How does health insurance work in terms of payment

How does health insurance work in terms of payment?
 Let's say there's a family, and there's three different prescriptions for different medications within the family. Let's say the Dad is paying for health insurance. Do you just pay for health insurance once, when you register for it? Do you pay $20 monthly? Does the price you pay go up when you add more medications? I'm confused.
Insurance - 5 Answers

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1 :
if it a group plan through an employer, the cost is deducted from paychecks. no, the price will not go up if you need more meds.
2 :
You pay for the health insurance based on the size of family and the coverage desired. Maybe you have prescription drug coverage, maybe you don't. You might have a co-pay for every doctor visit - if so, you pay the $10-25 and the insurance company pays the rest. Usually you pay a monthly premium for health insurance, maybe through payroll deduction. Each plan is different in what it covers and how much you pay for services. Usually with prescriptions, you have a co-pay based on whether it is a generic or brand name and you pay a co-pay for each prescription, each time you get it filled. It sometimes counts toward your deductible.
3 :
When you get health insurance, there is what is called a premium. This is the amount you pay on a scheduled basis. For instance, if you get insurance through your employer, you would pay your part of the premium each payday. If you pay your premiums on time, you get to keep your insurance. Now, when you use your insurance, there is what is called a deductible. This is an amount of money you must spend before the insurance starts paying anything. A typical deductible might be $250/year for the policy holder and $500/year for the family. So, if your dad had the policy and went to get a prescription, if it was his first prescription of the year and it cost $100, he would pay $100. Every time he used stuff under the plan, he would pay everything until he hit the $250 deductible, then the insurance would kick in. (the same goes for the family coverage, until the $500 was met by everybody in total - not separately - you would pay 100%). Now, once the deductible is met, the insurance starts picking up some of the costs...usually the costs are based on what doctor or provider you use. If you use someone who is called "in network" the insurance company pays more of the bill. They do this because they have negotiated lower costs with that provider. For example, let's say you need to have some tests done and your family has met all your deductibles. Let's also say the tests normally cost $200. If you go to an in network provider, the insurance would cover 80%. If you go out of network, the insurance might only cover 70%. Now the nice thing is, by going in network, you get the discounted price, let's say $160. So, if you go in network, you would pay $32 for the tests and the insurance would pay $128 (totaling $160). If you went out of network, you would pay the 30% of $200 or $60 and the insurance company would pay $140. So, by staying in-network, both you and your insurance company save money. Also, there is something called an out-of-pocket maximum. This just means that if someone in your family gets real sick or injured, the most you can pay for that year is the out-of-pocket max...say $5,000. Once you hit that, everything after that is covered 100% by your insurance and you don't pay anything. Last, there is a co-pay - what this means is that if you go to the doctor for a routine visit, it is usually covered without worrying about the deductible and you pay just the co-pay. usually this is $15 or $20 on say a $100 office visit and the insurance company pays the rest (based on a negotiated amount). And that's the short version of how insurance works.
4 :
Your Dad pays a monthly cost for the family to have health insurance, this is called the premium. When someone in the family goes to the pharmacy to buy prescription drugs, they pay a copay for each time they buy a prescription drug. The amount of copay depends on the insurance plan purchased. Using your example, it would be $20 for each prescription. Agent https://www.anyhealthinsurance.com
5 :
I'm not an expert on this, however I would suggest you take a tour here http://www.HealthInsuranceIdeas.info/free-online-health-insurance.htm ,there are expert's tips there.

Can I reimburse myself health insurance costs from my company

Can I reimburse myself health insurance costs from my company?
We used to have individual health insurance, and I would pay for it out of my own company (an S Corp). When we got insurance through my husband's employer, I stopped reimbursing myself. He is paid for by the company, and then it costs extra to add myself and our child. I was just going to deduct health insurance premiums on our Sch A, but we don't have enough other medical expenses to meet the limit. Is it ligit to go ahead and reimburse myself the amount that it cost for the health insurance? Then it would be a business expense. Thanks.
United States - 2 Answers
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1 :
No. The insurance through your husband's employer does not meet the test of having been established through the S-corp.
2 :
Once again, VB gives the correct answer. While the IRS has recently expanded the definition of the "established in the company name" standard, since the policy comes from your husband's employer it still does not qualify. As a side note, officer health insurance cannot be directly deducted by an S corporation for more than 2% owners. There is a convoluted method used to get the deduction, but again you would not qualify.

health insurance plans cover toenail fungus medication and nail removal surgery

What health insurance plans cover toenail fungus medication and nail removal surgery?

