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Saturday, March 14, 2009

Health Coverage - Fee For Service Health Plans

By Jordan FeRoss

Living in Texas, you can get a serious illness at any time. Having this affliction along with injuries and the like can cost a lot of money to treat. Health care insurance in Texas is important to have. You need to have enough health care coverage that not only covers just you, but also your family.

For these reasons, it is imperative to have health insurance in Texas. And you must ensure your entire family has adequate coverage as well so that everyone is protected in case of an emergency. Without health insurance, your family could be left with enormous debt if you became sick or injured and cannot take care of your bills as expected.

When you have a health care plan, there are two categories that it can fall under. There's fee-for-service or managed care. For this article, we will discuss fee-for-service health plans. Health care insurance in Texas can consist of group coverage. This would include employers or organizations that provide health care coverage to their employees or members. If you don't fit into either of those groups, you can purchase individual health coverage from an insurer or independent agent. Whichever plan you get, check out the benefits that come with it. They are different and you may have to pay more of a difference from one than you would with the other.

Fee for Service Health Plans

A fee-for-service plan aka indemnity plan may be obtained through an independent insurance company. A plan such as this will permit you to see the doctor of your choice. The benefit to this is that you may see a specialist if you so choose and you don't have to ask for a referral that may or may not be granted. This is just one benefit of this type of health insurance in Texas.

With this health insurance in Texas, you are covered for the majority of the costs in regard to medical treatment and related medical issues that the policy covers. You will be billed for the out-of pocket items that the insurance did not cover. Once you pay the out-of-pocket fees, submit your claim to the insurance company for reimbursement.

With this kind of health coverage, you would be required to pay a fee to keep the plan going. If you have this health insurance in Texas through your employer, more than likely it will be deducted from your regular pay. However, it will only be a portion because employers usually help to offset the cost for employees by paying their share.

Most of the time with health insurance in Texas there is a certain deductible that must be paid before the insurance kicks in. Once this has been met, then the insurance company will begin to pay their share. It is important to understand your insurance policy so that you aren't unpleasantly surprised with a huge unpaid medical bill.

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