Ingabe Umshwalense Wezempilo Uzokhokhela Ukuhlinzwa Okukhethiwe?

Cabanga umshuwalense wezempilo ngeke ukhokhele ukuhlinzwa okukhethiwe? Akulungile. Umshuwalense wezempilo uzokhokhela ukuhlinzwa okukhethiwe. Eqinisweni, iningi lezinqubo zokuhlinzwa ezenziwa e-United States zihlinzekwa ngokukhetha; iningi likhokhwa, okungenani ngeyingxenye, ngumshuwalense wezempilo. Ngisho ne- Medicare ne- Medicaid ikhokhela ukuhlinzwa okukhethiwe.

Ukubambisana ukuthi izinhlelo eziningi zempilo zizokhokhela kuphela ukuhlinzekwa okukhethiwe okudingekayo ngokwezempilo , futhi umbono wakho we-insurer yezempilo walokho okudingekayo ngokwezempilo kungase uhluke kumbono wakho wokuhlinza.

Kungani Ukuhlinzeka Ngokuhlinzekwa Ukuhlinzwa Okukhethwayo Kuphazamisa Abantu

Abantu bacabanga ukuthi umshuwalense wezempilo ngeke akhokhe ukuhlinzekwa okukhethiwe ngoba badibanisa igama elithi "ukukhethwa" negama elithi "hhayi isidingo sempilo." Akuyona into efanayo.

Ukuhlinzwa okukhethiwe kuyindlela yokuhlinzwa ongakhetha ukuyenza, noma ukhethe ( ukhethe ) ukuthi ungabi nalutho. Okunye ukuhlinzwa okukhethiwe kuyadingeka ngokwezomuthi; ezinye azikho.

Uhlelo ngalunye lwezempilo luyoba nencazelo ehlukile yokudinga imithi. Kodwa-ke, ngokuvamile, inqubo yokuhlinza ngokwemithi:

Izibonelo Zokuhlinzwa Okukhethiwe Nokuhlinzwa Kwemithi Okudingekayo

Izinhlelo eziningi zempilo zizohlinzekela ukuhlinzwa okukhethiwe okudingekayo ngokwezempilo uma nje ulandela imithetho yokulawulwa kwezokwelapha. Uma uhlelo lwakho lwezempilo ludinga ukugunyazwa ngaphambi , thola. Uma uhlelo lwakho lwezempilo ludinga ukuthi usebenzise umhlinzeki we- in-network , yenza kanjalo. Uma uhlelo lwakho lwezempilo lungavumelani ukuthi ukuhlinzwa kwakho kuyadingeka ngokwemithi, akunakwenzeka ukuthi ukhokhele.

Ngisho noma uhlelo lwezempilo luhlanganisa ukuhlinzekwa okukhethiwe, ngokuvamile alukhokha imali engama-100%. Inqubo yokuhlinzekela yokukhetha izongena ngaphansi kwamalungiselelo okuhlelwa kwezindleko zezempilo, ngakho-ke kufanele ukhokhe imali ekhokhelwa imali noma imali .

Izindawo ezimhlophe

Ngezinye izikhathi uhlelo lwezempilo lungabhekana nokuhlinzwa okhethwayo nakuba kungadingekile ngokwezokwelapha. Isibonelo, umshuwalense wezempilo omkhulu uhlanganisa ukuvuselelwa kwesifuba noma ukuhlinzwa kwesisu ngokulandela isifo somdlavuza webelevuza. Izinhlelo eziningi zezempilo zihlanganisa ukuhlinzekwa kwezinzalo ezifana ne-tubal ligation ne-vasectomy.

Ngezinye izikhathi ungase ucabange ukuthi inqubo iyadingeka ngokwezempilo, kodwa umhloli wakho wezokwelapha wezinkampani zempilo yomshuwalense awuvumelani. Kulezi zimo, unelungelo lokukhalaza leso sinqumo.

Manje ukuthi uyazi ukuthi umshuwalense wezempilo ukhokhela ukuhlinzwa okukhethwayo, bheka ukuthi yiziphi ezinye izinkolelo ezingalungile onayo mayelana nomshuwalense wezempilo.