0
Want this question answered?
Be notified when an answer is posted
Add your answer:
Earn +20 pts
Do you have to file all your claims to your health insurance?
The answer is probably better phrased as "should" rather than "have to". Most health insurance policies have deductible and copayment provisions. One of the best ways to keep track of your financial responsibility as the insured, and the insurer's financial responsibility, is to file all claims (or to make sure that the health care providers do). The insurer will then process them and issue Explanations of Benefits (EOB), which will show what was paid, what was not paid, and where you stand with regard to meeting deductibles and copayments for the period of time in question.
When insurance company paid the claim in Health insurance?
Basically claims paid in situations when a insurer get hospitalized for any surgery. i.e The insurer don't have to pay for the treatment at the hospital and then make a claim for reimbursement of the expenses. In such cases the insurance company has a service provider called the third party administrator (TPA) health services, who liaises with the hospitals and directly makes the payment for your treatment as per the terms of your policy and coverage.
What is a fee paid to the insurer to be covered under the specified terms?
The amount paid to the insurer to provide coverage is the premium.
Legislation that requires that when health insurance is replaced ongoing claims under the former policy must continue to be paid under the new policy is known as?
no loss-no gain legislation
Does my toddler have to have health insurance for a well child check up?
This assumed that you, as the parent has health insurance. If you notified the insurer of the child and paid the appropriate premium, the child will be insured under the same insurance policy that you are. Most health policies provide well baby care if only because it is a means of avoiding larger claims later were the child to become ill with a serious condition. Nonetheless, you are best advised to contact Customer Service of the insurer or the agent from whom you bought the policy.
Does journalism provide health insurance?
It may depending upon whether you are an employee of the publisher or freelance. The job is more likely to offer insurance benefits if you are an employee earning a salary or an houly wage, than if you are a freelancer (for example, paid by the article). If insurance benefits are offered, you must be certain that the entity that is financially responsible for paying claims is a licensed insurer. There have been many well-publicized situations in the past when fake insurers have undertaken to provide health insurance plans. They seem appealing to employers because they tended to be less costly and would insure just about anyone. However, there was no licensed insurer behind the plan, they were scams, and many claims were left unpaid. You can check into the legitimacy of the insurer by contacting the state insurance department where the policy will be issued or where you will enroll.
Why would life insurance company ask you to sign something telling them who your plan is with through your employer?
One of the factors that a life insurer is concerned with when issuing a policy is whether the applicant has a pre-existing condition (a condition that existed prior to the application for life insurance). It wishes to know this because, based upon the insurer's underwriting guidelines, it may want to, or have the right to, exclude coverage if death results from that condition. Therefore, the life insurer may want to examine the health insurer's records to determine if (1) answers on the two insurance applications were consistent; and/or (2) the health insurer paid claims for treatment of a condition that was not disclosed on the life insurance application.
Who pays for losses by the people who buy insurance?
If what you are asking is who/what pays the losses of claims submitted to an insurer, the answer is, if it is a covered claim, the insurer. The nature of insurance is that in return for a premium (a dollar amount paid periodically), the insurer assumes the risk of loss of certain categories of losses outlined in the policy. There are dollar limits to the amount that the insurer will pay for various categories of losses, but within those limits, and assuming that it is a covered loss, the insurer pays. There may also be deductibles, and for some forms of insurance, copayments (which the insured pays), but overall, the insurer assumes the risk of loss and pays covered claims.
In California Can a provider bill the health care insurer if a person is injured in an auto accident?
Yes. If the person has private insurance and is covered the bills go to the health care company to be paid.
Why do insurance companies want to settle on disability claims?
Many insurers wish to settle long term disability claims. This is especially true when the validity of the claim is clear, the likelihood of the insured returning to work is low, and the insured is fairly young. If those factors are met, the insurer could be on the hook for monthly payments pursuant to the disability policy for a long time. The insurer may be inclined to offer a lump sum in order to satisfy all claims to future benefits. Briefly, the insurer calculates what it would end up paying in total were it to pay over the life of the policy, and then reduce that amount to "present value". Present value is a mathematical factor which essentially means that "$X" over a long term is worth something less than that if paid all at once now. The insured is then free to invest what is paid, presumably in an investment that pays at least as much as would be paid periodically by the insurer. The insurer is then able to close its file.
Is adjusting an insurance claim engaging in litigation?
No. Adjusting an insurance claim is an activity that does not require any legal filings or court appearances. If an insured wished to contest the adjustment made by an insurance company, that contestation could rise to the level of litigation, but not the adjustment itself.
What is Insurance statements?
Your question is unclear because there are various types of insurance statements. For an insurer, the monthly statements denote the premia received and claims paid, where for the insured it specifies upto date premia paid, FUP if any in brief the present status of the policy in question.
