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Policy and Politics in Nursing and Health Care
Policy and Politics in Nursing and Health Care
by Diana J. Mason Judith K. Leavitt Mary W. Chaffee
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Critical: What We Can Do About the Health-Care Crisis
Critical: What We Can Do About the Health-Care Crisis
by Tom Daschle
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Maternity  Women's Health Care (Lowdermilk, Maternity  Women's Health Care)
Maternity Women's Health Care (Lowdermilk, Maternity Women's Health Care)
by Deitra Leonard Lowdermilk Shannon E. Perry
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Nutrition for Health and Health Care (with InfoTrac  1-Semester Printed Access Card)
Nutrition for Health and Health Care (with InfoTrac 1-Semester Printed Access Card)
by Ellie Whitney Linda Kelly DeBruyne Kathryn Pinna Sharon Rady Rolfes
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Delivering Health Care in America: A Systems Approach
Delivering Health Care in America: A Systems Approach
by Leiyu Shi
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Finding Health Care for Your Family

Heavy competition on the market has given you a wide array of choices for a health care plan and a provider. However, picking just one out of the multitude can be a daunting task, especially when your family's health is at stake. To make the choosing process a little easier, you can just look at some of the factors that every provider has, and then choosing which one you feel will be best for your family.

 

Choices for Health Care

Every health insurance company maintains a list of accredited or approved physicians, hospitals and treatment facilities. For your bills to be covered by the health insurance plan, you have to get treatment from a physician or a facility that's included in that list. This condition could be a problem, especially if your family doctor isn't on that list.

If you prefer to keep getting treatment from your family physician, ask him or her about his or her accreditations. On the other hand, if you won't have a problem switching physicians, look for familiar names or ones whose practice is in your area.

Similar limitations are also in effect with specialists. Aside from giving you only a list of specialists you can consult, some insurance plans even have limited coverage when it comes to getting treatment from a specialist. Again, if you have a preferred specialist for your family, check to see whether he or she is there. If not, you may want to consider switching specialists or looking for one in your area.

Covered Costs

Emergency treatment is another thing in health insurance plans that usually has a lot of conditions attached to it. Make sure those conditions are clear-cut and well-defined so that you won't end up paying the bills for emergency care that suddenly didn't qualify to be paid by the company.

Coverage for pre-existing health conditions, like emergency treatment, has a lot of ifs and buts about it. Some companies don't even cover costs for pre-existing conditions at all. If anyone in your family needs continuous treatment for pre-existing conditions, make sure such coverage is included in your plan.

You might also want to check if the plan covers routine checkups and regular physicals and, if it does, how often you can have it done. You'll most probably get a few in the course of a year, so they might as well be covered by the insurance plan.

Medication, especially when needed on a continuous basis, can get really expensive. Ask your prospective provider if their plan will provide for long-term and prescription medication.

Besides medication, treatment and therapy for a health condition could extend beyond just the hospital. Ask if the insurance plan will cover things like rehabilitative therapy or nursing care.

One question that you will definitely have to ask is the payment plan or structure used by the company. Some companies require you to pay a certain amount before they pay the rest of the bill, or will simply ask you to do copayment.

There are a lot of factors involved in any health care plan. Get three to five factors that you think will be really important for your family and then go look for a plan that matches your criteria.



 

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