Nowadays we hear a lot about health insurance, if you do not know what this type of insurance is for or what you are hired you should know that acquiring health insurance helps you avoid long waits and brings you a lot of benefits, Therefore, it is important to know different aspects related to health insurance.
It is always good to have health insurance because if you get sick you will not need to take money from your savings, the insurance will cover everything without a problem, this will also depend on the coverage you choose at the time of contracting medical insurance. It is also good to find out about all health insurance plans with critical illness coverage.
Many people think that it is not necessary to have health or medical insurance because they are healthy, but in reality if it is important because you and your insured can be safe at any time, it is always better to have it for any emergency than to have to spend money unexpectedly for any exam or problems that may arise at any time.
Medical insurance helps you pay for medical care. All health insurance plans are different. Each plan costs a different amount of money and covers different services for you and your family members.
The health policy is an agreement between you and the insurance company, where you agree to cancel a sum of money and the insurance company agrees to cover the medical services stipulated by the policy. Most contain a package of medical benefits, such as tests, medications, treatment services, among others. All insurance companies cover the cost of the aforementioned, these are called covered services.
Before hiring the services of a policy, they also indicate the types of services that the insurance company does not cover, that is, you will have to pay for any medical care that does not appear in the policy.
In the vast majority of countries, there are several types of health insurance, including public and private insurance, and each insurance company has its own plans, coverages and different prices that vary depending on the insurer, its popularity and the services or benefits it provides.
The vast majority of insurance plans cover a set of preventive services, which includes vaccines and certain health exams will also cover at least 7 essential benefits that almost all insurance companies have that are:
- Outpatient services for patients, this outpatient care is received without being admitted to a hospital
- Emergency services
- Hospitalization: includes operations
- Maternity and newborn care
- Prescription medications
- Laboratory services
- Preventive and wellness services, as well as chronic disease management
Health insurance provides the holder and his family with essential health coverage in case anyone suffers from any medical condition or illness.
How to get health or medical insurance?
Many people in the United States, as well as in almost every country in the world, get medical insurance through their work. Almost always the employer helps pay one part of the insurance and the other part is discounted to the employee. Most are divided depending on the amount of coverage and all the benefits they include, they are always gold, silver, bronze, platinum.
Another option to acquire a health insurance plan is that you look directly at the different insurance companies that currently exist which one is the best and the one that best suits your needs and the coverage that you and your family need.
In any case, you must fill and carry certain requirements that insurance companies ask you, in many, you can no longer have a disease because they do not cover any unforeseen events that you have of said disease.
Modalities of Health Insurance
Health insurers usually have a group of doctors and professionals in a place established by the health company. They are the most popular and most demanded.
The insured can use any service covered in medical, hospital, surgical, illness or accident assistance of any kind, there is no reimbursement of expenses, here the patient must go to one of the medical centers listed on the list that the company insurance delivery when buying the policy.
Reimbursement of medical expenses
If you suffer any type of accident and need to go to any doctor, clinic or hospital in the place that you or any of the insured is able to do it without problems because if your insurance has reimbursement you pay for the service you need and with the invoice, the medical report they give you takes it to the insurance company and they return your money.
The holder receives an amount of money that is set in the policy, this is if any unforeseen occurrence with the services that have been established in the policy at the time of the contract.
Some examples of the types of plans you will find in the Market are:
- Exclusive provider organization plan (EPO): This is a managed care plan where services are covered only if you see doctors, specialists or hospitals within the established plan network.
- Health Maintenance Organization (HMO): This is a type of plan that generally limits coverage to the care provided by those doctors who work for the health maintenance organization or have a contract with them. They usually do not cover out-of-network care except in cases of emergency.
- Point of service plan (known as POS in English): This refers to a type of plan in which you pay less if you use doctors, hospitals and other health service providers that belong to the plan’s network.
- Preferred Provider Organization (called PPO): It is a type of plan in which you pay less if you use the services of providers that belong to the plan’s network. You can use the services of doctors, hospitals and non-network providers without a referral if you pay an additional cost.
As you can see there are different types of health insurance and they also depend on the type of coverage, serious illnesses, medical expenses, complementary, dental, hospitalization, etc. Each has a different policy and covers different types of diseases and expenses. It is necessary that each individual who is going to acquire Health Insurance, study its characteristics and decide which one to hire.
