Health Insurance Policy

A Health insurance policy is a contract between an insurance company and an individual. The contract can be renewable annually or monthly. The type and amount of health care costs that will be covered by the health plan are specified in advance, in the member contract or Evidence of Coverage booklet. The individual policy-holder's payment obligations may take several forms[7]: Premium: The amount the policy-holder pays to the health plan each month to purchase health coverage. Deductible: The amount that the policy-holder must pay out-of-pocket before the health plan pays its share. For example, a policy-holder might have to pay a $500 deductible per year, before any of their health care is covered by the health plan. It may take several doctor's visits or prescription refills before the policy-holder reaches the deductible and the health plan starts to pay for care. Copayment: The amount that the policy-holder must pay out of pocket before the health plan pays for a particular visit or service. For example, a policy-holder might pay a $45 copayment for a doctor's visit, or to obtain a prescription. A copayment must be paid each time a particular service is obtained. Coinsurance: Instead of paying a fixed amount up front (a copayment), the policy-holder must pay a percentage of the total cost. For example, the member might have to pay 20% of the cost of a surgery, while the health plan pays the other 80%. Because there is no upper limit on coinsurance, the policy-holder can end up owing very little, or a significant amount, depending on the actual costs of the services they obtain. Exclusions: Not all services are covered. The policy-holder is generally expected to pay the full cost of non-covered services out of their own pocket. Coverage limits: Some health plans only pay for health care up to a certain dollar amount. The policy-holder may be expected to pay any charges in excess of the health plan's maximum payment for a specific service. In addition, some plans have annual or lifetime coverage maximums. In these cases, the health plan will stop payment when they reach the benefit maximum, and the policy-holder must pay all remaining costs. Out-of-pocket maximums: Similar to coverage limits, except that in this case, the member's payment obligation ends when they reach the out-of-pocket maximum, and the health plan pays all further covered costs. Out-of-pocket maximums can be limited to a specific benefit category (such as prescription drugs) or can apply to all coverage provided during a specific benefit year. Prescription drug plans are a form of insurance offered through many employer benefit plans in the US, where the patient pays a copayment and the prescription drug insurance pays the rest. Some health care providers will agree to bill the insurance company if patients are willing to sign an agreement that they will be responsible for the amount that the insurance company doesn't pay, as the insurance company pays according to "reasonable" or "customary" charges, which may be less than the provider's usual fee. Health insurance companies also often have a network of providers who agree to accept the reasonable and customary fee and waive the remainder. It will generally cost the patient less to use an in-network provider. Health plan vs. health insurance Historically, HMOs tended to use the term "health plan", while commercial insurance companies used the term "health insurance". A health plan can also refer to a subscription-based medical care arrangement offered through health maintenance organization,HMO, PPO, or POS plan. These plans are similar to pre-paid dental, pre-paid legal, and pre-paid vision plans. Pre-paid health plans typically pay for a fixed number of services (for instance, $300 in preventive care, a certain number of days of hospice care or care in a skilled nursing facility, a fixed number of home health visits, a fixed number of spinal manipulation charges, etc.) The services offered are usually at the discretion of a utilization review nurse who is often contracted through the managed care entity providing the subscription health plan. This determination may be made either prior to or after hospital admission (concurrent utilization review). Inherent problems with insurance Insurance systems must typically deal with two inherent challenges: adverse selection, which affects any voluntary system, and ex-post moral hazard, which affects any insurance system in which a third party bears major responsibility for payment, whether that is an employer or the government. Some national systems with compulsory insurance utilize systems such as risk equalization and community rating to overcome these inherent problems.

Poker Draw

Playing Draw Poker

Draw Poker is played with a standard 52-card deck. Standard poker rankings apply. Players are dealt five cards face down, one at a time, in rotation. A round of betting begins (check, bet, call, raise, or fold). The remaining players may discard any number of their original cards and have the same number of cards replaced by the dealer. Another round of betting occurs. The player with the highest ranking five-card poker hand wins. In the event of a tie, the pot is split equally.

