These services may include routine immunizations, screenings, annual well woman exams, mammograms, and counseling. When you visit a doctor, the office checks your insurance to learn which services are covered and what to charge you. These government programs, funded primarily through taxes, are designed to provide medical coverage without returning a profit. Examples of government-sponsored insurance include the Indian Health Service (IHS), Medicare, Medicaid, the State Children’s Health Insurance Program (SCHIP), TRICARE, and the Veterans Health Administration program. Companies that sell this type of insurance are for-profit corporations, and offer their insurance services through group insurance plans as well as individual or personal plans. Private health insurance is often offered through employers or other organizations. A PPO is an arrangement in which medical professionals and facilities provide services at reduced rates, though not at the same rate as HMO plans. Your local insurance specialist at a branch near you. Its fundamental purpose is commercial. Commercial insurance's mandate: Commercial health insurance, even with regulations, has an entirely different mandate. Commercial health insurance can be categorized according to its renewal provisions and the type of medical benefits provided. Most operate for profit, although some commercial health insurers are non-profit organizations. There are many different types of commercial health insurance. This means that commercial health insurance providers vary by state. Nongovernmental agencies provide and administer what is called commercial health insurance. The doctor’s office then submits a claim for the services rendered to the insurance company, which reimburses them for the covered portion. State regulatory and legislative bodies also dictate certain aspects of what the plans are required to offer and how they must operate. Proving the option of quality medical coverage sets your company Medicare Advantage, or Medicare Part C, is a type of hospital and medical insurance provided by private companies instead of the federal government. Nongovernmental agencies provide and administer what is called commercial health insurance. Commercial insurance is a type of business insurance that offers solutions for industrial sectors including but not limited to construction, manufacturing, telecom, textiles, logistics etc. A commercial Health Insurance policy plays an important role in the lives of your employees. These policies vary widely in the amount and types of specific coverage that they provide. Two of the most popular types of commercial health insurance plans are the preferred provider organization (PPO) and health maintenance organization (HMO). This book examines the financing of China’s health system, argues that present arrangements are not adequate and proposes an increased role for commercial health insurance as a way of overcoming the difficulties. In broad terms, any type of health insurance coverage that isn’t provided or maintained by a government-run program can be considered a type of commercial insurance. Since employers typically cover at least a portion of the cost, this is often a cost-effective way for employees to obtain health coverage. Their premiums and coverage amounts are designed to create a profit for the insurance company. commercial health insurance is a tool to reduce your risks. Although not government administered, plan offerings, to a large degree, are regulated and overseen by each state. This coverage differs from publicly-funded government options like Medicare, Medicaid and the Children’s Health Insurance Program (CHIP). As you experience changes in your life, your health insurance coverage should adjust as well. The policy usually provides coverage for more services at a much lower cost per participant. Most commercial payers, or insurance companies, offer several different levels of coverage to their members, ranging from health maintenance organizations (HMOs) to preferred provider ­organizations (PPOs) and point‐of‐service groups (POSs). These services may include routine immunizations, screenings, annual well woman exams, mammograms, and counseling. Most commercial health insurance plans are structured as either a preferred provider organization (PPO) or health maintenance organization (HMO). Commercial health insurance plans cover many preventive services at no cost to the patient. Therefore, we performed this systematic review in order depict a comprehensive picture on the current … Non-Blue commercial health insurance companies; Health Maintenance Organizations (HMOs) Self-funded employer-sponsored benefit plans; To receive health insurance, employees choose to participate in their employer-sponsored plan. Nov 28, 2017. Self-employed people and small business owners can buy health insurance coverage, but it is often financially beneficial for them to try and join via a group plan through a professional organization or local group. Commercial policies can be sold individually or as part of a group plan and are offered by public or private companies. Policyholders’ monthly premiums fund commercial policies. Insurers sell commercial health insurance policies to make a profit. As with health plans, the policyholder pays a monthly premium for their commercial prescription drug insurance. Providers are for-profit and offer both group and individual plans. 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