Search results
Results from the WOW.Com Content Network
In the United States, an exclusive provider organization (EPO) is a hybrid health insurance plan in which a primary care provider is not necessary, but health care providers must be seen within a predetermined network. Out-of-network care is not provided, and visits require pre-authorization.
States regulate the content of health insurance policies and often require coverage of specific types of medical services or health care providers. [67] [68] State mandates generally do not apply to the health plans offered by large employers, because of the preemption clause of the Employee Retirement Income Security Act.
A 2011 view of the data, released by the state in 2013, shows the number of people receiving employer-sponsored insurance (ESI) in Massachusetts decreased by approximately 500,000 people (about 8% of the state population) since the enactment of the Massachusetts health insurance law in 2006.
The Maryland Health Connection (administered by the Maryland Health Benefit Exchange) is the health insurance marketplace in the U.S. state of Maryland, created in accordance with the Patient Protection and Affordable Care Act. [1] The marketplace is offered to individuals and families who are not covered through their employers.
Additionally, states regulate the health insurance market and they often have laws which require that health insurance companies cover certain procedures, [149] although state mandates generally do not apply to the self-funded healthcare plans offered by large employers, which exempt from state laws under preemption clause of the Employee ...
The Maryland House approved a measure on Friday to enable people to buy health insurance through the state’s health care exchange regardless of their immigration status, with the approval of a ...
The U.S. Department of Health and Human Services (HHS) and Internal Revenue Service (IRS) on May 23, 2012, issued joint final rules regarding implementation of the new state-based health insurance exchanges to cover how the exchanges will determine eligibility for uninsured individuals and employees of small businesses seeking to buy insurance ...
In U.S. health insurance, a preferred provider organization (PPO), sometimes referred to as a participating provider organization or preferred provider option, is a managed care organization of medical doctors, hospitals, and other health care providers who have agreed with an insurer or a third-party administrator to provide health care at ...