Hi, I suffer from toenail fungus, and I've tried ALL home remedies available without success. I'm also about to buy health insurance. I thought I would take this opportunity to finally visit the doctor and get rid of this problem. My questions are: 1. Which health insurance plans offer the best coverage to treat toenail fungus? 2. Do they cover the medication and the surgery required in some cases to remove the toenail? Thank you for all your help!
Skin Conditions - 2 Answers
Random Answers, Critics, Comments, Opinions :
1 :
Since this is a pre-existing condition there is a good chance that none of them will be willing to cover it.
2 :
most insurance will cover the costs you mention if the doctor thinks it is medically necessary.

Health insurance work in the US

How does health insurance work in the US?
I am a non-US citizen and need this information to do a case. Specifically: 1) Is health insurance compulsory for everyone? 2) What happens if someone cannot afford it? 3) In the event that a medical procedure needs to be done, does health insurance cover all the bills? Does the patient need to pay anything extra? 4) Does the patient have any say over what kind of procedure he can take? Say if 2 treatments are available for his condition, can the patient choose the more expensive treatment? And if so, is it covered by the insurance? Thanks for reading this. Your help in answering any part of the questions would be greatly appreciated! Thanks to those who have responded so far. I would like to further ask: Does a health insurance contract state that it will only cover the "normal" rates for a procedure? For eg. if there are 2 possible treatments for a disease, 1 of which is more expensive but more effective than the other, will the patient only be covered by the LESS expensive one? Or is it a case in which the patient can opt for the more expensive one and "top-up" the difference? This is a crucial question to my understanding the case. Thanks!
Insurance - 3 Answers
Random Answers, Critics, Comments, Opinions :
1 :
Health insurance doesnt work in the US. If you cant afford it (it is very expensive) you dont have it. We do have programs to provide insurance to those that cant afford it, but it is primarily for children. You can choose any treatment you want as long as you are going to pay for it. If you do have insurance the insurance company pretty much tells you what they will pay for, otherwise you are on your own. Insurance companies rule in the US, and if you dont like it.....too bad.
2 :
You've asked a very broad question. There is no simple answer. In truth, health insurance works a little differently in each state. To answer your specific questions: 1) No, health insurance is not compulsory for everyone. If you're lucky, you are able to join a group policy at work. (If you're really lucky, it's a good policy and the employer pays at least half of it.) Some states have recently made it compulsory, but that's such a recent change that there's no clear cut answer yet for how that's going to work. 2) What happens if someone can't afford it is... they don't get it, usually. Except if your income puts you below the "poverty level", in which case you qualify for Medicaid. (In some states there are programs that typically provide assistance with insuring children, though they are few and far between for covering adults.) 3) Health insurance rarely covers all the bills when you have a procedure done. Most plans cover 50-80% after you meet your deductible. The deductible amounts vary widely (but the trend is that the deductibles are getting higher and higher to keep the premiums down.) If you're really, REALLY lucky, you don't have a deductible (which is only an option on group plans), and you may only have to pay 10% of covered charges. (These plans are few and far between. As in, you might have them if you're in Congress.) 4) Yes, the patient has some say over procedures. However, if the patient opts for an "experimental" procedure, or one that isn't deemed "medically necessary", then health insurance may refuse to cover any charges at all. In the end, as with most things, the middle class takes the brunt of these costs. This has become such a problem that more than 50% of all bankruptcies are as a result of medical bills (and of those, more than 75% had health insurance.) ** Edited to add: It's not ALL about the money when a procedure is involved. If it is, the state keeps track of complaints filed on behalf of consumers with "managed care" (ie. any type of network arrangement including Preferred Provider Organizations, Health Maintenance Organizations, and Point of Service organizations -- also known as PPO, HMO, and POS) and may very well revoke a company's charter to do business in the state should the company be turning down too many legitimate claims. However, insurance companies are sticklers for following the "standard" for medical care. This is what makes it difficult to answer your question. Because they should not deny anything that's considered standard for care in the given circumstances (should not and will not being two completely different things, of course.) And there may be several options that would be considered "standard." If the patient wants treatment that isn't yet considered "standard", they would balk. Period.
3 :
Wow. What a question. In the order asked. 1. No. 2. You do without. 3. Rarely do they cover all the bills. Most often, patients pay a pre-negotiated portion - either a set dollar amount of a copay or a percentage. 4. In a perfect world, only doctors and their patients would have say over what treatments are performed. But, since this is by far NOT a perfect world, the insurance companies have the say. The patient doesn't get to choose the more expensive treatment - and the ONLY way it would be covered was if the patient and their doctor(s) can prove beyond a shadow of a doubt that by the insurance shelling out more money up front (in the form of the treatment) they would, in fact, save money in the long run - by not having to pay for complications or repeat proecdures. If the patient ops to "top up" the treatment, they better have deep pockets because they'll probably end up paying for most, if not all of it.

