Health Insurance
 
 
Family Health Insurance Plans: Your Safety Net To Medical Bankruptcy
        

Most of us are unaware that since 2004 over 50% of the bankruptcies have been due to medical bills. That is one of the reasons the American Congress is looking at improving the Healthcare system.

But you cannot count on Congress to solve this potential problem for you. There are two causes for the surprising fact that medical bills result in so many bankruptcies: 

  • Medical collection agencies resist using repayment plans in favor of going to small claims courts to get favorable verdicts. Do you want to spend your entire afternoon in a small claims court where you don't know the procedures? So many people just cave in and agree to pay bills they can't afford to pay and have the court rule against them.
  • Fortunately the second cause for the tide of medical bankruptcies is more in our control. In the last 40 years or so, most of us have ignored the details of our health insurance programs and taken them for granted as a fringe benefit. Due to our ignorance, we don't even file claims on what we have coming to us.

Making Sense Of Our Current Insurance Program

Before proceeding, we need to understand the current American Health Insurance options.

 The alphabetical abbreviations can be puzzling.
 So let's start with a broad overview first:

Who

Provides

Insurance

Examples

Who gets

Insured

Government

Federal

  • Medicare
  • Medicaid
  • SChip

Over 65

Lo $

Children

Private insurers

  • Employer

Provided

Employees

Individual buyers

Individual

plans

Individual buyers

According to the Census bureau about 84% of Americans have health insurance; some 60% obtain it from an employer, while about 9% purchase it directly. Each of these programs covers different benefits; So each individual needs to make sure that he/she has the right benefits.

Different Health Care Delivery Plans

The family health insurance delivery system in the U.S. has evolved over the last 50 years to include the following options:

Abbreviation

Name

Dr.

Choice

++

--

FFS

Fee for

Service

Patient

Choice

Free

Choice

Of dr.

Deductable

Before $ covered

HMO

Health

Maintenance Organization

Use

Network

Dr.

Least

Expensive

Least

Flexible

POS

Point of

Service

Use

Network

Dr.

More

Preventive

Care

You must choose a

Pcp

PPO

Preferred

Provider

Organization

Use

Network

Dr.

Low$ per visit

Higher

deductable

 

All of the above can seem confusing; but it practically gets manageable because most patients have a preferred doctor. That choice automatically makes the choice of which health plan the patient will belong to.

It must be noted that the benefits provided by each of these health plans may be different. Once again, the patient has the responsibility for picking the benefits, plan and doctor that best meets individual needs.  We cover how to find the best health solution in the next article.

 
 
Related Information
 
Tips To Reduce Your Health Insurance Premiums
Learning About Your Health Insurance Options Is Important
A Guide To Inexpensive Health Insurance
Health Insurance Companies Offer Many Types Of Plans
Getting Health Insurance Information Is Easier Than You Think