Individual Health Insurance: Health Insurance 101 Print E-mail

Individual health insurance is the health insurance offered to an individual. Majority insurance companies offer policies on an individual basis. Several of the more common types of policies include:

 

Major Medical - for doctor visits, surgery and hospitalization or ongoing illnesses provides coverage.

 

Hospital and Surgery - provides coverage solely related to hospital stays and surgical services, such as room and board, laboratory tests, X-rays, plus doctors' charges

 

Hospital Confinement Indemnity - a policy intended to pay a set amount (an indemnity) for each day you are an "in-patient" at a hospital.

Health Maintenance Organizations (HMOs) - centralized service provider, commonly with a general practitioner (limited selection of participating doctors) in addition to coverage by specialists upon referral.

 

Visits by doctor, surgery, hospitalization, and often reduced-rate prescription medicine are provided. May also cover preventive care, often not included in major medical policies.

Specified Disease (also called "Dread Disease") - covers costs related to a single disease, such as cancer, AIDS, heart attack, etc.

Short-Term - Naturally a major medical policy but with coverage lasting only for a specified length of time. Might be purchased to cover the time you are between jobs.

Accident Only - provides coverage for doctor visits, surgery, and hospitalization resulting from an accident (no coverage for disease or illness).

Dental - For costs associated with dentists and orthodontists provides coverage.

Vision - for sight correction provides coverage.

Home-Health Care - To enable you to remain in your home while receiving services care provided, which can range from assisted living (help around the house) to around-the clock nursing with other health care providers on call.

Long -Term Care - coverage provided to individuals who otherwise would not be able to look after themselves. Various services from delivery of prepared meals, assistance with managing the residence, to stays in residential facilities. Often associated with long-term illness and the elderly.

Limited - Benefit - not very common, a bare-bones type of coverage intended to cover specific situations.


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