Does the health plan require services to be done only by in-network providers?

During a study period from 2010 to 2017, 6 million people between 20 and 64 years old with private insurance suffered such financial burdens, and their share of the total who reported them went up from 46% to nearly 54%. The study found an overall decrease in catastrophic expenses by 2017 — in particular people on Medicaid saw a decrease — but not among the privately insured (NPR).

After conducting general research, in a post of 500–700 words, provide a comparative summary of the typical costs covered by Medicaid/Medi-Cal and private insurance companies for major unexpected healthcare services other than routine care. You may select one or two private insurance companies (e.g. Blue Cross, United Healthcare) as examples for your comparison. Focus on the following:

Are the covered illnesses carefully articulated to members of the health-plan?
Is there a pattern on major illnesses/diseases that are excluded?
Does the health plan require services to be done only by in-network providers?
In case of major/catastrophic illness, do they have specifically stated procedures to determine coverage?

Draw on reliable sources and cite/reference them in your post.
It is important to make sure that all APA Guidelines are followed in this course. The student must properly cite any documents and/or research material from other sources that you are using to support or back up your particular arguments.

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