| What can supersede the importance of
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| | in return of which the HMOs provide
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| health? Good health is one of the most
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| | complete care to you and your family.
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| precious assets of a human being. Thus it
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| | This also includes the visits of doctors,
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| is not just important but mandatory to
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| | hospital stays, emergency care, surgery,
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| insure and thus secure your biggest asset
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| | lab tests, x-rays and other therapies.
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| against all kinds of threats.
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| | • POS plan- many HMOs offer an
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| Health insurance can be defined as a
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| | indemnity-type of option known as a POS
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| policy that will pay a fixed amount of
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| | plan. Those who opt for POS plan can
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| money for medical expenses and
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| | refer to doctors and medical assistance
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| treatments. Health insurance is basically
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| | outside the plan and still get some
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| a way to ensure protection against any
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| | coverage. If a doctor makes a referral
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| sickness or injury. Health insurance
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| | out of the network, the plan pays all or
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| includes various types of insurance such
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| | most of the bill.
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| as accident insurance, disability income
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| | • PPO- Preferred Provider
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| insurance, medical expense insurance, and
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| | Organization- is basically a combination
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| accidental death and dismemberment
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| | of fee-for-service and an HMO. As in HMO
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| insurance.
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| | plan, in PPO too the options are confined
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| Health insurance is your best friend in
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| | to a set of doctors and hospitals.
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| the hours of need. It is a great support
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| | Medical expenses are covered by the PPO
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| to your family when hefty medical bills
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| | only when the insured person resorts to
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| fall over their heads and there is
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| | the preferred or network providers.
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| immense expenditure on recovery of the
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| | • EPO- Exclusive Provider
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| person concerned.
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| | Organization- is akin to HMO except that
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| Based on the needs and requirements of
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| | it is regulated by the California
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| people there are different kinds of
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| | Department of Insurance and generally
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| health insurance policies available-
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| | pays physicians and other health care
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| • Fee-for-Service Plans- is that
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| | providers differently. EPOs will meet
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| where the insurance companies pay fees
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| | your expenditure only if the physician
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| for the services offered to the insured
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| | you opt for is within EPO's network.
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| people. The insurer only pays for part of
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| | However exigency situations can be
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| your doctor and hospital bills and pays
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| | considered as exceptions.
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| monthly fee called premium. Before the
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| | Prior to opting for a plan it is better
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| insurance payments begin, a specified
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| | to ponder over your needs and family
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| amount of money in the form of
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| | requirements. You may even want to use
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| deductibles is to be paid. After paying
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| | the checklist of the agency through which
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| the deductible for the year you share the
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| | you are purchasing the policy and ask for
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| bill with the insurance company and then
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| | more information from the health benefits
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| your part is known as 'coinsurance'.
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| | manager at your workplace or a health
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| Fee-for-service comes in two ways- Basic
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| | plan representative. You can also seek
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| protection and Major medical.
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| | advice from your physician who is already
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| • Health Maintenance Organizations-
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| | familiar with all health plans and your
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| these organizations are prepaid health
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| | medical history.
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| plans. HMO members pay a monthly premium
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