Friday, 30 December 2016
Thursday, 29 December 2016
Understanding Major Medical Insurance Policies
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.
Article Source:
http://EzineArticles.com/6520925
Wednesday, 28 December 2016
Exclusions in a Health Insurance Policy
What does a health insurance
policy not cover i.e exclude?
The moment of truth in an
insurance policy is at the time when a claim arises. One of the most common
reasons for a health insurance claim not being paid by an insurance company is
when they say that the particular disease is not covered by the policy and is
an "exclusion". It leaves a bitter taste in the mouth of the
policyholder and can sometimes put the policyholder in great financial
difficulty. Thus, it is very important to know in detail about the exclusions
in a health insurance policy before purchasing it. In our opinion, it is a far
more important variable than price. A policy might be 10% cheaper than a
competitor's policy but might have many more exclusion clauses-in such a case,
the policy with the lesser number of exclusion clauses would be the better
choice for the policyholder.
In this article, we deal with
some of the common exclusion clauses in Health
insurance policies. Of late, we are seeing some innovation in this area
with the new companies not excluding certain ailments which had traditionally
been within the exclusions area
Maternity: In most cases,
maternity and maternity related expenses are not covered in an individual or
family floater health insurance policy. Maternity is typically covered in a
group policy. In certain cases, we are seeing maternity being covered after 5
years into the policy.
Diseases or illness contracted
within the first 30 days of the policy. The insurance company does this to
safeguard itself against customers buying a policy immediately after a disease
has been detected
Cataract, Prostrate, Hernia,
Piles, fistula, gout, rheumatism, kidney stones, tonsils and sinus related
disorders, congenital disorders, drug addictions, non allopathic/alternate
treatments, self inflicted injuries, hysterectomy, fertility related
treatments, etc are normally not covered under a health insurance policy.
Dental treatment and cosmetic surgery is also typically excluded. Contact
lenses cost is also not covered. HIV/AIDS is excluded, which has been a subject
of great debate and criticism in the last few weeks. Some insurance companies
do not cover treatment incurred outside the country, so you should check once
before buying the policy
Pre existing diseases are not
covered in Health insurance policies.
Preexisting means a disease that you have had prior to joining a health
insurance policy. The policyholder may or may not have been aware of the
pre-existing disease. Further complications which arise due to the preexisting
disease are also not covered. For example, renal problems which arise due to a
person having diabetes at the start of the policy would not be covered. This
can sometimes lead to a lot of confusion and heartburn. Someone gets admitted
for a kidney related treatment, and the insurance company turns down the claim
saying the kidney problem has arisen because the patient had diabetes, and
rejects the claim. It can get a little grey here as medical science cannot
sometimes clearly pinpoint the root cause of a particular disease outbreak. In
most cases, preexisting diseases are covered after 3 or 4 consecutive policy
years. This is the single biggest reason why one should buy a health insurance
policy at a young age, and continue with the same insurer. Because if you shift
to a new insurer, you lose your previous credit and a disease that was being
covered by the old insurer might be treated as a pre-existing disease by the
new insurer. We have noticed that insurance companies start facing more claims
from the health insurance customers from their 4th or 5th policy year, as pre
existing begins to get covered and the profitability of the portfolio goes down
War related health insurance
claims are mostly excluded from the policy coverage
Abortion related health expenses
are not covered in Health
insurance policies
Pl do note that with competition
heating up, some of the exclusions mentioned above will begin to get covered by
a company or two so that it can be used as a selling point. Thus, the lists
mentioned above are subject to change. The moot point here is that 10 minutes
spent to read the exclusions list of the policy you are considering to buy
could save you a lot of headache buyer. Be an informed buyer- there will be no
else to blame but yourself.
Article Source:
http://EzineArticles.com/6323370
Tuesday, 27 December 2016
Importance of Health Insurance Portability
Choice is always good. In a
globalized world, the consumer has a plethora of choices in everything, from
airlines to automobiles. This is why nowadays even airlines make an
announcement after the passengers land: "We know you have a choice. Thanks
for flying with us!"
It's rather simple. You have a
choice - if you don't like the product or service, switch! The same goes for
health insurance policies as well. In India, people have woken up to the
promise of health insurance, which has led to a proliferation of health
insurance providers across the board. Because of this wide variety available,
the policyholder doesn't need to stick to an insurance provider if they feel
dissatisfied with the services.
