Health Insurance in the USA
Health insurance is a broad
and multi-stage personal protection program. There are two versions of this
insurance:
1. Social insurance. This is a compulsory one, which
works as an instrument of mass social protection of citizens and is implemented
through laws governing the activities of legal entities.
2. Voluntary health insurance. There are dozens of programs in this category. Every person can choose the best protection for himself depending on his own lifestyle, habits, job, etc.
What Does Health
Insurance Cover?
It may cover the following
risks:
● Illnesses, including health insurance for the risks of occupational diseases of employees.
● Acute poisoning.
● Injuries.
For example, health insurance for h1b may cover the well-being of a group of citizens. For
example, this can be health insurance of employees of one company, club
athletes, groups of extreme tourists or a specific person.
Types of Health
Protection Programs for All Categories of Policyholders
By risks, health insurance
is divided into medical programs and accident insurance. According to the content
of included services of paid medicine, this can be an expanded policy or a
budget option. There are also family products and various systems for staff,
assistance in case of a traffic accident or comprehensive protection.
Among employers who have long
considered an effective tool to motivate employees in voluntary health
insurance against illnesses, this type of service is in demand. Therefore,
insurers have developed many industry-specific and adaptive solutions with
different conditions. It is impossible to list them all since each of them has
its own unique options.
Disease/Injury Risk
Payment Forms
Depending on the group a
specific health insurance policy, the methods of compensation for the
occurrence of the specified events will differ. You need to consider the
following:
● For voluntary health insurance, a scheme for reimbursement of agreed expenses upon the fact of servicing is practiced. The IC works with a number of healthcare facilities based on the contract. If necessary to go to the doctor, the insured person asks for the insurer's assistance, receives the approval and goes for treatment. And the company, at the request of the clinic partner, ultimately reimburses the cost of the insured customer.
● According to the rules of health insurance for tourists who travel outside the US, the same scheme may be provided for as under VHI.
● Health insurance against accidents may include not only compensation for treatment but also life support benefits for a victim who is temporarily unable to work.
The amount of payment may
also depend on the risk. For injury risk, reimbursement is calculated from the
table of estimates of treatment costs for injuries of varying severity. If the
victim is assigned a disability, he receives a percentage of the maximum insurance
amount under a health insurance contract. Depending on the group, it can be
from 30 to 100%.
Conclusion
Insurance is a
revolutionary thing that provides an opportunity to feel confident in your
future. However, it is important to be educated about the differences between a
huge amount of insurances.
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