Entry: HealthQuotes Nov 24, 2005



 

Health Insurance

 

Insurance comes to play in the case Illness or death .Imagine your family and dependents without you and your income .Think of a case where-in your children without your income. They will suffer due to non-work related injuries which are devastating. Health Insurance can help protect against disastrous health care expenses and lost wages. If you have a job, your employer may make medical and disability income benefits available to you. You can also buy this coverage privately or through an insurance agent who is certified by the State to sell health insurance goods.

Types of Health Plans:

Medical Expenses Plans: Pay expenses incurred for diagnosis and treatment of medical conditions. Full preference plans allow you to choose any doctor and hospital. You can also desire the amount of the "deductible" you must pay before the plan pays anything. After the deductible is met, a percentage of all your set cost is usually covered. The inequality between the percentages the plan pays and the amount charged is the "co-amount" that you must pay. The policy or employer benefit booklet resolve spell out the terms and conditions of what is enclosed and what in not covered. Read this contract BEFORE you need to use the plan and ask your agent or employer to give details anything which is unsure to you. Favorite Provider Organization (PPO) Plans allow you to choose a doctor or hospital from a list of "preferred" providers in order to receive filled benefits. If you go to a doctor who is not on the list, the plan may cover a smaller percentage or none of your costs. Check with the insurance carrier BEFORE you use the plan to make certain your physician or hospital is an astringent provider. Make certain your doctor refers you to other providers who are on the list, or who the carrier agrees to pay at the "preferred" rate. Individual Plans are a good alternative if you are not able to get coverage through your employer. A pre-existing condition, such as a past illness, must be covered after one year. However, the insurance company

 will decide on the basis of your health history if they will issue the coverage. Multiple Employer welfare Arrangements(MEWA) may be insured or partially-insured plans. They are classically marketed to self-employed individuals or small employers through membership in a trade or other association. The California Insurance Code now requires MEWA's to obtain a "Certificate of Compliance" and to set aside financial reserves to work. They must fulfill with the health care reforms efficient after July 1993. These plans can only be sold through a licensed life indemnity agent.

 

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