What is health insurance
portability?
Health insurance portability is
the manner through which a health insurance policyholder can transfer his/her
existing policies from the current provider to a new one. Portability offers a
way for customers to opt for better service and product. That way, an insurance
provider cannot take them for granted.
Reasons for porting
When and why should you port a Best Health insurance In India to a
different provider? Here are some pointers to help you decide:
o Quality of Service
If you feel that the standards of
service offered by a policyholder is not at par with what they promised while
logging you in, maybe it's time to move on. Often, an insurance provider will
promise the moon while getting a customer on board in the eagerness of cracking
a deal, but gradually, reality strikes and the customer realizes that it was
all hogwash. There's no point continuing a bitter relationship, right?
o Increased Benefits
There might be a point when you
realize the cover offered to you by your current Best Health insurance In India provider is not sufficient, and
after talking to them it seems clear that that's the best they can do. Under
the circumstances, it may be wise to switch to a provider that can offer the
additional cover/ benefits.
o Expensive
There is really no point in
paying more for a service/ benefit that is available for a much lesser price
with a competing provider. If you feel the competition offers a better product
at lesser cost, it is time to make that switch.
o Specialization
Best
Health insurance In India policies are offered by general insurance
companies as well specialized health insurance providers. If it is felt that
with the current provider, the attention is more on non-health policies,
switching to a specialized health insurance company may suit your needs better.
o Relocation
When you relocate to a new city,
you need to have the same services and cover as before. But your existing
insurance provider may not have as better access or as many network hospitals
in the city. It might then make sense to port to a provider who has those
services in your city.
o Claim Settlement
This is important. Some companies
take ages to clear a claim. Before you land up in such a situation, it's
important to know whether your insurance provider has any such reputation. If
that is the case, port out.
o Transparency
Often there are hidden clauses
and conditions in the contract which the policyholder is not aware of. Such
hidden clauses rear their ugly head during emergencies, and you do not know
where to go. Time to move to a provider with more transparency in their
dealings.
Now that we have a fair idea when
to opt for portability, it is also important to know the benefits. What does a
policyholder gain out of it? Well, here it goes:
Benefits of portability
Customization
While porting to a new provider,
it becomes easier to customize the features to one's specific needs and
requirements. You can add nominees, even go for additional cover or benefits.
Article Source:
http://EzineArticles.com/9424603
Monday, 26 December 2016
Important Points to Ponder Before Buying a Health Insurance Plan
A health insurance plan is an
essential part of financial planning in this era of skyrocketing medical costs.
Medical inflation has been aggravating at its full spree which makes it all the
more important to buy a Health Insurance plan which could sponsor the
hospitalization and medical treatment bills or expenses.
It is important to evaluate and
look for the following parameters to get a best health plan for you and your
family.
1. Check for the Waiting Period
Clause
You must be feeling care free
after taking insurance, but your Health
insurance plan comes with a waiting period clause for specific conditions.
There is an initial period clause which says that any hospitalization claim
will not be admissible in first 30 days of the policy commencement apart from
accidental hospitalization. The pre-existing diseases or conditions are also
not covered immediately after you purchase a policy. There is a waiting period
ranging from 2 years to 4 years as per the plan conditions in the industry.
Also, there are certain surgeries and treatments like hernia, cataract, joint
replacement, etc. which can be treated after a specific waiting period of 1 or
2 years.
So, it is important to check the
waiting period clause before you finalize the Health insurance plan.
2. Check for Sublimits
There are certain capping or
sublimits in your health plan which says that the specific kind of expenses are
paid by the insurance company upto a specific limit and beyond that the insured
or customer has to bear them at his own. For example: Room rent charges are
capped on per day basis for different health plans. Some health plans also come
with mandatory co-pay where the portion of the admissible claim is to be borne
by the insured and the remaining is paid by the insurance company.
Check for the sublimits in your
health plan to avoid any last minute surprises at the time of claim.
3. Check for Network Hospitals
The insurance companies offering
health plans have certain empaneled network hospitals with whom they have a tie
up. Any hospitalization or treatment taken in the mentioned or specified
network hospital list is done on the cashless basis subject to policy
conditions.
Check for the list of network
hospitals of insurance company and ensure you have network hospitals of the
insurer near your place of residence in case of any emergency hospitalization.
