The Definition of Medical Necessity in Health Insurance

Table of ContentsView All View All Table of Contents Criteria Medical Uses of Marijuana Understand Your Right to Appeal Health insuranceplans provide coverage only for health-related services that they consider to be medically necessary. This article will explain what medical necessity means and how health insurance plans determine whether a particular service is considered medically necessary. Keep in mind that “covered” doesn’t mean the health plan pays for it. You still have to pay your required cost-sharing—copay, deductible, and/or coinsurance—before the health plan starts to pay any of the cost, even for covered services....

January 17, 2025 · 7 min · 1405 words · April Larson

The Delta Variant May Cause Different COVID-19 Symptoms

Key TakeawaysThe Delta variant may be changing which COVID-19 symptoms are most common.More people are reporting cold-like symptoms such as headaches and sore throats as opposed to a loss of taste and sense of smell.The overall range of symptoms for COVID-19 hasn’t changed, so watch out for all the known symptoms, including the ones that might now be less common. Key Takeaways The Delta variant may be changing which COVID-19 symptoms are most common....

January 17, 2025 · 7 min · 1314 words · Nicholas Olson

The Difference Between a Sprain and a Strain

Many patients with musculoskeletal injuries get confused about the difference between a strain and sprain. Your physical therapist can show you the difference between what a sprain and a strain is and how to properly treat each of these distinct injuries. Steve Debenport / E+ / Getty Images Muscle Strains Strainsare injuries that affect muscles or tendons, the thick bands that attach muscles to bones. They occur in response to a quick tear, twist, or pull of the muscle....

January 17, 2025 · 10 min · 1951 words · Denise Warren

The Difference Between a Stroke and a Heart Attack

Table of ContentsView AllTable of ContentsStrokeHeart AttackTreatmentPreventionFAQs Table of ContentsView All View All Table of Contents Stroke Heart Attack Treatment Prevention FAQs This article reviews the symptoms, causes, risk factors, and treatment for heart attacks and strokes. RUNSTUDIO / Getty Images What Is a Stroke? Strokes occur when there is not enough blood flow to the brain. This lack of blood starves the brain of the essential oxygen it needs to function, leading to brain cell death....

January 17, 2025 · 8 min · 1585 words · Amy Erickson

The Difference Between a Vaporizer and a Humidifier

Table of ContentsView AllTable of ContentsHow They WorkHow They HelpHow to CleanCostSafetyFrequently Asked Questions Table of ContentsView All View All Table of Contents How They Work How They Help How to Clean Cost Safety Frequently Asked Questions Vaporizers andhumidifierscan address air that’s too dry in your home. Dry air can worsenallergies, contribute todry skinanddehydration, lead tosore throator astuffy nose, and even give some peopleheadachesornosebleeds. Dry air can also affect ourimmune systems, because if the nasal passages and lungs aren’t lubricated, they can’t properly trap germs....

January 17, 2025 · 9 min · 1796 words · Kathleen Bennett

The Difference Between Acute and Chronic Trauma

Table of ContentsView AllTable of ContentsTrauma SpectrumAcute TraumaChronic TraumaSymptomsTreatmentWhen to Talk to a Therapist Table of ContentsView All View All Table of Contents Trauma Spectrum Acute Trauma Chronic Trauma Symptoms Treatment When to Talk to a Therapist Traumais defined as an emotional response to a terrible event.This emotional response may include denial, shock, anger, and fear. Trauma can be acute or chronic, depending on the traumatic experience. A single, isolated event can lead to acute trauma, which may have both short-term and long-term consequences....

