Health coverage is beneficial and
important for everyone to have, but some people are confused and intimidated by
all of the information that goes along with an insurance policy. Here is a
breakdown of some of the features that you can expect with a major medical
insurance policy.
Major Medical insurance policy is health coverage that is set up to
provide fewer holes in coverage, and a wider range of expenses. The goal is to
have better individual benefits with maximum limits, and this usually breaks
into two more extensive policy groups which include comprehensive and
supplemental major medical insurance.
Comprehensive policies can be
broken into two different plans, where one provides first dollar coverage, and
one does not. Policies with first dollar coverage start immediately, as soon as
the expenses are incurred. If the insured does not have first dollar, they must
pay the deductible, and coverage will begin when the insured can show proof of
having incurred and paid a covered expense, and satisfied the deductible.
For this type of coverage, there
is also the option of having coinsurance, which is when the insurance company
and the insured share all the additional expenses once they are past the
deductible amount. It is also important to know that not all medical expenses
are subject to a deductible for initial procedures, but then the insured may be
responsible for any additional expenses after that.
With the supplemental policy, the
basic coverages for hospitalization, surgeries and medical expenses are backed
up, enhanced, and extended to cover a broader range of expenses. With the basic
plan, the deductible will be paid to cover expenses up to the policies limit.
Once the insured goes beyond that limit, they will then have a deductible to
pay, and the supplemental policy begins.
When it comes to deductibles,
there is a lot to understand, and it is important to choose the best plan and
deductible to suit your needs. There are many different ways a deductible can
be applied, and the most common are:
- Per cause deductibles, which
means that the insured pays just one deductible for all of the expenses that
stem from one occurrence, even if the illness extends for months or even years.
- All cause deductibles cover
expenses for any amount of occurrences. Once the stated deductible has been
paid by the insured, all other charges during the year will also be considered
paid.
- Family deductibles are provided
for entire families, instead of each individual family member. So, once the
deductible is set, it doesn't matter how many family members there are, or how
many members incur expenses, the amount will stay the same.
No matter which service you
decide will work best for you, either one of these major Medical
insurance policy will provide a wide range of benefits that will fit
your lifestyle. Make time to go over all of the policy information, or talk to
an agent that can help you design a plan to protect you and your family.
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