Section 14 - HEALTH INSURANCE
Part A and B - Privately Obtained Health Insurance
Do not include Medicare Parts A, B, or D.
- HEALTH MAINTENANCE ORGANIZATION (HMO)
Expenses usually covered in full, or there may be a modest co-payment at the time of your visit.
- Group/staff type: You go to a central facility (group health center) to receive care.
- Independent practice association (IPA): Providers work from
their individual offices (and are referred to as primary care physicians.)
- FEE FOR SERVICE PLAN (FFS or PPO)
You or your insurance company are generally billed after each visit. In a traditional fee for service plan,
you may go to any doctor or hospital you choose. In a preferred provider organization (PPO), you are given
a list of doctors from which to choose. If you go to a doctor on the PPO list, more expenses are covered
than if you go to a doctor not on the list.
- COMMERCIAL MEDICARE SUPPLEMENT (Medicare Advantage, Medicare Part C)
Voluntary contributory private insurance plan available to Medicare recipients. Covers the costs of
deductibles, co-insurance, physician services, and other medical and health services.
- OTHER SPECIAL PURPOSE PLAN
Covers only specific health needs, generally one type of service. Examples include:
| ||Dental Insurance || ||Mental Health Insurance
||Dread Disease Policy
||Prescription Drug Insurance
Do not include Medicare Prescription Drug (Medicare Part D) plans.
Part C - Medicare, Medicaid, and Health Insurance Not Paid for by the Household
- Medicare (Parts A & B)
- Medicare Prescription Drug Plan (Part D)
- Other plans such as TRICARE or military health care
||Children’s Health Insurance Program (CHIP)
||Indian Health Service (IHS)
Go back to Section 14, Part A.1 »
Go back to Section 14, Part A.2 »
Go back to Section 14, Part B »
Go back to Section 14, Part C »
Last Modified Date: April 30, 2013