Understanding California Health Insurance terminology

August 31st, 2011

If you are looking into California health insurance, you may find yourself a little puzzled by all the terminology out there. This is a brief overview of some of the more common terms:

Managed care refers to a health coverage system that is managed within a network of practitioners. This includes:
- Health Maintenance Organizations (HMO), with which you get all of your medical treatment from health providers within the network.
- Preferred Provider Organizations (PPO). This coverage generally costs less than HMO, and involves paying a discounted set fee for services sought within the network of practitioners.
- Point-of-Service or POS. With this option you may still be covered if your doctor refers you to health practitioners outside the network.
Indemnity Plans are more flexible, allowing you to choose your own hospitals and doctors. Within these are:
- Employer-sponsored coverage which is health coverage available through your work.
- Health savings accounts, a tax-deductible option, which allows you to save specifically for health expenses.
- High-deductible plan, which usually involves paying a $1,000 deductible when making claims.
Other terms:
- Co-payment: a set fee you need to pay for services.
- Co-insurance – a percentage of costs you pay after deductibles.
- Deductible – the amount you must pay when making a claim before other costs are covered by your insurance provider.
- Fee-for-service – the ability to choose your own providers.
- Exclusions – items not included in coverage.
- Formulary – a list of medications that are covered.
- Out of pocket – the deductibles, co-payments and co-insurance you need to pay.
- Annual limit – the predetermined amount of medical costs that an insurance provider will cover each year.
It’s really no surprise that choosing the right California health insurance can be frustrating, but it pays to get it right. ...

Read more

Claim the Compensation You Deserve

August 22nd, 2011

Accident could happen anytime and anywhere and no matter how well prepared you are there’s a possibility to get accident at work. Getting accident would give lots of hard times. In financial point of view, you will be suffering as you need to pay for medical bills and the opportunities you lost because you no longer able to do your work. Beside you have right to get insurance coverage, you also have right to get compensation from workplace accident.

The law has been strictly regulated that all employers should provide safe workplace environment to their employees. In case of workplace accidents, it shows that there is something wrong with the system and you have right to gets proper compensation due the company’s negligence leading you to suffer from the accident. What you need to win compensation claim is to find a good lawyer to help you. If you don’t know where to find it, you will only need to come to Accident Consult. This is the leasing personal injury consult service where you can get comprehensive legal assistance to help you deal with your claim. Accident Consult has team of seasoned lawyers with expertise in this case and support system to ensure that you can get the proper compensation.

Just talk to them and they will help you prepare your claim from scratch. They will help you complete all documents and paperwork to become the strong evidence of your claim. Whether the case would be settled through negotiation or even court fighting, Accident Consult would guarantee that you will win the case and get the optimum settlement. The best thing about Accident Consult is that you will get 100% of your compensation. They won’t cut it for legal and other fees. There will be no better place to get such comprehensive legal assistance for your personal injury claim. ...

Read more

Subscribe to RSS feed