How would health insurance businesses be able to stay viable if the Senate bill is passed

How would health insurance businesses be able to stay viable if the Senate bill is passed?

As I understand it, the bill forces all Americans to have health insurance. However, I think that the fine for having no health insurance is around $750. But after the year 2014, health insurance companies will not be able to turn customers away for preexisting conditions. Why wouldnt someone pay the fine or buy low end coverage until they got ill and supplement the coverage or buy an extensive plan?
Other - Politics & Government - 3 Answers
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1 :
In the end, hundreds of thousands of current insurance company employees will be looking for work.
2 :
Yes.Look at Canada they have government healthcare but it SUCKS! Canadians come down here to the U.S. for healthcare instead.So screw the bill!
3 :
i htought the main reason of living in a society was to help each other out, am i wrong?

What reputable health insurance companies are out there

What reputable health insurance companies are out there?
My mom doesn't have health insurance and my job doesn't give insurance to family members. I would like to pay monthly to a health insurance company so my mom could get health check up when she needs it. Do you know any health insurance companies that can accept low monthly payments since I don't get paid that much? We live in northern california.
Insurance - 6 Answers
Random Answers, Critics, Comments, Opinions :
1 :
i am also in norcal - and i have heard assurant health offers insurance at reasonable rates.
2 :
Well, if she's 40 and perfectly healthy, it's going to cost her about $500 a month to have a low/no deductible plan that covers checkups. You BUY it on a month to month basis. If you want low monthly payments, you have to cut the coverage - like take a $10,000 deductible. Or higher. That would cut payments down to maybe $200 a month or less. The older she is, the less healthy she is, the more it costs. Your best bet, is to find a local, independent agent, who can help you balance cost with coverage.
3 :
To Be honest,It will take a little time to find the answer for the question of yours.have a look at the resource here http://www.HealthInsuranceIdeas.info/free-online-health-insurance.htm for your reference .
4 :
If your mother does not work or is considered poor apply her for state welfare insurance. It is great insurance and for people who cant afford health insurance.
5 :
I'm a licensed health agent in California and I may be able to find reasonable coverage for your mother. Please let me know if you are interested in finding out more.
6 :
There is no national network, at different places are calculated separately You put the future back to Beijing, Baotou, pension insurance, and is accumulated with Added: Whether or not required to pay, depending on the social security provisions of Baotou, the social security you have to clear consultative baotou Beijing is at the back should not Information from: http://www.insurance-next.com

