What is a Health Medical Plan Deductible?

A deductible is a specific dollar amount that your health insurance company requires that you pay out of your pocket each year before the health insurance company begins to make payments for claims. As an exception, not all health medical plans have a deductible such as an HMO or a zero dollar deductible plan. However, most PPO and Indemnity plans typically do require a deductible in their plans to keep premiums affordable.

The deductible is an annual amount per insured person; there will be a maximum amount of deductibles you will have to pay in a given year. In regards to family coverage in health medical plans, your family will have an out of pocket expense by an amount of two to three times your individual deductible to satisfy first before the health insurance company pays for your claims.

For example, if the per person deductible is $1000, and you have four people in your family covered under your health insurance, the maximum family deductible will usually be $3000. Once the people in your family have paid out a $3000 deductible, no more deductibles will apply to any member of the family for the remainder of the year.

The insurance company does have a maximum of per person deductibles per policy. This can very with each policy and company is different regarding their maximum deductible and out of pocket maximum. In some health medical plans the deductible does apply to the maximum of pocket, and in other polices it is consider separate from the annual maximum out of pocket. Please be sure to read the specifics of your policy with your health medical plans company.

Health insurance deductibles can vary and will be effect your insurance premiums. By adjusting your health medical plan deductible you premiums will either increase or decrease. Typically if you increase your deductible you will lower your premium. New High Deductible Health Plans can save you and your family premium dollars over time.

The federal government regulates the detail High Deductible Health Plans limits each year. In the year 2008, the minimum deductible amount for a High Deductible Health Plan is $1,100 for individual only coverage and $2,200 for family coverage. In addition, the maximum out-of-pocket amount for individual only coverage is $5,600 and $11,200 for families. A high deductible health plan typically offers a higher deductible in return for generally lower premiums. For more detail, please contact your health medical plans broker.

What is a (Copayment) Copay in Health Medical Plans?

The copay is a flat payment that is the responsibility of you the patient that is assessed per event or visit. Each insurance company has different level of copays and your Doctor office staff will advise you at your time of the visitation what you’re out of pocket charges are for that visit. The medical office staff will submit the remainder of the bill to your insurance company as long as you are with an in network provider.

Some health medical plans also have separate copays for emergency room visits, lab testing, chiropractor visits and specialists. Read your health medical plans coverage of benefits booklet for more specifics on your plan prior to seeking medical attention. Your medical ID card issued by your insurance company also has your copays printed on them for ease of use and for the easy read for the Doctors office staff.

Copayment is the amount of money paid by you at the time of service for certain medical services and prescription drugs; these can range from $10 to $50 depending on your health medical plans. Copays do not apply to deductibles or out-of-pocket maximums. Health medical plans copays cover the office visit and preventive care when using in network providers and depend on whether the doctor is a general care physician or a specialist.

Example of how a copay might work in Health Medical Plans:   You, the patient visit the doctor for a cold. You pay a $20 copay at the time of visit. The Doctor office bills the insurance company $100 for the negotiated price of the visit. Because the Doctor is contracted “in-network”, the insurance company only allows $100 to be charged for the office visit.  Since $20 has already been paid by you the patient, they send a payment to the Doctor of the remaining balance due of $80.

If your health medical plans have a pharmacy (drug) card you may also have copays included with that benefit. These copays can have multiple tiers depending on the drug prescribed and how the insurance company has classified them. There is typically generic level; brand name (formulary) level and a brand name (non-formulary) level each at different copays.

To help save on your health medical plans premiums, you can adjust your copays higher or lower. The higher your copays the lower your insurance premium will be. It is best to see how you and your family utilize your health medical plans prior to making any changes to your plan design. Most families with young children find it beneficial to keep their copays low as they most often use them for children annual exams and often times many colds during the year. If your children are older and don’t visit the Doctors office regularly it may pay itself in savings to raise your copays to a higher level.

Enjoy Better Health With Customized Alternative Medical Care

Functional Medicine

Anyone with a chronic health condition such as diabetes or rheumatoid arthritis is probably taking traditional medications that were prescribed by a physician. However, there are excellent benefits to visiting a doctor who customizes treatments for each patient to target underlying causes for an illness. Specialists in functional medicine treat the entire body and mind of a patient, instead of only treating a disease. Considered an alternative type of medicine by mainstream physicians, functional medical care tries to solve problems that occur in a patient’s immune, endocrine and gastrointestinal systems.

Body Detoxification

While traditional medicine permits canned treatments for patients, functional medicine customizes a plan for each individual. Not only to relieve the symptoms of a medical condition, but to get to the root of the problem. An early treatment for a chronic condition might include detoxification to remove a buildup of toxins from the patient’s bloodstream, muscles and bones. Some of the methods used to clear toxins from the body include colon cleansing or a change in diet. A physician may recommend various types of diet and/or the use of supplements to remove a buildup of intestinal toxins, customized to fit your lifestyle and circumstances.