Also, a treatment in non-network hospital may not offer cashless treatment and
some insurers have a co-pay clause if you take a treatment in non-network
hospital.
4. Check for the Claim Process
Different insurance companies
have different claim procedures. Some settle or administer claims through Third
Party Administrators (TPA's) and some have their own in house claim settlement
unit to foster quick and hassle free claim processing. Also, check the claim
settlement ratio of the insurer you intend to buy a Health
insurance plan from to have a clear picture on the number of claims
settled by the insurer.
It is important to have handy information
on claims procedure to have a smooth and hassle free treatment in the times of
hospitalization.
5. Compare & Buy Online
It is important to take a right
buying decision which can be done by comparing the available health insurance
plans online. You can compare the price, key features, policy benefits, value
added benefits, eligibility, exclusions, etc. of multiple health insurance
plans to make a right informed choice of your own without any interference of
the agents. Buying online health insurance plan is a hassle free process which
required least documentation and quick policy processing. There are certain
online portals which will enable you to make an easy comparison and will assist
you in choosing the right Health
insurance plan.
Article Source:
http://EzineArticles.com/9492614
Friday, 23 December 2016
Progressive Health Insurance Reviews - Best Way to Select Your Plan?
What insurance policies are you
insured with? Are you covered properly or are still in the dilemma of selecting
a good insurance policy? Selecting a good policy is very vital, especially if
you wish to enjoy the maximum advantages. Compare health insurance plans and
make your choice instantly.
Selecting a health insurance
policy is a tricky task rather than being a very difficult task. Tricky because
the internet is swarmed by millions of online sites, each demanding to offer
you the best, most advantageous, money-saving healthcare plans. So, amongst
this confusion of selecting the best health plans, the procedure to select the
policies becomes all the way more difficult. Simply selecting the plans from
their health insurance reviews is no longer the safe idea. You need genuine
insurance plans offered to you by genuine insurance companies. Hence, selecting
the progressive Health Insurance Reviews
policies based on the company reviews is surely not the best way.
Another approach you may possibly
wish to follow for selecting a suitable policy is by comparing the quotes of
the various health and life insurance companies.
Select progressive health
insurance policies from companies that provide you a comparative chart of their
plans along with plans offered by other firms.
Check the premium amount you need
to pay for each of these policies.
Compare the amount and the
possible returns you may receive once you select the plan.
Read the listed benefits, the
healthcare medical facilities offered, list of health diseases included within
the policy, etc.
Before you make your decision,
you should read the hidden clauses and conditions included to these plans.
Marketers today are smart and very much aware about the facts that lure the
readers. Hence, they prefer mentioning only the positive aspects of the Health Insurance Reviews rather than
informing the readers with the real facts of the policies.
Take your time and consult your
friends for their reviews.
And also ask your doubts if any,
to the customer service executives for full assurance.
Selecting a healthcare policy is
hence a difficult task. Don't make the decision hard and fast. If you really
wish to secure your health from all types of possible factors, make sure you
select the best Health
Insurance Reviews. After all, it is your hard-earned money you are
investing for a healthier future. So, compare insurance plans offered to you by
various companies and reap the benefits of your policy when needed.
Article Source:
http://EzineArticles.com/6126028
Thursday, 22 December 2016
Friday, 16 December 2016
Monday, 12 December 2016
How to get great health insurance leads
If you have been in the insurance
field for sometimes now, either serving as an insurance broker or as an
insurer, then you would definitely know how significant health insurance leads
can be. Ever since the notion of health insurance swept across the health insurance policies market, the
requirement to have competent leads has been felt extensive as well as across.
Having these leads was felt necessary towards generating more sales. Thanks to
the arrival of internet, the older concepts of "door-knocking" and
"cold-calling" towards getting insurance policies done do almost not
exist. Mind you, these methods where extensively used then not merely towards
generating more policies however further to find competent leads that could
later make the sales on behalf of the company.
All said as well as done, even in
this age of internet moreover technology, there are people who are not
conscious of the fact that health
insurance policies covers can be bought online too. These classes of people
require to be tapped using the conventional methods that once existed.
Nevertheless, for those people who are aware of internet ways of getting the
policies, prospective internet insurance leads can do the trick. Nevertheless
how can we generate these leads in an easy way? Well, if you are in the
business of "re-selling" insurance, there are at least a couple of
ways how you can go concerning achieving this.
