Thwebula UnitedHealthcare - Health Insurance
Thwebula UnitedHealthcare - Health Insurance,
I-UnitedHealthcare (UHC) ingomunye wabahlinzeki abakhulu bomshuwalense wezempilo e-United States. Ingxenye ye-UnitedHealth Group, i-UHC inikezela ngezinhlelo zomshwalense wezempilo ezahlukahlukene kubantu, imindeni, namabhizinisi. Le nkampani isebenzela izigidi zamalungu futhi yaziwa ngenethiwekhi yayo ebanzi yabahlinzeki bezempilo, izinhlelo ezintsha zezempilo, kanye nezixazululo zomshwalense ezibanzi.
Thwebula UnitedHealthcare - Health Insurance
Izinhlobo Zezinhlelo Zomshwalense Wezempilo
I-UnitedHealthcare ihlinzeka ngezinhlelo eziningi zomshwalense wezempilo ezenzelwe ukuhlangabezana nezidingo ezahlukahlukene. Lokhu kubandakanya:
Izinhlelo Zomuntu Ngamunye Nomndeni:
- I-HMO (Health Maintenance Organization): Idinga amalungu ukuthi asebenzise inethiwekhi yodokotela nezibhedlela. Ukudluliselwa kukadokotela wokunakekelwa okuyisisekelo (PCP) ngokuvamile kuyadingeka ukuze ubone ochwepheshe.
- I-PPO (Inhlangano Yabahlinzeki Ekhethwayo): Inikeza ukuguquguquka okwengeziwe ekukhetheni abahlinzeki bezempilo futhi ngokuvamile ayidingi ukudluliselwa kochwepheshe. Amalungu angabona noma yimuphi udokotela, kodwa ukunakekelwa kwangaphandle kwenethiwekhi kubiza ngaphezulu.
- I-EPO (Inhlangano Yabahlinzeki Abakhethekile): Ifana nama-PPO kodwa ayifaki ukunakekelwa kwangaphandle kwenethiwekhi ngaphandle kwasezimo eziphuthumayo.
- I-POS (Iphuzu Lesevisi): Ihlanganisa izici zezinhlelo ze-HMO ne-PPO. Amalungu adinga ukudluliselwa kwe-PCP ukuze abone uchwepheshe kodwa abe nekhono lokuphuma ngaphandle kwenethiwekhi ngezindleko eziphakeme.
Izinhlelo zeMedicare:
- I-Medicare Advantage Plans (Ingxenye C): Izinhlelo ezihlangene zonke ezihlanganisa i-Medicare Part A (umshwalense wesibhedlela) kanye neNgxenye B (umshwalense wezokwelapha), ngokuvamile kuhlanganise neNgxenye D (ukufakwa kwezidakamizwa ezinikezwa ngudokotela) kanye nezinzuzo ezengeziwe ezifana namazinyo, umbono, nokuphila kahle. izinhlelo.
- I-Medicare Supplement Insurance (Medigap): Isiza ukumboza izindleko ezingakhokhiwe yi-Original Medicare, njengezinkokhelo, i-coinsurance, kanye nokudonswa kwemali.
Izinhlelo Ezixhaswe Umqashi:
Amapulani Eqembu Amancane Namakhulu: Izixazululo zomshwalense wezempilo ozenza ngokwezifiso zamabhizinisi abo bonke osayizi. Kufaka phakathi izinketho ezifana ne-HMO, i-PPO, nezinhlelo zezempilo ezidonswa imali ephezulu (i-HDHP) ezibhangqwe nama-Akhawunti Okulondoloza Impilo (HSAs).
Izinhlelo ze-Medicaid:
Izinhlelo zokunakekela eziphethwe zabantu ngabanye nemindeni efanelekela i-Medicaid, enikeza uhla lwezinzuzo namasevisi aklanyelwe izidingo eziqondene nombuso.
Izinhlelo Ezintsha Nezinsizakalo
I-UnitedHealthcare yaziwa ngendlela yayo entsha yokuphatha ezempilo nokunakekelwa kwesiguli. Ezinye izinhlelo namasevisi abalulekile ahlanganisa:
Impilo Nokunakekelwa Kokuvimbela:
- Izinhlelo zempilo ezikhuthaza indlela yokuphila enempilo ngokusebenzisa izikhuthazo nokuqeqeshwa komuntu siqu kwezempilo.
