Medical Insurance: Safeguarding Your Health

In this century, there’s no better investment than your health. But hospital bills can be devastating to your pocketbook. That’s why you need a health insurance plan – a fiscal parachute for dealing with healthcare expenses.This piece delves deep into the subject of medical insurance, covering essential knowledge about it, its merits as well as available policy types.

What is Health Insurance?



Health insurance refers to a contract between you (the insured) and an insurance company (insurer). The insured pays regular premiums (monthly fees) to the insurer who agrees to cover part of their medical costs including but not limited to doctors’ visits; hospital stays; prescriptions among others.

Why Is Health Insurance Important?
Here are some reasons why having health insurance is important:

Deals with Unexpected Expenses: Medical bills can blow up one’s finances. For example, even a minor operation costs thousands of dollars. With such policies in place these charges are catered for which in turn gives you peace of mind knowing that such a heavy financial burden won’t fall entirely on your shoulders alone.

Preventive Care: A lot of times various preventive care services such as screenings; vaccines and checkups are covered under most plans. Early detection often leads to cheaper treatment options while late stage diagnosis may force individuals into costlier treatments thereby preventing serious ailments from turning out worse-off than they initially would have been had proper steps been taken earlier on.

Access To Care: Having this coverage ensures people seek for medical help when necessary thus preventing small problems from becoming big ones later on . This approach results into improved overall health outcomes since diseases are identified and treated at their earliest stages which might not be possible without seeking such attention early enough .

Financial Protection: Your savings can be wiped out by any major illness or accident. For instance, if you get hit with cancer or involved in an accident requiring prolonged hospitalization then all these events will lead to massive debts unless protected by health insurance which acts as a safety net against high medical bills thereby protecting one’s financial standing.

Understanding Medical Insurance Jargon

Before looking at different types of plans let us familiarize ourselves with some key terms used in medical insurance:

Deductible: This is the amount of money that you have to pay out of pocket before your insurer starts sharing cost for covered services .

Co-pay: A fixed fee paid out-of-pocket by an individual each time he/she avails himself/herself to certain types of treatment ,such as visiting a doctor’s office or getting prescription drugs filled at pharmacy.

Coinsurance: After meeting deductible ,the percentage share on remaining expenses (covered) between policyholder and insurer varies depending on policies chosen while purchasing coverages .

Out-Of-Pocket Maximum: The most money one has to spend during given year towards authorized treatments (excluding premiums) after which 100% coverage is provided by insurance company for covered services.

Premium: Monthly payment made either directly through payroll deduction or indirectly via employer contribution towards maintaining health insurance coverage under contract with particular carrier/provider organization/network arrangement etc.

Point of Service (POS): POS plans are a mixture between HMO and PPO plans. Normally, you have a primary care physician that must be in your network, but with higher cost sharing you can go out of the network as well.

Exclusive Provider Organization (EPO): EPO plans require patients to work with providers inside the plan’s network; similar to HMOs but unlike them no referrals are needed from PCPs to see in-network specialists.

High Deductible Health Plan (HDHP): HDHPs typically have lower premiums and higher deductibles. These plans usually come with a Health Savings Account (HSA) that lets people save money tax-free for qualified medical expenses.

Choosing The Right Health Insurance Plan

When it comes to selecting an insurance policy there are several things that need consideration such as;

 Budget: How much Can You Afford Every Month?

 Health Needs: What Services Do I Currently Need And Will Be Looking For In Future?

Provider Network: Do I Have Specific Doctors Or Hospitals In Mind?;

Out Of Pocket Costs including Deductible Amounts Paid before Coverage Begins and Co-pays at Time Of Service

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