Maximizing Your Health Insurance Benefits: A Consumer's Guide to New and Traditional Plans

Maximizing Your Health Insurance Benefits: A Consumer's Guide to New and Traditional Plans

by Richard Epstein
     
 

ISBN-10: 0275955109

ISBN-13: 9780275955106

Pub. Date: 09/30/1997

Publisher: ABC-CLIO, Incorporated

A comprehensive guide designed to help consumers understand the American health insurance system so that they can obtain the benefits to which they are entitled. Epstein explains the ins and outs of both new and traditional health insurance plans, including traditional individual and group policies, HMOs and other types of managed care plans, self-funded plans,

Overview

A comprehensive guide designed to help consumers understand the American health insurance system so that they can obtain the benefits to which they are entitled. Epstein explains the ins and outs of both new and traditional health insurance plans, including traditional individual and group policies, HMOs and other types of managed care plans, self-funded plans, Medicare, Medicare HMOs, Medigap, long-term care, COBRA, CHAMPUS, and Medical Savings Accounts.

Written by a nationally syndicated columnist, this useful volume also deals with special health insurance issues related to children, adults with special needs, and individuals who may need long-term care. In addition, Epstein provides valuable information for individuals who are in the process of changing jobs or making changes in their marital or family status, choosing a health insurance plan, or arranging long-term care—including placement in a nursing home or an assisted-living facility—for an aging parent. The book has a practical focus with a variety of tables and worksheets to help consumers establish a system for preventing health insurance problems, and for dealing with any health insurance problems that may arise. It also contains answers to common questions about health insurance, and provides a list of organizations that offer detailed information and advice in regard to specific health insurance problems.

Product Details

ISBN-13:
9780275955106
Publisher:
ABC-CLIO, Incorporated
Publication date:
09/30/1997
Pages:
224
Product dimensions:
6.00(w) x 9.00(h) x 0.63(d)

Table of Contents

Introduction

The Basic Tools

The Health Insurance Maze

Understanding the Language of Health Insurance

Developing a Systematic Approach to Dealing with Health Insurance Claims

Health Insurance Plans

Traditional Individual and Group Plans, Doctors' Bills

Traditional Individual and Group Plans, Hospital Bills

Self-funded Plans

Managed Care Plans

CHAMPUS and Medical Savings Accounts

Medicare and Medicare-Related Programs

Medicare

Medigap and Secondary Health Insurance Policies

Medicare HMOs

Specialized Situations

Extending Coverage through COBRA, the Portability Act, and Conversion Options

Programs for Children and Adults with Disabilities and Special Health Care Needs

Coverage for Long-term Health Care

Conclusion: The Future of Health Insurance in America

Appendix A: Ten Frequently Asked Questions about Health Insurance

Appendix B: Sources of Information and Advice on Specific Health Insurance Issues

Glossary

Index

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