Home » Finance » Insurance

Group Health Insurance Cutting Overall Costs

Jun 11, 2008
Employers and professional groups often offer very good schemes for healthcare coverage with group health insurance. Also available are some plans, devised by medical service providers, for medical coverage that can save money on healthcare expenses. But in order to realize the cost savings, these schemes sometimes have certain limitations that must be complied with first.

It is usually the administrator of the group health insurance schemes who carries out negotiations and settles prices for specific services with service providers for preparing a formal agreement to charge fee at a lower rate for professional services rendered to the intended beneficiaries. Insured people benefit because these fees are much lower than what they would have paid if they were not members of group health insurance.

There is a provision for cost savings for patients who are insured under group health insurance plan when they visit a network physician for treatment not covered under their group health insurance. Many doctors also offer similar discounts not covered by the insurance plan as they do for services covered by the plan. But there is a difference. The patients are required to pay the balance after services rendered.

Open Options and Choices

Group health insurance plans are mostly designed in such a way that they will only pay the amount that was originally negotiated with member service providers. When a plan member visits a physician not in the plan, then the patient will be responsible for paying the difference between what the plan actually pays for the service and the fees that the physician actually charges. Let us take up a notional case. Suppose the group health insurance plan's agreed fee for the physician's clinic visit is $100 whereas the out of plan physician charges $200, the patient's personal liability will be $100 plus the patient's agreed co-payment.

It is possible for a patient to save money by visiting physicians on the plan. But the problem arises when employers switch group health insurance plans and when the family physician does not belong to the new plan. Often patients resent the idea of being forced to switch over to a new primary care physician, and prefer to continue to consult their previous doctor. But they have to bear the additional costs from their own pockets.

Prescription drugs are also permissible in most group health insurance plans against a co-payment for each prescription. There are plans that allow an insured person to receive supply for up to 90 days to be obtained from mail-order pharmacies without incurring any additional co-payment for their monthly supply from their regular pharmacy. That helps patients financially by not being required to pay the co-payment for each prescription once every three months instead of monthly payment on maintenance drugs.
About the Author
To start your research on health insurance make sure you visit William Flores's site for excellent resources on how to purchase health insurance for group
Rating:
Please Rate:
(Average: Not rated)
Views: 139
Print Email Report Share
Article Categories
    • Artists
    • Gambling
    • Humanities
    • Humor
    • Movies
    • Music
    • Photography
    • Tattoos
    • Television
    • Classic Cars
    • Motorcycles
    • Recreational Vehicles
    • SUVs
    • Trucks
    • Vans
    • Branding
    • Business Opportunities
    • Careers and Jobs
    • Corporate
    • Customer Service
    • Direct Mail
    • Entrepreneurship
    • Ethics
    • Financing
    • Franchising
    • Home-Based Business
    • Human Resources
    • Import and Export
    • Leadership
    • Management
    • Market Research
    • Marketing and Advertising
    • Negotiation
    • Network Marketing
    • Networking
    • Organizational
    • Presentation
    • Project Management
    • Public Relations
    • Small Business
    • Strategic Planning
    • Team Building
    • Telemarketing
    • Training
    • Data Recovery
    • Databases
    • Games
    • Hardware
    • Networks
    • Operating Systems
    • Programming
    • Security
    • Software
    • Spyware and Viruses
    • Ask an Expert
    • College and University
    • Home Schooling
    • K-12
    • Languages
    • Online Education
    • Psychology
    • Coffee
    • Cooking
    • Gourmet
    • Recipes
    • Wine and Spirits
    • Acne
    • Aerobics
    • Alternative Medicine
    • Beauty
    • Cancer
    • Cosmetics
    • Depression
    • Diabetes
    • Diseases and Conditions
    • Fitness Equipment
    • Fitness
    • Hair Loss
    • Heart Disease
    • Medicine
    • Men's Health
    • Muscle Building
    • Nutrition
    • Skin Care
    • Supplements and Vitamins
    • Weight Loss
    • Women's Health
    • Yoga
    • Arts and Crafts
    • Babies
    • Collecting
    • Elderly Care
    • Genealogy
    • Hobbies
    • Parenting
    • Pets
    • Pregnancy
    • Woodworking
    • Feng Shui
    • Gardening
    • Home Appliances
    • Home Security
    • Interior Design
    • Landscaping
    • Affiliate Programs
    • Article Marketing
    • Auctions
    • Audio
    • Banner Advertising
    • Blogging
    • Broadband
    • Domain Names
    • E-Books
    • E-Commerce
    • Email Marketing
    • Ezines and Newsletters
    • Forums
    • Internet Marketing
    • Link Popularity
    • Pay-Per-Click
    • Podcasting
    • RSS
    • Search Engine Marketing
    • Search Engine Optimization
    • Security
    • Social Media
    • Spam
    • Video
    • Viral Marketing
    • Web Design
    • Web Development
    • Web Hosting
    • Copyright
    • Cyber Law
    • Intellectual Property
    • National, State, Local
    • Patents
    • Regulatory Compliance
    • Trademarks
    • Buying
    • Selling
    • Baseball
    • Basketball
    • Boating
    • Cycling
    • Extreme Sports
    • Fishing
    • Football
    • Golf
    • Hockey
    • Hunting
    • Martial Arts
    • Running
    • Scuba Diving
    • Soccer
    • Swimming
    • Tennis
    • Dating
    • Divorce
    • Marriage
    • Weddings
    • Astrology
    • Buddhism
    • Christianity
    • Faith
    • Hinduism
    • Islam
    • Judaism
    • Meditation
    • Metaphysical
    • New Age
    • Cable and Satellite TV
    • Cell Phones
    • Communication
    • Gadgets and Gizmos
    • GPS
    • Satellite Radio
    • Video Conferencing
    • VoIP
    • Addictions
    • Coaching
    • Goal Setting
    • Motivational
    • Stress Management
    • Time Management
    • Clothing
    • Electronics
    • Fashion
    • Gifts
    • Jewelry
    • Causes and Organizations
    • Environment
    • History
    • Holidays
    • Men's Issues
    • Nature
    • Philosophy
    • Politics
    • Women's Issues
    • World Affairs
    • Air Travel
    • Camping
    • Cruises
    • Destinations
    • Outdoors
    • Article Writing
    • Book Reviews
    • Copywriting
    • Fiction
    • Non-Fiction
    • Poetry
    • Quotes
    • Screenplay
    • Tools and Resources