One of the easiest ways towards
getting live transfer health insurance
policies leads is to approach online vendors. A lot of online vendors have
mushroomed in the recent years. These vendors go about their business by
developing websites that have been highly optimized for garnering more leads
online. These leads have been purchases by the vendors through people who are
constantly on the lookout for insurance policies online. Then there is another
class of people who have a tendency towards transferring or selling insurance
policies to brokers or insurance vendors online. These are the people who can
in turn be potential insurance leads for diverse vendors online, as they are
unlikely to sell insurance on a regular basis. There is another way how you can
get insurance leads conveniently.
If you are an insurance agent or
a vendor and selling health
insurance policies then there is another exiting way how you can get
health insurance leads more easily. In this way, there is no requirement for
you to approach specialist vendors online that are into selling these leads.
Contrary, these leads perhaps are generated all by you alone. What you require
to do is to enhance an elite website for health insurance related services as
well as products. Make sure that the contents posted on this website have
enriched with phrases that people are more probably to enter in search engines
whilst they are online. This way you are of course sure towards attracting
attention of people to your website as well as in turn your services moreover
offerings. Nevertheless, this approach requires bit of caution on your part, as
they can get a bit expensive for you. However, if this approach has been
followed appropriately, probabilities are great that you can get leads rapidly
as well as more efficiently.
http://articles.abilogic.com/76898/how-get-great-health-insurance.html
Friday, 9 December 2016
How to opt for a right Medical insurance cover?
We offer health insurance plans that include
individual & family floater health insurance, senior citizen medical insurance policy and extra health care policies.
Thursday, 1 December 2016
Various Types Of Health Insurance
We offer health insurance plans that include individual
& family floater health insurance, senior citizen health insurance and
extra health care policies.
Wednesday, 23 November 2016
How Does Dual Medical insurance Work?
The term
"dual medical insurance" is used when a person carries more than one
kind of medical insurance. Married people who work often face this kind of
situation. With the hopes of securing the most adequate coverage, both the
husband and wife carry medical insurance policies. Unfortunately, this usually
causes a lot of confusion initially due to a lack of coordination. With dual
medical insurance, each company must agree to pay a claim in a certain order.
In other words, one medical insurance company must agree to pay the medical
claim first while the other medical insurance company pays second.
Dual medical
insurance companies must coordinate in order to determine how a medical claim
is paid. One company must be a primary insurance while the other is a
secondary. The way this process is initiated is by the person holding the
insurance. He must notify each company of the existence of the other. After the
initial notification, each insurance company will review policy language and
other information to determine which one is primary and secondary. In general,
most medical insurance companies pay as primary for medical claims submitted by
the person who initiated the insurance. So, for example, a man who has Group
Health through his work will submit claims to them first and whatever is unpaid
to the insurance company of his spouse.
In order for
dual medical insurance to work, both companies must agree with the payment
arrangement and the correct information needed to process a medical claim. For
the primary insurance company, it must receive the original, itemized medical
bill. For the secondary insurance, the company must receive a copy of the
original bill along with an explanation of benefits showing that the primary
insurance has paid their portion of the claim. It is a process that can be
messed up easily. So wise patients keep records of any medical bills and
explanation of benefits for health services. They also keep their doctor
apprised of how their insurance companies pay.
It is
important to point out that carrying dual medical insurance is not always beneficial. Companies
like Blue Cross will only pay as a secondary if it feels the primary under paid
a medical claim. Therefore, it is important to verify how a company pays as a
secondary before you pay for additional insurance because you could end up
paying money for nothing.
Source:
[http://www.ehow.com/how-does_4569459_dual-health-insurance-work.html]
Monday, 19 September 2016
Health & wealth
We offer health insurance plans that include individual
& family floater health insurance, senior citizen health insurance and
extra health care policies.
Wednesday, 7 September 2016
Health insurance
We offer health insurance plans that include individual
& family floater health insurance, senior citizen health insurance and
extra health care policies.
Friday, 2 September 2016
Health insurance plans
We offer health insurance plans that include individual
& family floater health insurance, senior citizen health insurance and
extra health care policies.
Wednesday, 31 August 2016
Type of health insurance reviews in india
Health insurance reviews from our customers. Listen to what
customers have to say about health insurance plans and its benefits. It helps
you choose the best health insurance policy.
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