Gaining A Better Understanding Of Insurance Benefits
Receiving care from your doctor or local hospital is less burdensome and more productive
if you have health insurance to help offset the costs associated with professional health care. When your deductible is paid, a small co-pay associated with most treatments and reduced prescription costs will reduce your overall out of pocket annual health care expenses.Having a health insurance plan includes additional benefits that the policy holder might not be aware of and will save on health costs for everyone. Under a industry practice referred to as reasonable and customary charges; the health care professional, be it the doctor or hospital, is ask to accept a certain amount for each service rendered and eliminate any amount exceeding this amount. Simply put, what they (the doctors or hospitals) are charging for services is too much and we (the insurance company) will only pay this amount.
After the reasonable and customary amount is agreed on by all parties involved in these negotiations, the insurance company will pay their part of the amount and you will be ask to pay your part, thus paying the bill in full at a reduced amount. Should some of these services not be covered by your insurance or they refuse to pay the amount submitted, you will still see a significant reduction in amount of the bill. This is also a benefit of the reasonable and customary and you will see impressive savings.
The other side to all this involves private pay patients, who will be expected to pay whatever the doctors and hospitals thinks their services are worth, because there is no protection of a insurance policy and the reasonable and customary protocol that would be practiced. These people will be at the mercy of overcharges. Having a insurance policy is likened to having an attorney to represent you on inflated health care professional fees and services.
It is primarily for this reason that no one can afford to live without health insurance coverage. Not only for all the benefits that they provide you with but also for all the charges that had they cut down on your behalf. Health insurance is an item that you can't afford to live without. It is important to realize that without health insurance you may be taken for a ride on your medical bills and there is nothing that you can do about it. Health insurance is your protection against over charged medical bills and charges that are in excess of the acceptable amount.
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