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Monthly Archives: October 2017

Tricks Pick Best Medical Insurance

Consider the benefits or coverage provided

Every medical insurance plan comes with its own list of benefits also known as coverage. Most medical plans are hospitalization benefit plans. They cover expenses covered at the time of any hospitalization of the insured individual. While some of the points are universally available in all plans, others are included in some plans and excluded in others. The list of common benefits include hospitalization expenses which include room rent, ICU room rent, doctors visit fees, procedure charges, pre and post hospitalization charges, day care procedures and so on.

The other coverage options which are included at the discretion of the company include organ donor expenses, maternity and new born coverage, Ayush treatments, Ayurvedic and Homeopathic treatment expenses, etc. So, before buying a plan, consider the list of coverages that the plan provides or does not provide and see whether the coverages not provided relate to your life or not. For instance, you may not be keen on Ayush treatments and its exclusion may not have any bearing on your decision.

Pre-existing diseases clause

If you are completely healthy at the time of purchasing the plan, consider it a blessing. But you may be affected with certain illnesses like diabetes, hypertension, etc. at the time of buying the plan which are called pre-existing illnesses. Every insurer excludes the pre-existing illnesses from the plan’s scope of cover for a certain period called the Waiting Period. If you suffer from such illnesses, go with a plan with the shortest waiting period to include your condition at the earliest.

Claim process

Cashless or reimbursement – there are two ways in which the insurer may settle your claim. Under the cashless facility, if you seek treatment in a network hospital, the insurer directly settles the medical bills with the hospital without you having to get involved. Under a reimbursement claim mode, you will first have to foot the bills and later get those bills reimbursed from the insurer. The reimbursement method of claim settlement may prove a curse because the costs involved may not be affordable and also the process involved is quite cumbersome.

List of Network Hospitals

Rather a sub-point of the above point, a network hospital is one which has a tie-up with the insurer to provide you with cashless facility of bill settlement. Every insurer has a list of such hospitals with which it is tied up and considering the list is important because you must know which hospital to rush to in case of an emergency or whether the local hospital is among the list of network hospitals and would honor your policy and offer cashless services.

Discounts and bonuses

Who doesn’t love a good discount or that extra benefit which comes at no extra cost? Most medical insurance plan has the concept of No Claim Bonus wherein extra benefit is provided to the customer if there has been no claim in the previous years. This bonus is given in two forms – either it involves a reduction of the subsequent year’s premium or an increase in the coverage amount at the same rate of premium. While a discount in premium sounds tempting, an increase in the coverage is a better option in the long run when the medical costs are expected to increase.

Super Visa Health Insurance Is Important

In Case Who Suffer From Some Medical Condition

It is your right to know about your medical status and in case of any medical condition when you seek for the health insurance you have the right to know beforehand if your medical condition is covered in the insurance or not because you would like to be insured for the medical condition you are going through.

You Need To Check In The Details Given By The Super Visa Health Insurance

Usually all the health plans by various insurance companies, including super visa contain the basic details and they are:

Benefits of the health care program that you have chosen for yourself in detail

  • Super visa health insurance follows procedure and policies that one need to have information about.
  • In detail, it should me mentioned about the limitations of the insurance.
  • Extra benefits in case of emergency such as ambulance facility to rush to the hospital, benefits of giving best treatment and no delay in making payment to the hospital

Information of Medical Billing

Medical billing is nothing, but a payment practice in the health system of the United States. In this system, medical care providers, such as dentists, doctors, orthopedists, etc. submit and follow up on claims with medical insurance companies so as to get the payment for the medical services they offer to the patients.

In the past, it was done manually on paper: medical service providers need to fill, submit claims themselves. Now, with the advent of specialized software, medical billing has become quite easy for medical service providers. What’s more, now, medical care providers can manage, submit claims, and receive payments for a large number of patients quickly.

A bridge between doctors and insurance companies

As I said earlier, medical billing is the process in which you send invoices to health insurance providers. These invoices include the details of the treatments you have provided to your patients. Often, these invoices are referred as claims. Sometimes, insurance companies pay the full amount of claims. And sometimes, patients also pay a part of it. This all depends on the terms and conditions of health insurance policy.

Now it is done through specialized software

These days, medical care providers use specialized software. And the use of these software applications reduces the risk of error and efficiently manages client information and insurance claims. What’s more, software programs streamline activities from submitting claims to managing insurance and patients’ payments and patient billing.

Now, with the use of the web or cloud-based software applications, involved parties can access the system anywhere and anytime.

You can outsource it

As a medical care provider, you always try to offer the best care to your patients. However, it is never easy to provide high-quality patient care along with higher productivity and increased cash flow. And making the matter worse, the regulations and payer guidelines are changing all the time.

Cut Your Health Care Costs

Save at Stand-Alone Radiology Centers

The average outpatient hospital cost for MRI and CAT scans is $1,384 to $1,668. But the average radiology center costs $445 to $725. (Information from Cigna) There can be a huge range between the highest and lowest costs in your area. [Most insurers have tools to help you compare the costs of x-rays and tests at different types of facilities in your area.] Check your insurer’s website.

Ask Your Doctor about Cheaper Facilities

Most doctors have privileges at several hospitals or outpatient surgery centers. The doctor’s costs will be the same. However, the facility fees can vary by thousands of dollars. This was an “A-Ha moment” for me. I learned after the fact, the doctor’s clinic would cost 1/3 the fees as the hospital. I think that is one reason why so many of these clinics and surgery centers are sprouting up.

Avoid the Emergency Room if You Can

You may not always be able to avoid an emergency care visit. However, you may be able to go to a much less expensive urgent care center or convenience care clinic. Cigna suggests using these facilities for minor cuts, burns, sprains, joint or lower back pains, and urinary infections. The average cost nationwide for an emergency room visit is $1,553 compared with $135 for an urgent care center and $58 for a convenience care clinic.

Determine ahead of time, who is in your network. You don’t want to be fumbling around when you have an emergency.

Sometimes you can’t avoid a trip to the emergency room, but you can still manage the costs as best as you can. You may be in the ER, but you are still the consumer. The triage protocols have employees following certain procedures. You need to be vocal about what you believe is needed.

I had something stuck in my esophagus. I called my doctor’s office to ask for assistance. I was told I needed to have my esophagus scoped; go to the ER. Because I presented with heart burn, – after all I had something stuck for hours in my throat – they followed procedures and were going to do an EKG. I was vocal and refused the procedure. Next they wanted to do some blood work. I also put a hold on that procedure. I did finally receive the services I came for and a bill of $4,500. I can’t imagine the cost if I had let them proceed unfettered.

Sign Up For Special Health Programs

You may get extra cash or discounts on your premiums for taking a health risk assessment or participating in a tobacco-cessation program. Employers are moving towards motivating employees to be healthier. Kaiser Family Foundation surveyed employers and found more than half offer special disease management programs others may provide a work-out room within their building or pay a set amount towards a gym membership.