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HIPAA- HEALTH INSURANCE PORTABILITY AND ACCOUNTABILITY ACT


The HIPAA is an act which was introduced to protect personnel health care information of individuals. The portable here means that even if people switch jobs, they do not face any problems in getting proper coverage. And accountability adheres to how secure the person’s health care information is maintained by the medical centers.

w According to the HIPAA, the US department of justice can sue your health care provider, if you think he has not abided to the act or if he has leaked out some of your private medical information. Provided you have the necessary evidence.

w If a medical center or their related organizations electronically transfer their patient’s private medical information, they have to act according to the HIPAA.

w The health insurance accountability and portability act is mainly schemed to protect the members in the health care plan.

w If you are not under any group health plan, then theHIPAA also allows you to take up an individual health policy.

w The HIPAA provides protection for both individual health insurance policy as well as group health insurance policy.

w New rights which help individuals to adopt a new plan when they encounter any change like marriage or loose jobs etc.

w Under the HIPAA there should not be any discrimination between the employees. The payment of premium amounts and the benefits enjoyed must be equal.

w Special enrollment opportunity is available under the HIPAA. If an employee or his dependent loses health coverage then he is eligible to obtain the special enrollment opportunity.

w The group health plans and insurance companies do not possess any rights for asking some individuals to pay more than usual, just because of any medical reasons.

w If an individual switches jobs, then he has to move from one plan to another. In that case the benefits of the plans might change and the coverage provided by the two plans might be different. This situation is not restricted by the HIPAA.

w This is possible under the HIPAA- Suppose that the individual is enjoying health coverage offered by his employer. And if that employer moves, there will not be any problem if the current employer does not offer health coverage. Because the individual would still be able to obtain coverage using his previous employers plan.

w The HIPAA also applies to self insured group health plans.

 

 

 

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Health Insurance


Health insurance is a type of insurance whereby the medical expenses of the person who is insured is paid by the insurer if the insured becomes sick due to covered causes, or due to accidents. The insurer may be a private organization or a government agency.

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