. Hospital expense health insurance offers benefits for daily hospital room and board and assorted hospital expenses while the insured person is confined to the hospital. The plan may provide for a certain dollar amount for the daily hospital room and board benefit, even though the movement is in the direction of healthcare insurance of not more than the semiprivate room rate unless a private room is medically needed. The room and board benefit may be paid on either an indemnity basis or a reimbursement basis, depending on the specific plan.

Indemnity plans are now and then called dollar amount plans. Room and board rates change by geographic location, but it is not atypical to discover room and board rates ranging from $400  to $800  per day or more.

Typically, the maximum number of days is from 100  to 400 . More commonly, room and board expenses are paid on a reimbursement basis. This is {frequently called an expenses incurred basis~This is commonly called a expenses incurred basis~This is often times called a expenses incurred basis}. Under this policy, the plan will reimburse in one of two methods.

• The actual charges for a semiprivate room are covered.

• A percentage of the actual cost is paid, with no particular dollar limit.

Under the first reimbursement option, the medical insurance carrier will pay the full actual semiprivate room rate, regardless of what it is. Under the second reimbursement option, the health insurance carrier pays a specific percentage, regardless of what the actual charges are. A universal percentage is 80%.

To sum up, with the actual charges type of reimbursement plan, the insurance will pay the actual amount billed for a semiprivate room without regard to a specific dollar limit. Under the percentage type of reimbursement plan, the program might pay a specified percentage of the actual charges.