- Amasevisi okunakekela okuvimbela ambozwa ngaphandle kwezindleko ezengeziwe, okuhlanganisa ukugoma, ukuhlolwa, nokuhlolwa kwaminyaka yonke.
Amasevisi Ezempilo:
Ukuvakasha okubonakalayo okuvumela amalungu ukuthi axhumane nabahlinzeki bezempilo ngokunethezeka kwamakhaya abo, okuzuzisa kakhulu ezindabeni ezincane zezempilo kanye nama-aphoyintimenti okulandelela.
Amasevisi Ekhemisi:
- Ukufakwa kwemithi kadokotela okubanzi nenethiwekhi enkulu yamakhemisi.
- Izinsizakalo zekhemisi ezi-oda ngemeyili zokulethwa kwemithi ekhaya kalula.
Ukudidiyelwa Nokuphatha:
- Izinhlelo zokulawula izimo ezingapheli ezinikeza ukwesekwa kwamalungu anezimo ezifana nesifo sikashukela, isifo senhliziyo, nesifuba somoya.
- Ukuxhumanisa ukunakekelwa komuntu siqu kwezidingo zezempilo eziyinkimbinkimbi, ukusiza amalungu azulazule ohlelweni lokunakekelwa kwezempilo futhi afinyelele ukunakekelwa okufanele.
Inethiwekhi Yabahlinzeki
I-UnitedHealthcare ingenye yamanethiwekhi amakhulu abahlinzeki ezweni, iqinisekisa ukuthi amalungu afinyelela ochwepheshe bezempilo nezinsiza eziningi. Inethiwekhi ihlanganisa:
- odokotela bokunakekelwa okuyinhloko
- Ochwepheshe
- Izibhedlela nemitholampilo
- Izikhungo zokunakekela eziphuthumayo
- Amakhemisi
Ukwesekwa Kwamakhasimende Nezinsiza
I-UnitedHealthcare igcizelela insizakalo yamakhasimende enhle kakhulu, enikeza izinsiza ezahlukahlukene ukusiza amalungu enze izinqumo ezinolwazi mayelana nezempilo kanye nomshuwalense wawo. Lezi zinsiza zihlanganisa:
Iphothali Yelungu Le-inthanethi: Inkundla esebenziseka kalula lapho amalungu engaphatha uhlelo lwawo lwezempilo, abuke izimangalo, athole abahlinzeki, futhi afinyelele izinsiza zempilo.
Uhlelo lokusebenza Lweselula: Inikeza ukufinyelela lapho usohambeni kulwazi lohlelo lwezempilo, amakhadi omazisi edijithali, nezinsizakalo zezempilo.
Ukwesekwa Kwamakhasimende: Kutholakala ngocingo nangengxoxo ye-inthanethi ukuze usize ngemibuzo mayelana nokukhava, izimangalo, nezinzuzo.
Isiphetho
I-UnitedHealthcare igqamile embonini yomshwalense wezempilo ngohlu lwayo olubanzi lwezinhlelo, izinhlelo zezempilo ezintsha, kanye nenethiwekhi yabahlinzeki ebanzi. Kungakhathaliseki ukuthi abantu bazifunela bona, imindeni yabo, noma ngabaqashi babo, i-UHC inikeza izixazululo eziklanyelwe ukusekela impilo nokuphila kahle iyonke. Ngokuthuthuka ngokuqhubekayo ukuze ihlangabezane nezidingo zamalungu ayo, i-UnitedHealthcare isalokhu iyinketho ehamba phambili yomshwalense wezempilo e-United States.
UnitedHealthcare - Health Insurance Imininingwane
- Ipulatifomu: Android
- Isigaba: App
- Ulimi: IsiNgisi
- Usayizi Wefayela: 26.44 MB
- Ilayisensi: Mahhala
- Unjiniyela: UNITED HEALTHCARE SERVICES, INC.
- Ukuvuselelwa Kwamuva: 24-05-2024
- Thwebula: 1