Health Insurance Basics: Health Insurance 101 Print E-mail

Health insurance is, in essence, a promise by an insurance company or health plan to present or pay for health care services in return for payment of premiums.

 

By means of group plan at work, through another group affiliation (a school, a club, etc.), or by purchasing an individual plan on your own, you may get health insurance. You may even be able to customize the health plan by purchasing an individual plan on your own. In order to find the best plan and rate to meet your requirements, shop online to compare rates from several companies.

 

With the insurance company, you purchase an individual policy directly.

The group is the master insured and the insurance company contracts with the group with a group health insurance policy. Insurance certificates, issued to a contributing member, act as your policy.

 

Had the insurance company sold individual policies to each member separately, group health insurance often costs less than would have been charged. Additionally, special coverage that are not available or are very expensive on an individual basis are offered by group health insurance policies. The purchasing power of the group makes this economically viable.

 

What should be covered?

 

Several types of coverage are offered by good health insurance policy.

 

  • For visits to a doctor's office or for a doctor's hospital visits, physicians' expense insurance pays.

  • Extremely broad coverage with a very high maximum benefit that's designed to protect you against losses from catastrophic illness or injury is offered by major medical insurance.

  • Your room, board, and incidental services costs if you're hospitalized are covered by hospital expense insurance.

 

  • Surgeons' fees and related costs associated with surgery are covered by surgical expense insurance.

 

What might be covered?

 

Check to see when comparing health insurance plans whether they provide additional benefits that you may require, including:

 

  • Mental health benefits

  • Maternity care

  • Vision care

  • Prescription drugs

  • Preventive care

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Disclaimer: All material included in the website is intended for information purposes only and not to give you advice that relates to your specific circumstances. You are advised to discuss your specific requirements with an independent financial adviser.