This preview has intentionally blurred sections. Sign up to view the full version.View Full Document
Unformatted text preview: insurance company or managed health care plan. Self-funded plans often hire TPAs or Third party claims administrators that will handle all of the collections, update the member lists, and take care of the processing and paying of claims. Portability is governed by regulations when it comes to a person changing a job, getting pregnant, and getting sick. COBRA (The Consolidated Omnibus Budget Reconciliation Act) will give an employee who has chosen to leave their job the right to continue their medical coverage for a certain period of time, usually six months, at their own expense. People who participate in a plan like this are usually responsible for paying more money including the entire premium. A patient’s previous creditable coverage has to be taken into consideration when they join a new health plan. Creditable coverage is health insurance that is under a group health plan, health insurance, or a Medicaid program....
View Full Document
This note was uploaded on 02/20/2011 for the course HCR 230 taught by Professor Volk during the Spring '11 term at University of Phoenix.
- Spring '11