Your Insurance Matters Archive Page

march 9, 2008

Topic
Health care   Bill HB 2041   Arizona Patient Protection Act of 2008

Guest
Jennifer Lemmon
California Nurse's Association and the National Nurses Organizing Committee
www.calnurses.org    www.calnurses.org/nnoc

WHAT?
The California Nurses Association, and its national arm, the National Nurses Organizing Committee, is one of the nation’s premiere nurses’ organizations and health care unions. One of the fastest growing health care organizations in the U.S., CNA/NNOC presently has 80,000 members in 50 states, representing nurses at scores of hospitals, clinics, and home health agencies. Since 2000, over 19,000 RNs at 50 hospitals have elected to affiliate with CNA.

CNA/NNOC is a leading national advocate for universal healthcare reform, through a single-payer style system based on an improved and expanded Medicare for all. In 2007, CNA/NNOC is campaigning for single-payer legislation, HR 676 in Congress, and SB 840 in California. more...

WHERE?
NNOC Arizona  
4904 S. Power Rd., Ste. 103-405      Mesa, AZ 85212      480-888-9758
Jennifer Lemmon at  928-255-3181 or   e-mail jlemmon@calnurses.org

The Insurance Term of the Week:
Medical Necessity:  A medical necessity is something that your doctor has decided is necessary. Keep in mind that a medical necessity is not the same thing as a medical benefit.

Larry's Tip of the Week:
Your health insurance policy is an agreement between you and your insurance company which lists all the medical benefits your insurance company agrees to cover. These benefits can include tests, treatments, drugs and preventative services. Your insurance policy also includes a section which lists all services that are excluded from your policy and services that are payable but only on a limited basis.

There are many different insurance plans. Do not rely on your doctor to know all the specific details of each policy. Most of the things your doctor recommends will probably be covered, but some may not. You could still receive the treatment your doctor recommended but you will have to pay for it yourself.
Take the time to read your policy and know what the insurance company will pay for before you receive a service, get tested or fill a prescription.

Talk to your insurance representative and have them explain your coverage and how it works. When shopping for health insurance use an independent insurance adviser who works for you. Someone who can show you many of the different insurance companies plans available and explain how they work.

Remember that it is your insurance company and not your doctor who makes the decisions about what will be paid for or not. it is ultimately your responsibility to know how your insurance policy works.

 


 

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