Understanding ADHD | About ADHD | Insurance and Public Benefits | Private Health Insurance
The National Resource Center

Private Health Insurance

The majority of Americans who have health insurance receive private insurance coverage through employer-provided health insurance plans. 

 

One type of plan is a standard indemnity policy, which gives people freedom to visit a health care provider of their choice and pay out of pocket for their treatment. The insurance plan reimburses members for some portion of the cost. The other common plan is a managed care plan. Under this plan, medically necessary care is provided in the most cost effectiveor least expensiveway available. Plan members must visit health care providers chosen by the managed care plan. Generally, a co-payment is charged to the patient, but sometimes all care received from providers within the plan is covered.

 

Grievances

All health insurance companies have internal grievance and complaints procedures. If you have a complaint, follow the company's procedures. All states have a state health insurance commissioner. Contact the office of your state government to see what external grievance and complaint procedures may exist in your state.

     


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The information provided on this website was supported by Cooperative Agreement Number NU38DD005376 funded by the Centers for Disease Control and Prevention (CDC). Its contents are solely the responsibility of the authors and do not necessarily represent the official views of the CDC or the Department of Health and Human Services.

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