 Annual Research Grant Program
HGF Gift Giving Program
A PayPal account is not required.
All major credit cards are accepted.
Simply click the "Donate" button below.
Merchants donate to HGF at no cost to you, it's tax deductible! Click on the iGIVE.COM icon below, sign up, install the tool bar, and you are good to go! Tell your family and friends!
Please see our first product for sale in the new HGF Retail Store: A beautiful music extended play (EP) CD that children and families will love. . Enter Store
|
|
Medical insurance policies are of four basic types with respect to contracting for them, as contrasted with kinds of providers such as PPOs and HMOs. Each kind of insurance policy has significant ramifications for coverage, claims, and appeals, as well as costs. The basic types of polici
es are set forth below:
1. Private or government entity purchases a group policy for which it pays a
premium and receives benefits for its employees and their families, known
as beneficiaries.
2. Private or government entity purchase a group policy for which it pays for
administrative functions; but instead of paying premiums for coverage, is
self-insured (i.e., the entity provides the benefits; not the insurance
company).
3. Private or government entity purchases a policy for which it pays a premium
and independent contractors join and they and their families receive
benefits.
4. Family or person purchases a policy for which it receives a premium and the
the family members receive benefits.
The cost of the insurance policy is negotiated between the private or government entity, a family or a person. The cost is based on options including, but not limited to: the medical facilities; physicians; surgeons; allied medical professionals; drugs, products, and services provided and covered by the insurance company, both locally, and out-of-networkselected; and the political and financial environment within the insurance industry.
The insurance policy is generally implemented with (1) a handbook for the beneficaries; (2) a schedule of benefits; (3) policies and bulletins relating to specific critrera for medical necessity and coverage; and (4) insurance policy riders and supplements or updates. Collectively those documents contain all covered, conditionally covered, and excluded drugs, products, and services, and service providers within the network of the insurance company and outside of its network; and, all policies and procedures relating to the insurance policy, which is a contract between the insurance company and the principal owner of the policy.
|
