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Indemnity Health Insurance - Can Indemnity Health Insurance be your solution to affordable health coverage?

Indemnity health coverage are fee-for-service health plans

Indemnity health insurance, also called Mini Medical Plans, are fee-for-service health plans. They are popular for those individuals who cannot qualify or afford traditional major medical coverage, or for those who need to supplement their existing coverage.

Indemnity plans are designed to allow patients maximum flexibility and choice when it comes to their providers. With an indemnity health insurance plan, you can choose which doctor and hospital you visit without worrying about in-network or out-of-network providers.

Is an Indemnity Health Insurance Plan Right for Me?

If you are looking for an extremely flexible plan that will allow you to choose any provider that you want, then an indemnity health plan may be for you.

Payment for services with this type of plan depends on your provider. Some expect you to pay at the time of service; some require you to pay a percentage up front and will bill your insurer for the balance.

In Review: What does "indemnity" mean

When insurance professionals speak about indemnity insurance, the thing that's being indemnified is "you, the policyholder." An indemnity insurance contract states that the insurance company will pay your medical bills. In some cases, it will reimburse the insured person for bills paid out-of-pocket. In other cases, it will pay bills directly to the doctor or hospital providing services. In either case, it pays fees for medical services after they are provided. This structure puts most of the decisions about health care and treatment on the shoulders of the policy holders, who usually defer to the suggestions that their doctors make.

Indemnity health insurance comes in several variations which are based on specific coverage limitations. The most common variation in indemnity health coverage is the major medical policy.

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Did you know?
Fee-For-Service health insurance plans - reimburse physicians and hospitals for each individual service they provide and are called fee-for-service plans. These health plans allow the individual to choose any physician or hospital.

Indemnity Health Plans - with an indemnity plan, you can use any doctor or hospital you wish. Your or they send the bill to your insurance company, which pays part of it. Under most indemnity health plans, you have to pay a deductible before your insurance company will pay. Most indemnity plans typically pay for things like medical tests and prescriptions as well as charges from doctors and hospitals but they usually won't pay for preventative care like annual checkups.

Major medical insurance - can be sold on an individual or group basis. It provides benefits up to a high limit for most types of medical expenses incurred, subject to a large deductible. The contract may contain limits on specific types of charges, like room and board, and a co-insurance clause. These policies usually pay covered expenses whether an individual is in or out of the hospital.


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