Check

A check passes the action to the next player. If all players check, the next card is turned and the player's options repeat.

Bet

Initiating action by placing a bet.

Fold

You fold when the cards that you hold are so lousy that to remain in the game would spell certain doom. Correct way to fold: You gently place your cards in front of you face down on the table. Incorrect way to fold: You launch into a string of superlatives and demonstrably throw your cards into the air while pushing yourself away from the table in tears.

Call

In order to "call" you are required to contribute the equivalent amount of chips as the other players since your last bet. The player to the left of the dealer has the ability to "check" because the value of the pot has not been established. This is applicable on the first round of betting.

Raise

Similar to a "call" except this time you get to increase the value of your bet when the chance to do so arises since the last time you bet. This is a good strategy if you feel that you have a strong hand or want to see who's "bluffing" and who's not. There is generally a maximum limit that you can raise per round.

In the context of casinos, comps are complimentary items given out by casinos to encourage players to gamble. The amount of comps that a player is given usually depends on what game they are playing, how much they are betting, and how long they have played. Most casinos have hosts who are responsible for giving out free items and contacting players to bring them back to the casino. Pit bosses can also award comps at table games. Most casinos now require a player to have a player's club or similar card, so that their play can be tracked and comps awarded. The lowest level of comp available at most casinos is free alcohol and other beverages. Many casinos provide free drinks to anyone who is gambling. The second level of comp that many players earn is free meals. Many casinos have several restaurants and may require more play to earn a comp to the higher end restaurant. Often the player is given a certain amount to spend, but sometimes, particularly with high rollers, the player may be given the right to order as much food as they want. The next level of comps is usually free hotel rooms. Many casinos have attached hotels, but those that don't may have the ability to comp rooms to a hotel nearby. Many casino hotels have higher quality rooms, such as suites, villas, presidential suites and so on for bigger bettors. Many players who receive hotel rooms receive a package called RFB for room, food, and beverage or RF for smaller bettors, or jurisdictions where casinos are not allowed to give free alcohol. Many casinos also offer other comps, especially to high rollers. These may include airfare reimbursement, limo rides, prostitution services, tickets to shows, golf, free concierge services, cash back, private gaming areas, and private jet service. Casinos also frequently offer players comps by mail. These may be free bet offers, free meals, discounted or free rooms, or entries into tournaments or prize drawings.

Casino Keno

Playing Keno

Keno is usually played in Casino lounges specifically allocated for the game, but there are so called 'Keno runners' who will collect your ticket and deliver the winnings if the player wants to play from outside the lounge area. There are many television monitors spread all over the Casino halls to keep players informed of the winning numbers.
There is also the video version of Keno. These are slots-like coin operated machines. It plays using the same principle with similar rules of the regular Keno, but you get the results much faster.
To play Keno, you select a minimum of 4 but no more than 10 numbers between 1 and 80. Each selection is called a 'Spot', so if you select 10 numbers you are playing a 10 Spot game.
Keno tickets are located at tables throughout the Casino and in the Casino's Keno lounge. The Casino provides a 'Keno crayon' for this purpose.

Simply mark a blank Keno ticket with the numbers of your selection. Then present your ticket to the Keno desk with your wager and the clerk will give you a duplicate ticket. In a few minutes, twenty numbered Keno balls will be drawn at random from a barrel containing 80 numbered balls, and if enough of your selected numbers are drawn, you are a winner. The results are displayed on screens, called Keno boards, throughout the Casino.
Minimum bets can be as low as 5 cents, although some Casinos only accept bets of $1 or more. The house's Keno brochures give you information about payoffs and various tickets you can play.
The amount of money you win is dependent upon the type of ticket you play and the number of 'spots' caught. You may play as many tickets as you wish. You could win as much as $50,000 on a $1 wager in some Casinos.

The round of a Keno game is called a Keno race. In many Casinos, 'multi-race' Keno is featured, where you can play a number of consecutive Keno races at one time.
The house advantage on Keno varies according to the Keno game played. It is always around 30% or more.