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Posts Tagged ‘Safeguards’
Online Health Insurance Help: Safeguards Your Life and Health
Online Health Insurance Help: Safeguards Your Life and Health
Health means to live longer and it is not just your wealth and all of us want to live long. Anyone can surely remain fit with exercises, diet plans, aerobics and sports. But a health insurance can manage an untoward incident and any unpleasant circumstances. We all are busy to earn our livelihood and hardly have the time to visit any health insurance agency. In this case the availability of online health insurance can be felt. The health insurance companies have come up with this plan for the benefit of insurance seekers by keeping this thought in mind.
Medical Errors Persist Despite Safeguards
Medical Errors Persist Despite Safeguards
Serious medical mistakes, like performing a medical procedure on the wrong person or wrong site, continue to occur despite recently implemented preventive measures.
Read more on WebMD
As Medicare Moves Toward Pay-for-Performance, Study Highlights Need for Better Data
Much of the coverage of the health care reform law in its early stages has focused on efforts to expand health insurance coverage. But the law has another focus as well — improving the quality and value of medical care. On its health reform Web site, HealthCare.gov , the federal government links to a database called Hospital Compare , a compendium of Medicare data on hospital quality intended …
Read more on The Online NewsHour
I Need Help Understanding Why This Isn’t Insurance Fraud? if Not- Why Aren’t There Any Safeguards for Insured?
True Scenario:
Go to Physician
He is employed by the hospital you work for.
Your insurance is through that hospital, your employer.
The physician has signed a contract with and is a preferred provider for your insurance- as your PCP.
You have a health condition that requires you to receive the pneumonia vaccination every 5 years.
You go to Dr.s office and they tell you the vaccine is not covered by your insurance. The cost will be $120.
You decide to go home and verify (5yrs ago it was covered same doc/same insurance)
The insurance company says it is covered.
You call the physicians office. You get the Tech. They say that “it is covered but they don’t pay me enough to do the shot. So we don’t use the insurance on that. You must pay the $120.”
Now another patient, with medicare, gets same shot- his insurance is filed. He pays nothing.
Is This Health Insurance Fraud? if Not, Shouldn’t Insurance Have Safeguards Against This?
True Scenario:
Go to Physician
He is employed by the hospital you work for.
Your insurance is through that hospital, your employer.
The physician has signed a contract with and is a preferred provider for your insurance- as your PCP.
You have a health condition that requires you to receive the pneumonia vaccination every 5 years.
You go to Dr.s office and they tell you the vaccine is not covered by your insurance. The cost will be $120.
You decide to go home and verify (5yrs ago it was covered same doc/same insurance)
The insurance company says it is covered.
You call the physicians office. You get the Tech. They say that “it is covered but they don’t pay me enough to do the shot. So we don’t use the insurance on that. You must pay the $120.”
Now another patient, with medicare, gets same shot- his insurance is filed. He pays nothing.