Article Distribution
In: Health & Fitness
2 Mar 2009There are many options available to those people who want to stop their Medicare coverage. For example, a fee-for-service plan or an indemnity insurance plan provides an adequate alternative. Under these plans doctoras fees are paid at the time of service instead of that higher priced monthly premium.
Members of these plans pay a lower monthly premium and are responsible for co-pays when services are received. An annual deductible is also in place. Owning this kind of insurance is more economical in the long run because you wonat have to pay for medical check-ups, tests or inpatient/outpatient services.
There is a downside to a fee-for-service plan however. You do need to choose a primary care physician and hospital from a list of providers that your insurance company has selected; so itas possible that your current physician wonat be on this list. Also these plans donat cover preventative medicine so annual check-ups are an additional out of pocket expense.
Fee-for service insurance plans are suitable for people who do not have the time to deal with the paperwork involved when waiting for insurance company claims. Women and families with young kids who require frequent medical check-ups may find this option uneconomical. On the other hand however those who do not visit doctors or fall ill frequently may find the fee-for service plan cheaper as they donat have to pay expensive monthly premiums.
Some fee-for-service plans allow policy holders to choose doctors or services that are outside the defined network. A new policy holder is required to choose a primary care physician (PCP) who will be in charge of their medical history. The PCP acts as the liaison between the member and other doctors within the network.
Policy holders that require special treatment can choose doctors that are out of the approved network. Using out of network specialists do require additional payment however; using specialists in plan are totally covered. When evaluating fee-for-service plans make sure you understand the costs of an out-of network specialist.
These plans are available to individuals or, if youare employed, to an employee based group. Every fee-for-service plan is different. This includes differences in monthly premium, co-pays services covered and the size of the provider network. Make sure you do your research;
When evaluating a plan consider whether your current physicians are members or of the new planas network. Make sure that youare comfortable with the depth of services offered and covered by the plan. Make sure that the service providers are located within a reasonable distance from where you live. If you suffer from a chronic illness make sure that the services you normally use are covered, at least in part, by the new plan.
Comments are closed.