Dietary Therapy

Dietary therapy is another way to treat a patient without traditional prescription medications. Improving a patient’s daily nutrition also helps to improve the body’s natural immunity to resist diseases that often become chronic. Diet plans that include variety and plenty of fruits, vegetables, whole grains and lean protein are often advised to replace lost nutrients in the patient’s body. Since each individual has different dietary needs and might just not know how to address them, plans that are carefully developed after the thorough examination of a patient, their symptoms, their current diet and so forth, can in itself make a world of difference.

Homeopathic Remedies

Homeopathy is a form of alternative medicine that uses the essences of plants, including flowers and herbs, diluted in distilled water. Additional homeopathic remedies are made from animal products or minerals to balance the body’s systems in order to improve natural immunity. One important goal is for patients to have an immune system that resists acute and chronic illnesses.

Top Medical Insurance Providers

here are several health insurance carriers in the country and still, it is sad to see that not everyone are able to fully protect themselves and their family from medical emergencies due to the rising cost of health coverage. Good for those who enjoy the opportunity to be part of group health insurance as they pay low or nothing at all. For most Americans, it is a shoo-in for individual health insurance, or nothing at all.

While individual health insurance can be more costly than group health insurance, it would be more costly not to have any coverage at all. To make the search for the perfect medical insurance carriers easier, it would be ideal to check out their backgrounds and what they can offer to their customers.

Here are the top medical insurance carriers as rated by the National Association of Insurance Commissioners based on market share:

Unitedhealth Group

The UnitedHealth Group is comprised of UnitedHealthcare, one of the many medical insurance carriers that serve millions of customers all over the United States. The Group offers healthcare plans that provide access to high-quality healthcare not limited to the 50 states but also in other international markets. The union of UnitedHealthcare and Golden Rule Insurance Company in 2003 has led to the provision of health insurance solutions and innovative health insurance products to many families. One of the many criticisms lodged against medical insurance carriers is the processing speed of claims. This company is proud of being able to process 94 percent of all health insurance claims in ten business days or even fewer. Medical insurance providers like United provide a toll-free customer service line for consumer inquiries.

WellPoint

Amongst all the other medical insurance carriers, WellPoint has the biggest membership of 34 million for its affiliated health plans. The company provides health benefit solutions and products including long-term health insurance, life and disability insurance and behavioral health assistance services along with others. Health coverage is supplied by this company to over 30 million members through the Blue Cross and Blue Shield name. It provides a variety of health plans including indemnity, HMO, PPO, hybrid plans for businesses, and recipients of Medicaid and Medicare. WellPoint has 37,500 employees as of 2010.

Health Medical Supplies

The purpose of this article is to give seniors and caregivers lifestyle advice that can create a positive impact. With baby-boomer closing in on retirement there are more and more seniors on the web every day. Health Medical Supplies is all about improving your life or a loved one’s life in the later years by giving comprehensive advise about health and medical supplies. In this article I just want to discuss the importance of staying active and independent for as long as possible. In my experience as a life and health insurance agent I have gone on thousands of in home appointments with seniors and I have seen everything.

I have also worked with seniors in thirteen different states, so when I say I’ve seen everything I mean literally everything, and if I haven’t seen, I’ve heard it from my co-workers. So if I had to give one piece of advise from my experience it would be “take care of your body and it will take care of you”. The healthiest seniors Ive met were always active ones, mentally and physically. I’m not saying you have to be Jack Lalanne, just try to be active is all I’m saying. Get out and walk once in a while, take the stairs, sign up for a water exercise class. Always consult your doctor before making these sort of changes to your life.

It’s amazing how big the diet industry, everyone wants to find the magical pill they can take that makes the fat melt away. So now I’m going to pass along a secret, a secret that you can use to help you lose weight that is guaranteed to work, are you ready, here it is – Diet & Exercise really work!! – whew. Glad I got that out there. When you exercise and watch what your eating you have more energy, when you have more energy you feel better, when you feel better you have less stress, etc. Its a heck of a cycle, but again it works. So what does medical supplies have to do with staying health and independent?

I will go over one of my favorites: Hot/Cold Water Therapy system is a machine that you fill up with water and then it has a tube connected to a wrap. You take the wrap and wrap it around your leg or back or hands or wherever you have pain, swelling, poor circulation, etc. You turn the machine on and it pumps hot or cold water through the wrap increasing you blood flow and reducing any pain or inflammation that you are experiences. I luckily have access to this machine so I use it my self. I like to do 15 minutes of hot water and then 15 minutes of cold water therapy until I’m satisfied. So if you have Medicare you can get one of these for nothing. So hopefully I have helped someone out today and then maybe I’ll help out another person tomorrow or next week with this article. I just know that I can reach so many more people online. So that’s it hope you enjoyed and have a great day!