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Q: What is the difference between a participating provider and a nonparticipating provider for commercial insurance company or a managed care plan participating provider?
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What is commercial insurance company or managed care plan participating provider?

A commercial insurance company or a managed care plan participating provider is a provider that is in network of participating providers. These providers can be doctors, nurses, dentists, or other practitioners.


What is nonparticipating policy in long term care insurance?

Consider this situation: if the cost, in a nursing facility for example, exceeds on the agreed policy, the insurance company will assume the difference without asking the insurance holder any additional payment. If, on the otherhand, the cost is overestimated, the insurance company will retain the difference of the cost against the agreed policy without returning a refund to the insurance holder.


Whats the difference between personal insurance and commercial insurance?

There is really no difference. It's just a difference in the terms used. Both are actually a commercial automobile insurance policy. One company may call it business and the other may call it commercial but it's exactly the same thing.


Is there a big cost difference between regular and Commercial Vehicle Insurance?

No, there is not much of a difference betwen the costs. Commercial auto insurance may sometimes cost more than personal auto insurance based on the size of the vehicle, but that's it.


What is the correct term for a physician without a contract with an insurance plan to accept an allowed amount and to render care to eligible beneficiaries?

Nonparticipating provider


What is an employee insurance participating plan?

An employee insurance participating plan is one where the employees of a certain company can put money into their insurance, regardless of how much is paid by the employer.


What type of an insurer issues participating policies?

A participating life insurance policy is one that pays a dividend to the owner. Mutual life insurance companies offer participating life insurance policies as the policyholders share in the profits of the insurance company since the policy owners are the owners of the company.


What is the difference in participating life policies and non participating life policies?

Participating policies are life insurance policies that pay dividends, where dividends enable you (the policyholders) to participate in the insurance company's favorable experiences (such as higher than expected investment returns or lower than expected operation.) Non-participating policies, historically belong to the stock companies where the company's favorable expenses were paid to the stock holders, rather than the people who own policies within the insurance company. Even though the participating policies were mostly offered by the the mutual insurance companies, due to consumer appeals to receive dividends, stock companies also started offering participating policies. You should keep in mind that the dividends are not guaranteed and it is illegal for insurance agents to make future projections (where the participating policies also tend to have little higher premiums.)


What is a non-participating physician?

Non-participating physicians for a given health insurance company don't have a contract with that company. If you see a non-participating physician, you may have less or no coverage, depending on the structure of your insurance contract.


Who needs to buy commercial auto insurance?

Those who have a company where commercial driving is involved need to have commercial auto insurance because anything could happen on the road/highway. Also, freelance commercial drivers should have the same type of coverage even though they work for themselves. They too should have commercial auto insurance because they could very easily, accidently hit someone in a little sedan that they couldn't see on the road because they are positioned so high-up. So to cover yourself, those with the use of commercial trucks, should have commercial auto insurance. And know their is a difference between regular car insurance and commercial auto insurance. Just like their is a difference between having a CDL license and a regular driver's license.


Diffenance in commercial and non commercial insurance?

Commercial Insurance is for a business. (general liability, worker's comp, etc.) The term "non-commercial" insurance isn't generally used. There is commercial insurance and personal insurance (i.e. homeowners, personal auto)


What is the relation between covered services and covered conditions in private and commercial insurance plans?

It doesn't matter if it is private or commercial health insurance, but the difference is this.... Covered services are what specific procedures the insurance will pay for, regardless of what the diagnosis is. Covered conditions are what afflictions the insurance pays for and what conditions are excluded from coverage.