Health insurance

Health Insurance?
I'm doing an assignment on health insurance and I wanted to know why is it a good thing to get health insurance? Thanks!!!
Insurance - 7 Answers
Random Answers, Critics, Comments, Opinions :
1 :
go for life insurance. i has everything
2 :
Isn't it obvious? It's a potential to defer losses. If you pay for insurance and get very sick/hurt the insurance company will cover a percentage of the bills. Depending on the plan*, but usually the ratio that company pays versus what the insured is payed is about 80/20. So is it better to pay $300 a month in insurance premiums to deflect a big injury by 80/20 if one occurs or is it better to not have insurance and pay 100% if one occurs? You decide your risk tolerance.
3 :
Pretty simply - health care is more than extremely expensive. Just routine testing which should be done on a yearly basis is very necessary in preventative care and at the same time very expense without health care insurance coverage. I work in a Laboratory - and do the billing. It's incredible! Even if you have a health care plan that requires such things as deductibles and co pays and employee contribution, it still is worth every penny when you are ill and need medical treatment. Of course there are a ton of variety of plans out there that cater to different needs. Therefore it is always wise to do your research if your employer gives you options in health care plans to choose from.
4 :
Have you gone to the doctor lately? Would you have the money to pay the hospital if you were seriously injured in an accident? Or contracted a disease? Or got cancer? That's why people buy health insurance: to protect themselves and their assets from medical costs. Did you know the most common cause of bankruptcy is medical bills? Ask your parents.
5 :
The purpose of any type of insurance is to protect against catastrophic loss. Using health insurance as an example, most everyday medical expenses are not very expensive (a physical exam averages $150.00+/-), but if you are admitted to the hospital for an emergency your medical bills would be in the tens of thousands of dollars at a minimum. If you do not have insurance you "self-insure" againts that potential catastrophic loss. Without insurance, the average person would face financial ruin if faced with a major loss.
6 :
Because uninsured health costs are the #1 cause of bankruptcy in the US. If you ever want to own ANYTHING, like a house, or buy a car on credit, you'd best keep health insurance in place. A bad car accident could lay you up for 6 months and give you $250,000 in medical bills, in a minute.
7 :
Because the majority of bankruptcy filings are caused by medical bills. A simple hospital stay averages about $10,000 a day - and then there's the bill for any tests done, and doctors who see you in the hospital. (Any doctor who walks into a hospital room can bill the patient.)

Health insurance

Health insurance?
I need it. going to pay out-of-pocket. 40 year old non smoking female, healthy. Any tips? Anything I should know? I've never shopped for health insurance, have no idea what I'm doing.
Insurance - 5 Answers

Random Answers, Critics, Comments, Opinions :
1 :
The number one thing to look at: Make sure you use a local agent who represents several carriers in your area. You want a non bias opinion on the health insurance you are going to be purchasing. Also, look into Health Savings Account Qualified Plans. They make ton's of sense for the self employed. Good luck
2 :
Go to a local, independent agent. It's probalby going to cost you around $300 to $350 a month. DO NOT BUY OFF THE INTERNET, it drastically increases your chances of getting scammed. A local agent can show you how to compare plans, and will know who has lots of providers in your area.
3 :
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4 :
If you are self employeed you should take a serious look into Health Savings Accounts, for several reasons, starting with there is a huge savings on your monthly premiums regardless if you are insuring yourself or you and your family. Things that are considered by the insruance companies are the area you live in, the type of work you do and any pre-existing conditions you might have. If you are in the state of California, and you have employees, you need a minimum of two employees and/or 75% of the payroll to participate in the plan (regardless of HSA or regular insurance) to get a guaranteed issuance of the insurance. If you are not self employeed but do have a job, again the HSA is great way to go, because you can make pretax contirbutions to the plan, take it with you where ever you go, and keep the insurance with you when you retire... which as common sense tells us, you are going to need healthcare much more in your retirement years (ie when you are older) then you will now. Also any qualified medical expenses can be paid tax free from the account, and once you hit your deductable out your account, anything above that is paid for by the backing insurance company. One note about the non bias oppinon of "brokers," they get paid on a commission as well by the companies they represent, and some companies pay more than others. Just because you are working with an "independant" does not mean you are getting the best price, or service. You want to work with someone who knows the products that they work with inside and out, or have access to the people who do so that all your questions can be answered to your satisfaction. Some times a huge selection does not mean a huge savings in time and money.
5 :
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6 :
Why not get a personal shopper who knows what they’re doing to shop for you? It’s called an insurance broker. A broker works with several health insurance companies, not just one, and can find the best deal for you. Brokers need referrals and a good reputation to stay in business, so they only work with reputable companies. To find a broker in your area, log on to a website like http://www.healthinsurancewiz.com and fill out a form requesting a quote. Your info will be sent to a broker in your area who will contact you. There is no charge for the service and no obligation to buy. Good luck!