health insurance
health insurance

What is health insurance? Why insurance plans are important.

Posted on

What is health insurance? Why insurance plans are important.

What is health insurance?

Health insurance is a type of insurance that helps cover the insured’s medical and surgical expenses.


The “insured” is the owner of the health insurance policy or the person who has the health insurance coverage.


In this article, learn more about what health insurance is, why it is important, the types of plans, and the details of legislation.


Health Insurance and What is it?

Depending on the type of health insurance coverage an individual has, either the insured pays out-of-pocket expenses and receives compensation, or the insurer pays the provider directly.


In countries without universal healthcare coverage, such as the United States, health insurance is usually included in employer benefit packages.

health insurance
health insurance

Types of Insurance:

There are two types:

Private or Public insurance and Government insurance. There are other, more specific types.

Private health insurance

The Centers for Disease Control and Prevention (CDC) says the US healthcare system relies heavily on private health insurance. In the National Health Interview Survey, researchers found that 63.7% of trusted sources in the United States under the age of 65 have some form of private health insurance coverage.


Public, or government, health insurance

With this type of insurance, the state subsidizes healthcare in exchange for premiums. Medicare, Medicaid, Veterans Health Administration, and the Indian Health Service are examples of public health insurance in the United States.


Other types

Some people may define an insurer the way he or she runs his or her plans and connects with the provider. Here are some examples of the types of plans available.


Managed care plans

With this type of plan, the insurer will enter into an agreement with a network of providers to provide low cost medical care to its policyholders. Hospitals and clinics outside the network will add fines and additional costs, but they will provide some treatment.


The more expensive the policy, the more flexible it is likely to be with the hospital network.


Indemnity, or Fee-for-Service, plans

The service fee plan covers treatment equally among all providers, allowing the insured to choose their preferred place of treatment. The insurer will usually pay 80% of the cost of the compensation plan, while the individual pays the rest of the cost as skin insurance.


Health Maintenance Organization plans

These organizations good quality insurance directly to the insured.The policy will usually have a dedicated primary care physician who will coordinate all necessary care.


Health Maintenance Organization (HMO) plans will typically only fund treatment referred by a family doctor and there will be a negotiation fee for each medical service to reduce costs. T


Preferred Provider Organization plans

The Preferential Providers Organization (PPO) scheme is similar to a compensation scheme in that it allows the insured to see the doctor of his choice. The PPO plan also includes a network of approved suppliers with whom it has negotiated prices.


The insurer will pay less for treatment with providers outside the network. However, people with a PPO plan can consult a specialist on their own without having to see a primary care physician.


Point-of-Service plans

A point of service plan serves as a combination of HMO plan and PPO plan. The insured primary care physician can choose between coordinating all treatments, receiving treatment within the insurer’s provider network, and using non-network providers. The type of plan they have will determine the progress of the treatment.


Why is the type of insurance plan important?


The type of plan a person has tells you how they will seek treatment and how much they will need to pay on the day they receive it.


In 2003, the US Congress introduced a new option: Health Savings Account (HSA). It is a combination of an HMO plan, a PPO plan, a compensation plan, and a savings account with tax benefits. However, in Plan 2020, a policyholder must combine this type of current health plan with a deduction of more than 4 1,400 for individuals or $ 2,800 for families.

However, people with chronic conditions such as diabetes cannot save large sums of money on their HSA, as they regularly have to pay high medical expenses to manage their health concerns.


These plans often have huge deductions, which mean that although premiums may be lower, people often pay the full cost of any medical treatment required.


As the types of planning develop, there is more overlap. The gap between the types of policies is becoming more and more blurred.

Most compensation plans use care management techniques to control costs and ensure that adequate resources are available to pay for proper care. Similarly, many managed care plans have adopted certain features of fee-for-service plans.



Health insurance helps to cover the insured’s medical and surgical expenses. There are different types of plans, and they vary depending on what they cover and how a person can access treatment.

Currently, a person in the United States must have some form of health insurance coverage. Anyone without coverage may need to pay a fine.

If you want guidance about insurance plans and to know more information about it. Ask from experts visit here the writing planet. They will assist our about the legislations related to insurance.


Leave a Reply

Your email address will not be published.