Conventional Indemnity Insurance by Candice Chee https://padlet.com/candicecheeqy/nd7n1cmndp8l en-us 2019-09-30 18:19:45 UTC 2019-10-02 18:46:58 UTC hello@padlet.com What is it? ehszpd https://padlet.com/candicecheeqy/nd7n1cmndp8l/wish/391520344 A type of private health insurance coverage. When the insured individuals utilize health care services, they pay for those services and seek reimbursement from the insurer. Care is rendered by independent health care providers, without gate-keeping or other restrictions. Management of care only comes into play in elective admissions, which may require pre-authorization. ]]> 2019-09-30 18:23:23 UTC https://padlet.com/candicecheeqy/nd7n1cmndp8l/wish/391520344 Reference 1 ehszpd https://padlet.com/candicecheeqy/nd7n1cmndp8l/wish/391521023 Analyzing Form, Function, and Financing of the U.S. Health Care System
By Paula Stamps Duston 
]]> 2019-09-30 18:24:31 UTC https://padlet.com/candicecheeqy/nd7n1cmndp8l/wish/391521023 How to process the Conventional Indemnity Insurance? candicecheeqy https://padlet.com/candicecheeqy/nd7n1cmndp8l/wish/391522325 The healthcare provider submits a claim for services to the insurance company. 
The insurance company then pays the physician or the hospital according to the insurance policy. 
The healthcare provider then sends the remaining of the bill to the patient.]]> 2019-09-30 18:26:32 UTC https://padlet.com/candicecheeqy/nd7n1cmndp8l/wish/391522325 Benefit of Indemnity plans chenyun0304 https://padlet.com/candicecheeqy/nd7n1cmndp8l/wish/391523310
  • Unlimited access to care 
  • No geographical locations
  • Not restricted by choice of provider
  • Unlimited access to specialists
  • No utilization restrictions
  • Quality of care is likely to be high
    • ]]>     2019-09-30 18:28:00 UTC https://padlet.com/candicecheeqy/nd7n1cmndp8l/wish/391523310     How does an indemnity plan works? chenyun0304 https://padlet.com/candicecheeqy/nd7n1cmndp8l/wish/391525128 You will likely have to pay an annual deductible before the insurance company 
    Once your deductible has been met, the insurance company will typically pay your claims at a set percentage of the "usual, customary and reasonable (UCR) rate" for the service. 
    The UCR rate is the amount that healthcare providers in your area typically charge for any given service. ]]>     2019-09-30 18:30:58 UTC https://padlet.com/candicecheeqy/nd7n1cmndp8l/wish/391525128     Reference 2 candicecheeqy https://padlet.com/candicecheeqy/nd7n1cmndp8l/wish/391526004    Buckbinder, et al., 3e ]]> 2019-09-30 18:32:32 UTC https://padlet.com/candicecheeqy/nd7n1cmndp8l/wish/391526004 Cost ehszpd https://padlet.com/candicecheeqy/nd7n1cmndp8l/wish/391527283 Most are based on a fee-for-service model. Generally, one of the most expensive models of insurance along with PPO(Preferred Provider Organizations).

    Administrative Costs: Moderately High
    Management of Costs: Costs are difficult to manage & plans are cost inducing

    ]]>     2019-09-30 18:34:55 UTC https://padlet.com/candicecheeqy/nd7n1cmndp8l/wish/391527283     Understanding deductibles and co-payments chenyun0304 https://padlet.com/candicecheeqy/nd7n1cmndp8l/wish/391531014 The deductible is the amount of money you have to pay before policy benefits are provided.
    After the deductible, you may be required to pay a co-payment. 
    A co-payment is a percentage you pay of the remaining charges after your deductible. 
    For example: If your eligible charges are $800 and you have a $200 deductible, then that leaves $600 left. Say your co-payment is 20%. That means you are still required to pay 20% of the remaining amount of $600, which would be $120. 


    ]]>     2019-09-30 18:41:34 UTC https://padlet.com/candicecheeqy/nd7n1cmndp8l/wish/391531014     Is this insurance plan right for you and your family? candicecheeqy https://padlet.com/candicecheeqy/nd7n1cmndp8l/wish/391531661
  • You do not want to commit to a primary care doctor, therefore you get much more freedom. 
  • You do not mind paying a little more for your health insurance costs or deductibles. 
  • You are not worried about selecting providers that are not vetted for costs. The costs of the doctors and specialists you choose may extend beyond the definition of the UCR. You will have to pay attention to how your choices affect your costs.
  • You live in a geographic region where access to the doctors and medical services you want would not be included in a Health Maintenance Organization (HMO) or Preferred Physician Organization (PPO)  plan.

    • ]]>     2019-09-30 18:42:49 UTC https://padlet.com/candicecheeqy/nd7n1cmndp8l/wish/391531661     Reference 3 chenyun0304 https://padlet.com/candicecheeqy/nd7n1cmndp8l/wish/391533215 Indemnity Insurance Plan by eHealth]]> 2019-09-30 18:45:56 UTC https://padlet.com/candicecheeqy/nd7n1cmndp8l/wish/391533215 Reference 4 chenyun0304 https://padlet.com/candicecheeqy/nd7n1cmndp8l/wish/391533724 4 Important Facts About Indemnity Health Insurance 
    By Mila Araujo
    ]]>     2019-09-30 18:46:57 UTC https://padlet.com/candicecheeqy/nd7n1cmndp8l/wish/391533724     What is Usual, Customary and Reasonable (UCR) Rate? chenyun0304 https://padlet.com/candicecheeqy/nd7n1cmndp8l/wish/391534508 UCR rates refers to the amount of money the medical service providers in your area usually charge for services.  
    Indemnity plans are considered self-managed health insurance plans, hence there is no network specifying the rates that your chosen providers will charge.
     
    As a result, you will have to familiarize yourself with the costs that your plan designates as UCR versus what your chosen provider will charge for services to avoid unexpected costs. In general most providers meet the criteria, however it is important to be informed when you use a self-managed plan like an indemnity health insurance plan.]]>     2019-09-30 18:48:24 UTC https://padlet.com/candicecheeqy/nd7n1cmndp8l/wish/391534508     Disadvantages of Indemnity Plan chenyun0304 https://padlet.com/candicecheeqy/nd7n1cmndp8l/wish/391536757
  •  Indemnity plans are the most expensive health insurance plans
  •  Paperwork
  •  Little or no preventive benefits
  •  Uncertainty about how much money the company will pay
    • ]]>     2019-09-30 18:52:38 UTC https://padlet.com/candicecheeqy/nd7n1cmndp8l/wish/391536757     How does the Indemnity Insurance affect the hospitals? candicecheeqy https://padlet.com/candicecheeqy/nd7n1cmndp8l/wish/391539171 Conventional Indemnity Insurance is the least prevalent out of all the insurance plans available in the market. Therefore, it has the least impact on the hospitals in United States. ]]> 2019-09-30 18:57:08 UTC https://padlet.com/candicecheeqy/nd7n1cmndp8l/wish/391539171 Reference 5 chenyun0304 https://padlet.com/candicecheeqy/nd7n1cmndp8l/wish/391540343 Advantages And Disadvantages Of Fee-For-Service (Indemnity) Health Insurance

    ]]>     2019-09-30 18:59:18 UTC https://padlet.com/candicecheeqy/nd7n1cmndp8l/wish/391540343     Reference 6 candicecheeqy https://padlet.com/candicecheeqy/nd7n1cmndp8l/wish/391545837 2019-09-30 19:10:07 UTC https://padlet.com/candicecheeqy/nd7n1cmndp8l/wish/391545837