January 17, 2025 · 6 min · 1198 words · Amanda Walker

The Difference Between Blood Tests and Skin Tests for Allergies

Table of ContentsView AllTable of ContentsDiagnosisSkin TestsBlood TestsSigns You Need a TestFrequently Asked Questions Table of ContentsView All View All Table of Contents Diagnosis Skin Tests Blood Tests Signs You Need a Test Frequently Asked Questions Allergiesoccur when yourimmune systemoverreacts to a specific substance called anallergen, or trigger. Your immune system may identify the trigger—which is actually harmless—as a threat, and set the immune response into motion. There are several different methods of diagnosing allergies, includingblood testsandskin tests....

January 17, 2025 · 7 min · 1386 words · Joseph Nelson

The Difference Between Bruised and Broken Ribs

Table of ContentsView AllTable of ContentsDefinitionsSymptomsDiagnosisTreatment Table of ContentsView All View All Table of Contents Definitions Symptoms Diagnosis Treatment Broken and bruised ribs are different injuries. With a broken rib, the bone has beenfracturedeither particularly or completely. A “bruised” rib means the supportive muscles and tissues around yourribcagehave been injured. Both bruised and broken ribs can cause pain, especially when you breathe in. Without a proper diagnosis, it can sometimes be difficult to tell one from the other....

January 17, 2025 · 11 min · 2304 words · Dr. Evan Haynes

The Difference Between Crowd Crush and Stampede

Key TakeawaysMore than 150 people died in a crowd crush in Seoul last weekend.A stampede implies there’s space to run, while a crowd crush means there’s little to no room to move or even breathe.Staying upright, putting your arms in front of your chest, and locating exits are some ways to stay safe in a crowd surge or crush. Key Takeaways More than 150 people died in a crowd crush in Seoul last weekend....

January 17, 2025 · 6 min · 1235 words · Amanda Thomas

The Difference Between Embolus and Thrombus

An embolus and thrombus are similar in that they refer to blood clots. However, they have differences as well. An embolus travels through the bloodstream where it can cause a blockage. A thrombus is a blood clot in the vessel. This article will go over what an embolus and thrombus, and which conditions cause them. Embolus vs. Thrombus vs. Embolism Sometimes, there can be more than one embolus. The plural of embolus isemboli....

January 17, 2025 · 5 min · 939 words · Tammy Hanson

The Difference Between Estradiol and Estrogen

Table of ContentsView AllTable of ContentsTheir FunctionsWhere They’re ProducedReasons for FluctuationsConfirming Estrogen LevelsBalancing Estrogen LevelsBenefits and Risks of Therapy Table of ContentsView All View All Table of Contents Their Functions Where They’re Produced Reasons for Fluctuations Confirming Estrogen Levels Balancing Estrogen Levels Benefits and Risks of Therapy Estrogenis a major sex hormone in people born with a female reproductive system. There are three main forms of estrogen, andestradiolis one of them....

January 17, 2025 · 12 min · 2531 words · Ashley Thomas

The Difference Between Fibromyalgia and Polymyalgia Rheumatica

Jose Luis Pelaez Inc / Getty Images Because of their apparent similarities, it’s possible for PMR to be misdiagnosed as fibromyalgia or vice versa. It’s also possible for either condition to be overlooked in someone who’s already diagnosed with the other. These two conditions, however, are very different and require different treatments. Knowing the symptoms of both can help you recognize whether you may have a new or undiagnosed condition that needs to be addressed....

January 17, 2025 · 11 min · 2326 words · Timothy Wood

The Difference Between Medicaid and Obamacare

Table of ContentsView AllTable of ContentsWhat ACA IncludesPrivate vs. MedicaidWho Gets WhatEnrollment Period DifferencesRetroactive CoverageCost-SharingCombining CoverageTelling the DifferenceSummary Table of ContentsView All View All Table of Contents What ACA Includes Private vs. Medicaid Who Gets What Enrollment Period Differences Retroactive Coverage Cost-Sharing Combining Coverage Telling the Difference Summary Obamacare is a federal law, but the term is also often used to refer to individual and family health insurance obtained throughthe exchange/Marketplace....

January 17, 2025 · 14 min · 2913 words · George French