Insurance

Medical insurance coverage is a crucial aspect of healthcare that ensures individuals and families have access to necessary medical services without incurring overwhelming financial burdens. In today's uncertain times, having comprehensive medical insurance coverage is more important than ever.

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Health Insurance Plan

A health insurance plan refers to a contract between an individual or a group and an insurance provider, which offers financial coverage for medical expenses. It is designed to protect individuals and families from the high costs of healthcare by providing benefits that cover a wide range of medical services, including doctor visits, hospital stays, prescription medications, and preventive care.

Health insurance plans can vary in terms of coverage levels, deductibles, copayments, and network providers. Some plans may have a broader network of doctors and hospitals, while others may offer more limited options but at a lower cost. The specifics of each plan are outlined in the policy documents, which provide detailed information on what is covered and what is not.

By enrolling in a health insurance plan, individuals gain access to a network of healthcare providers who have agreed to provide services at negotiated rates. This helps to reduce out-of-pocket expenses for policyholders. In return for these benefits, individuals or employers pay monthly premiums to the insurance company.

Having a health insurance plan provides peace of mind, knowing that if unexpected medical needs arise, individuals will have financial support to help cover the costs. It serves as a safety net that promotes overall well-being by ensuring timely access to quality healthcare without facing significant financial burdens.

Accepted Payers

FSM MiCare Insurance 

FAQ

Which insurance plans can be used at FMC?

For now, only the FSM MiCare Plan can be used to cover medical bills for that plan's active members. We will update the public if other plans come to approve FMC to c

How much is the cost of medical services for MiCare members?

The copay or out of pocket expense for MiCare members is $5.00 per medical visit or encounter plus the cost of uncovered services, This is the responsibility of the patient and is irrespectiive of the total cost of services rendered. 

What are the available services at FMC that are not covered by the MiCare Plan?
  1. Processing fees - fee for on-site collection of laboratory samples, prescription handling by FMC staff, and other administrative or non-clinical services.
  2. Local massage 
  3. Local medicine or other non-conventional remedy being recommended to complement conventional therapy.
If I am a MiCare member, do I have to pay before I receive any service?

Yes. You must pay the copay fee of $5.00 before any service can be rendered to you. This is MiCare's policy for its members.. FMC must show  in its claim that the patient's responsibility was settled prior to the provision of services, otherwise MiCare may deny the claim.