Health insurance is a kind of insurance wherein the insurance company pays the medical costs of the insured individual if the individual in question falls ill due to covered causes, or due to accidents. The insurer may be a private organization or a government agency. The major purpose of health insurance is to cover medical expenses and any lost income while the individual is not well and unable to function normally.
There are different types of health insurance policies. The two most common ones are major medical and disability insurance. A major medical health insurance policy provides benefits for sickness or injury, irrespective of whether the care is provided at a doctor’s office, clinic or hospital. The types of sickness and injury covered are typically broad, although there are always limitations that you may want to discuss with your agent prior to purchasing the coverage. Major medical policies normally have an annual deductible and a lifetime maximum amount of benefits that will be paid.
Even if you are covered by a group insurance at work, you might consider taking an individual policy if you may change jobs soon, or if certain benefits that are not provided in the group policy.
A deductible is an annual amount that you will have to pay per insured person, before the insurance company begins to pay on your bills. There is an upper limit for the maximum amount of deductibles you will have to pay in a given year.
In a health policy, coinsurance refers to the percentage of the medical bills that the insured individual will have to pay after the deductible is met. Usually the health policy would have a provision called a ‘stop-loss’ – this is the maximum amount you will have to pay for covered medical bills.
By: Chris Tolamalu
Posts Tagged ‘Group Insurance’
Health Insurance 101
January 19th, 2010How to Get Affordable Health Insurance in Maryland
January 17th, 2010
The cost of health insurance is going up faster than the cost of almost anything else in this country. Over the past few years the cost of health insurance has surpassed the cost of inflation by several percentage points.
It has gotten so bad that right now almost 17% of all Maryland residents are without health insurance coverage of any kind, and with more and more businesses phasing out health insurance or requiring a larger contribution from their employees, the number of uninsured people in Maryland is likely to grow before it shrinks.
If you can get health insurance through your employer you will almost certainly save over trying to buy health insurance individually on your own. But if you are self employed or if your employer does not offer group health insurance then you may need to be a little creative in finding ways to lower the cost of your monthly health insurance premium.
Look at plans that have a higher co-pay for things like doctor’s visits. The co-pay is the amount that you pay from your own pocket each time you visit a doctor; the more you can pay for each visit (and so the less your insurance company needs to pay) the lower your monthly premiums will be.
Many people may have to take even more drastic steps in their quest to get affordable health insurance in Maryland. Many people may have to completely rethink their entire concept about health care coverage.
In the past health insurance has been looked on as something that pays (or helps to pay) for all of your health care needs – each doctor’s visit, each clinic visit, each hospital or ER visit, in short, you expected your health insurance to pay for most, if not all, of virtually all of your health care costs.
Today many people are finding that kind of health care beyond their means – yet they know that one accident or one catastrophic illness can easily wipe out a lifetime of savings and even take their home, all in the blink of an eye.
The answer for many is to buy health insurance that has an extremely high deductible. As high as $2,000 or even $3,000. You buy such a policy with the expectation that you will pay for all of your routine health care needs – you will pay 100% of every doctor’s office visit, every clinic visit and every ER visit.
The purpose of a high-deductible health insurance policy is to act as a safety net in case you should suffer a catastrophic illness or need long-term hospitalization due to accident or illness. In such cases your high-deductible insurance would insure that your savings and your assets were left intact.
Once you’ve decided on the basic type of policy that you and your family need, your final step is to get online and find several of the sites that permit you to make quick and easy side-by-side comparisons of health insurance policies and their prices from different insurance companies. Even though it means taking extra time, you are much better off filling out all of the forms on at least 3 different websites – it is only in this way that you can be assured that you will actually be comparing all of the health insurance companies offering policies in Maryland.
Thanks to the internet everyone can now make simple comparisons and know that they have gotten the most affordable health care possible in Maryland.
By: Larry Nez