Navigating the Health Insurance Landscape by Robert Adziashvili - HTML preview

Navigating the Health Insurance Landscape

Fl exi bl e S pen di n g Ac c o un t ( FS A) : A t ax-adv an t aged sav i n gs ac c o un t t hat c an be used t o pay fo r el i gi bl e medi c al expen ses.

Medi c are: A federal heal t h i n suran c e pro gram fo r peo pl e who are 65 o r o l der, c ert ai n yo un ger i n di v i dual s wi t h di sabi l i t i es, an d peo pl e wi t h en d-st age ren al di sease.

Medi c ai d: A jo i n t federal an d st at e pro gram t hat pro v i des heal t h c o v erage t o l o w-i n c o me i n di v i dual s an d fami l i es.

Premi um Tax Credi t : A subsi dy pro v i ded by t he go v ern men t t o hel p i n di v i dual s an d fami l i es wi t h l o w o r mo derat e i n c o me affo rd heal t h i n suran c e c o v erage.

Co o rdi n at ed Care: A heal t hc are appro ac h t hat i n v o l v es c o l l abo rat i o n an d c o mmun i c at i o n bet ween di fferen t heal t hc are pro v i ders t o en sure c o mprehen si v e an d effi c i en t c are.

E PO ( E xc l usi v e Pro v i der O rgan i z at i o n ) : A t ype o f heal t h i n suran c e pl an t hat requi res members t o use heal t hc are pro v i ders wi t hi n a spec i fi c n et wo rk .

PPO ( Preferred Pro v i der O rgan i z at i o n ) : A t ype o f heal t h i n suran c e pl an t hat o ffers mo re fl exi bi l i t y i n c ho o si n g heal t hc are pro v i ders, bo t h i n -n et wo rk an d o ut -o f-n et wo rk .

HMO ( Heal t h Mai n t en an c e O rgan i z at i o n ) : A t ype o f heal t h i n suran c e pl an t hat requi res members t o c ho o se a pri mary c are physi c i an an d o bt ai n referral s t o see spec i al i st s.