It can be said that health insurance can be classified into two large groups: major expenses (GM), better known as catastrophic, and minor expenses (Gm), known as complementary health insurance.
Catastrophic insurance, as the name implies, refers to an economic catastrophe, such diseases that would require catastrophic insurance are cancer, major surgeries, etc.
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Health Insurance Plans with Critical Illness Coverage
As already mentioned, health insurance includes many additional guarantees. Coverage for serious illnesses is one of them. The first thing to keep in mind is that a serious illness is not the same as a permanent disability. Serious or critical illnesses if treated in insurance.
Chronic diseases are diseases of long duration and generally slow progression, which are not transmitted from person to person. The deadline for deciding that disease is chronic is not stipulated, however, any disease that lasts more than 3 to 6 months is usually considered chronic.
In case you or any of the insured with a serious illness such as cancer, or suffered a heart attack or stroke and ask yourself these questions, how can I pay those expenses? How to pay for medical expenses or cope with the loss of income due to not being able to work? You should know that a critical illness plan can help you and your family against the difficulties that serious illnesses represent.
These Critical Illness Plans can protect you and all the insured by providing you with a benefit when diagnosed with a Serious Illness. Compensation is usually used to help cover medical treatment expenses.
The Premiums of a Health Insurance Plan for critical illness are calculated using a series of important aspects that are the health status of the Policyholder at the beginning of the Plan, the age, the total sum insured and whether or not you smoke, enter Other factors of interest to the insurer. You should also know that with such a Critical Illness plan, you and the insured will not be covered for existing conditions before the plan begins.
Regardless of the general health status of the holder, a critical illness policy can be renewed every year. Most of the time when renewing the policy you could request an increase in the level of coverage, giving you an additional level of control over the plan.
Serious illnesses can cause significant financial difficulties to a family and more if the person responsible for the income is the one diagnosed with the disease. Critical illness plans can help you be protected and protect your loved ones against high recovery costs and loss of income associated with the disease. All health insurance companies have experts in the field who can help you and can advise you on the different critical illness plans available.
Serious or critical illnesses are:
- Myocardial infarction
- Surgical interventions for coronary artery diseases.
- The cerebrovascular accident.
- Kidney failure.
- Transplantation of vital organs.
- Chronic obstructive pulmonary disease
The Critical Illness policy provides coverage that pays a stipulated benefit amount after there has been a diagnosis of a covered critical illness or serious physical condition (as defined in the policy). The benefit of critical illnesses provides the insured with financial protection in the event that he suffers from a serious or critical illness.
Before choosing a health insurance plan as well as a critical illness insurance plan, you should take time to think about your family’s medical needs. And it would be nice to ask for several quotes so that you can compare them with each other and choose the plan that is best for you.
When comparing health insurance plans, also review the costs to help you decide if the plan is right for you, and also study the following aspects:
The Premium: This refers to the amount of money you must pay each month for insurance.
The Deductible: Many insurances have a deductible, this is the amount of money you must pay before the insurance starts paying for your medical care. This means that if you have a $ 400 deductible, the insurance will pay you everything that goes by that amount, you will be responsible for all medical expenses generated for less than that amount.
How to maximize the benefits of health insurance?
The first thing to do is to make sure you receive the maximum level of benefits available when using in-network providers. Second always verify that referrals correspond to providers within the health network. You should always be aware that when requesting an appointment the doctor belongs to the network of clinical sites covered by the policy.
Verify that the health center of your choice is in the insurance that you are going to hire.
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Advantages of having health insurance
Having health insurance gives you many advantages, the positive aspects to highlight would be the following:
- It is not necessary to sign up for a waiting list to be treated at the medical center since consultations are immediate
- The attention is faster,
- You can have free choice of the doctor you want to see, as long as it is within the medical chart of the coverage list given at the time of the contract.
- More privacy in the rooms
You should always consider all these aspects before choosing health insurance for you and your family, and if you are looking for health insurance plans with critical illness coverage you should first study several options so that you know what is going to cover you. you need
For your safety and well-being, obtain a health insurance policy as soon as possible, you do not know at what time you have an inconvenience and so you can be a little calmer than you will have insurance that will help you solve said mishap and you won’t have to spend a lot of money.
Carisbel Sanchez is a freelance writer with more than 6 years of experience. She is SEO specialist, Community Manager and has experience writing on topics such as technology, education, entertainment, among others.