The primary third party payers in healthcare. Introduction: Health insurance can be defined as insurance coverage that makes payment against the surgical, medical and dental expenses of the insured. Selection of health insurance can be a bit tricky due to existence of plan rules such as co-pays, deductibles, network service and so on. Private insurers are self insured and commercial. They work independently from the public bodies or government. Private insurers includes both not for profit and profit establishment. Self insurance is an option dedicated for the rich people because under this arrangement money is set aside to pay for any medical claim or incident. Commercial insurers are the insurance establishment that provides group or individual policies. It includes employer health coverage provided to the company’s employees. Public insurers provide insurance coverage to the members of the uniformed service and their families. Medicaid provides insurance coverage to the people associated with low income group. Medicare provides insurance coverage to individuals that have attained the age of 65 years or more. It can be concluded that the third party payers are public insurers and private insurers.

EBK HEALTHCARE FINANCE: AN INTRODUCTIO

6th Edition

ISBN: 9781567938111

Author: Gapenski

Publisher: VST

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Solution Summary: The author enumerates the primary third party payers in healthcare. Private insurers are self-insured and commercial and work independently from the public bodies or government.

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