What is your Zip Code
Are you currently insured?
Yes No
How many people are being insured?

Saturday, March 14, 2009

Health Insurance - Fee-For-Service Health Plans

By Jordan FeRoss

You never know what is going to happen in this life and that is why it pays to be prepared. It is important to have health insurance in Texas in case you become ill or get into an accident. Without insurance, a serious accident or illness could destroy your financial future, leaving you buried in debt for the rest of your life. It would be horrible to have to deal with the financial problems in addition to the health problems you would be facing. And, even worse than that is the fact that without insurance you could face being denied life-saving medical treatments.

That is exactly why having health insurance in Texas is so important, not just for yourself, but for your entire family as well. You would not want to leave your family with a huge financial burden should something horrible happen to you.

There are basically two types of health insurance in Texas. One is known as fee-for-service and the other is known as managed care. For the purpose of this commentary, we will be discussing the fee-for-service type of health insurance plans. Health insurance in Texas may be obtained through group coverage such as the type sponsored by employers or organizations that choose to provide health insurance for their employees or group members. Or, you may buy an individual health insurance plan directly from an independent agent or insurance company.

Fee-for-Service Health Coverage

The fee-for-service or indemnity plan is most often provided by an independent insurance company and gives the greatest flexibility because participants can see any doctor they choose. This is an especially important benefit when a specialist is required as there are no referrals necessary before an appointment can be made. For many people, this benefit makes the plan worth the additional cost.

With this health insurance in Texas, you are covered for the majority of the costs in regard to medical treatment and related medical issues that the policy covers. You will be billed for the out-of pocket items that the insurance did not cover. Once you pay the out-of-pocket fees, submit your claim to the insurance company for reimbursement.

As with other insurance plans, there is a monthly premium to be paid by the participant in order for the insurance to remain effective. For added convenience for those who have an indemnity group plan through their employer, premiums can be automatically deducted from your paycheck before being sent to the insurance company for your health insurance in Texas.

With most of not all health insurance in Texas, you will be required to pay a deductible for certain medical requirements. After that, the insurance will start paying their portion. Every year that you have the plan, you are required to pay a deductible. You can get lower insurance premiums by making your deductible higher. With fee-for-service insurance plans, there is also the matter of co-insurance. Some plans may pay 70 percent or higher with you paying the remainder. In the state of Texas, after you have satisfied the deductible, they pay at least half if not more of the medical services that are covered under this plan. You will need to thoroughly look at this plan to see if this is something that you would be feasible for you and your family.

About the Author:

No comments:

Post a Comment