for the maximum cost of services that are not covered by their insurance plan.
* Capitation
Capitation is actually the particular amount that must be paid by a policy-holder to a particular health insurance entity. With this, all members of the insurer are agreed to be treated by the healthcare provider.
* Prior Authorization
This is just a certification that proves the services that an insurer provides to an existent medical service. Obtaining this certification means that the policy-holder is bound to pay for the service that will be provided by the insurer. However, there are small routine health services that need no authorization to materialize.
There are many other forms of obligations that the policy-holder should fulfil to benefit fully from a specific health insurance service. However, these are the most basic forms of obligations that you should be aware of before getting a health insurance deal that would suit your needs. You must also keep in mind that comparing price quotes is important if you want to get the best insurance deal for you.
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