Insurance

Insurance is a means of protection from financial loss. It is a form of risk management primarily used to hedge against the risk of a contingent, uncertain loss. An insurer, or insurance carrier (often called an "insurance company), is sells the insurance policy to customers. The customers, who are called the insured or policyholder, are the person or entity (which may be a private company or other organization) buying the insurance policy. The amount of money to the customer pays for a certain amount of insurance coverage is called the "premium". Risk management, the practice of appraising and controlling risk, has evolved as a discrete field of study and practice.

The transaction involves the insured making a payment to the insurer in exchange for the insurer's promise to compensate (indemnity) the insured in the case of a financial (personal) loss. The insured receives a contract, called the insurance policy, which details the conditions and circumstances under which the insured will be financially compensated. In the event that the insured experiences a financial or personal loss which is covered by the insurance policy, the insured makes an insurance claim to the insurer. Insurance company claims adjusters and other insurance company employees assess the claim. Insurance policies typically set out certain circumstances or actions which will void the insurance policy; if the insurance policy is voided, then the insurer may not have to pay out the claim.

Latest News for: Insurance procedures

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US is raging about private health insurance trap. We shouldn’t fall into it

The Times of India 22 Dec 2024
This might be because commercial insurance gives the outward appearance of financial ‘efficiency’, while helping company executives accumulate wealth and pass some of that on to friendly politicians.In 2023, the parent company of UnitedHealthcare posted $22bn in profits, even as ......
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Behind the health insurance denials and pre-authorizations drawing anger — and what to do about them

Newsday 22 Dec 2024
Many people have told stories of how they or loved ones could not obtain care or medications because of insurance company denials ... External appeals must deal with "medical judgment" issues, such as when a physician believes a procedure or medication is medically necessary and an insurance company disagrees, Spicer said....
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LETTERS: Equal Rights Amendment, insurance coverage and human rights among letter topics

Post Crescent 22 Dec 2024
The misconception is that insurance companies always try to deny coverage for an essential procedure or necessary hospital stay and we can fix this by making them behave somehow ... I have fortunately had a high success rate in obtaining the "insurance authorization" for my patients ......
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5 of the most frustrating health insurer tactics and why they exist

Fox31 Denver 21 Dec 2024
has made great progress in getting more people insured since the Affordable Care Act took effect in 2014 ... Prior authorization requires providers to get approval in advance from the insurer before delivering a procedure or medication – under the guise of “medical necessity” as well as improving efficiency and quality of care....
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Reader's View: CEO shooting shows need for insurance reform

Duluth News Tribune 20 Dec 2024
We are in a system where the same procedure done at the same place may cost different amounts based on which insurer is paying ... The same insurance company will pay different amounts for the same procedure at different facilities....
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An insurer denied a CT chest scan. Now an NJ dad has terminal lung cancer

Daily Journal - Vineland 20 Dec 2024
Schnure, a former legislative official, has become the face of a bipartisan bill that would eliminate pre-approval by insurance companies for medical tests, procedures and prescription drugs and leave it in the hands of a patient's doctor. Insurance companies have said the ......
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DOH clarifies: PhilHealth offers health insurance, not pension

Manila Bulletin 20 Dec 2024
20, clarified that the Philippine Health Insurance Corporation (PhilHealth) is a health insurance provider and not a pension program.DOH Secretary and PhilHealth Chairman of the Board Dr ... Health insurance vs ... Health insurance, on the other hand, covers hospitalization, surgical procedures, doctor visits, and other medical services....
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Protecting your rights as a traveler after a car accident

TravelDailyNews 20 Dec 2024
A lawyer will assist you to deal with the complexities of legal procedures, negotiations with the insurance firms and guarantee that all charges met include medical expenses and wages lost. In case where the insurance policy of the at-fault party rejects the claim or pays a negative amount, the lawyer could take legal action to sue for the losses....
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For some FSA dollars, it's use it or lose it at year's end

Fox31 Denver 20 Dec 2024
A big shopping deadline is drawing near for some people, and it has nothing to do with the holidays ... What are the deadlines? ... Think of medical expenses not covered by insurance ... But they don’t cover things like health insurance premiums or certain cosmetic procedures like teeth whitening ... HSAs can only be paired with high-deductible insurance plans ... ....
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For some FSA dollars, it’s use it or lose it at year’s end

Wtop 20 Dec 2024
A big shopping deadline is drawing near for some people, and it has nothing to do with the holidays ... What are the deadlines? ... Think of medical expenses not covered by insurance ... But they don’t cover things like health insurance premiums or certain cosmetic procedures like teeth whitening ... HSAs can only be paired with high-deductible insurance plans....
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I have the exact same excruciating back problem as Luigi Mangione... and it devastated my ...

The Daily Mail 20 Dec 2024
The fact I needed surgery was doubly devastating because I'm a self-employed, single mom and only have the bare-minimum health insurance coverage. My daughter and I moved in with my mother, leaving my own rental apartment, and I asked my insurer if they would cover the procedure....
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Popular Medicare Advantage comes under increased scrutiny.

The Robesonian 20 Dec 2024
So, to be sure, she switched to a new Medicare Advantage plan, this time administered by the health insurer Aetna ... An October report from the Office of the Inspector General found evidence that insurance companies argued that these patients were sicker and then never provided follow-up visits, or extra procedures, tests or supplies....
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Transgender people working in US government see peril under Trump

San Diego Union-Tribune 20 Dec 2024
Tracy Wilkinson . (TNS) Los Angeles Times ... Her colleagues brought cookies ... Related Articles ... In addition to reimposing a military ban, Trump loyalists might attempt to deny “gender affirming” healthcare, forbidding federal funds or insurance plans to be used in procedures that facilitate transition, including hormone therapy and plastic surgery ... ....

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