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16th April 2016, 03:18 PM
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Join Date: May 2012
Re: Health Insurance Policy Types

Information of the various types of health insurance policies as well as the companies which offer health insurance in India has been explained below:

Various types of Health Insurance Policies

Health maintenance organizations (HMOs)
Favored supplier associations (PPOs)
Purpose of-administration (POS) arranges
High-deductible wellbeing arranges (HDHPs), which might be connected to wellbeing bank accounts (HSAs)

Health maintenance organizations(HMO)
A HMO conveys all wellbeing administrations through a system of social insurance suppliers and offices. With a HMO, you might have:
Minimal opportunity to pick your social insurance suppliers.
Minimal measure of research material contrasted with different arrangements.
An essential consideration specialist to deal with your consideration and allude you to masters when you require one so the consideration is secured by the wellbeing arrangement. Most HMOs will require a referral before you can see an expert.
What specialists you can see. Any in your HMO's system. On the off chance that you see a specialist who is not in the system, you'll need to pay the full charge yourself. Crisis administrations at an out-of-system doctor's facility must be secured at in-system rates, however non-taking an interest can specialists who treat you in the healing facility can charge you.
What you pay:
Premium: This is the cost you pay every month for protection.
Deductible: Your arrangement might oblige you to pay the measure of a deductible before it covers mind past preventive administrations.
Copays and/or co-protection for every sort of consideration.
Research material included. No case shapes.

Favored Provider Organization (PPO)
With a PPO, you might have:

A moderate measure of opportunity to pick your medicinal services suppliers - more than a HMO. You don't need to get a referral from an essential consideration specialist to see an authority.
Higher out-of-pocket expenses in the event that you see out-of-system specialists.
More research material than with different arrangements on the off chance that you see out-of-system suppliers.
What specialists you can see. Any in the PPO's system. You can see out-of-system specialists, yet you'll pay more.
What you pay:
Premium: This is the cost you pay every month for protection.
Deductible: Some PPOs might have a deductible. You will probably need to pay a higher deductible on the off chance that you see an out-of-system specialist.
Copay or coinsurance: A copay is a level expense, for example, $15, that you pay when you get care. Coinsurance is the point at which you pay a percent of the charges for consideration, for instance 20%.
Different expenses: If your specialist charges more than others in the zone do, you might need to pay the equalization after your protection pays its offer.
Printed material included. There's practically zero research material with a PPO in the event that you see an in-system specialist. In the event that you utilize an out-of-system supplier, you'll need to pay the supplier. At that point you need to record a case to get the PPO plan to pay you back.

Purpose of-Service Plan (POS)
A POS arrangement mixes elements of a HMO with a PPO. With POS arrangement, you might have:
More opportunity to pick your medicinal services suppliers than you would in a HMO

A moderate measure of printed material on the off chance that you see out-of-system suppliers
An essential consideration specialist who organizes your consideration and who alludes you to authorities

What specialists you can see. You can find in-system suppliers your essential consideration specialist alludes you to. You can see out-of-system specialists, yet you'll pay more.
What you pay:
Premium: This is the cost you pay every month for protection.
Deductible: Your arrangement might oblige you to pay the measure of a deductible before it covers mind past preventive services.You might pay a higher deductible on the off chance that you see an out-of-system supplier.
Copays or coinsurance: You will pay either a copay, for example, $15, when you get consideration or coinsurance, which is a percent of the charges for consideration. Copayments and coinsurance are higher when you utilize an out-of-system specialist.
Printed material included. On the off chance that you leave system, you need to pay your hospital expense. At that point you present a case to your POS plan to pay you back.

High-Deductible Health Plan With or Without a Health Savings Account
You might have the capacity to pay less for your protection with a high-deductible wellbeing arrangement. With a HDHP, you might have:
One of these sorts of wellbeing arrangements: HMO, PPO, or POS
Higher out-of-pocket expenses than numerous sorts of arrangements, yet in the event that you achieve the most extreme out-of-pocket sum, the arrangement pays 100% of your consideration
A wellbeing investment account (HSA) to pay for your consideration. The cash you put in a HSA is not burdened and can be utilized assessment free on qualified therapeutic costs.
What specialists you can see . This changes relying upon the sort of arrangement - HMO, POS, or PPO
What you pay.
Premium: A HDHP has the most reduced premium contrasted with different arrangements.
Deductible: The deductible is high – in 2015, deductibles for individual wellbeing arranges range in the middle of $1,300 and $6,450 for one individual or in the middle of $2,600 and $12,900 for a family. Like with HMOs and PPOs, your preventive consideration is free regardless of the fact that you haven't met the deductible.
Copays or coinsurance: You should survey your arrangements advantages painstakingly to realize what you will pay when you go for medicinal consideration.
With a HDHP, your out-of-pocket spending is topped. Case in point, in the event that you have protection just for yourself, the most you need to spend in a year is about $6,450, excluding premiums. On the off chance that our protection arrangement is for your gang, the most you need to pay in a year is about $12,900 without premiums. The sums incorporate your deductible. In the event that you achieve this sum, the arrangement pays 100% of your consideration.

Research material included. The measure of printed material differs, contingent upon whether you get care from a PPO, HMO, or POS arrangement. Keep every one of your receipts so you know when you've met your deductible.

The Various firms which offer Health Insurance in India are as follows:

Apollo DKV Insurance Company Ltd.
Aviva Life Insurance
Bajaj Allianz General Insurance Co. Ltd.
Birla Sun Life Insurance
E-Meditek Solutions Limited
Family Health Plan Limited
Health India-Bhaichand Amoluk Insurance Services Pvt. Ltd.
HSBC Health Insurance
ICICI Lombard General Insurance Co. Ltd.
Life Insurance Corporation Of India
Max New York Life Insurance
Med Assist India Ltd.
MetLife India Assurance Company
National Insurance Company
Paramound Health Group
Reliance Health
Royal Sundaram Alliance Insurance Company Limited
Star Health and Allied Insurance Company Limited
Tata AIG
The New India Assurance Co. Ltd.
United Healthcare
United India Insurance


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