What are the coverage characteristics of health insurance?
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\n. \n Answer \n. \n. \nCosts vary from hospital to hospital, area to area and so on. I had a baby in Feb 2005 so I can give you those costs charged to me. My hospital bill for the delivery was est $6500.00. My doctor bill was $4500. There were also bills for labs, ultrasounds and any oth…er testing. HTH. \n. \nIf you have a health care insurance and you are from Canada, it's free! Source: http://www.surgerycosts.net/price.php?medical=baby-delivery ( Full Answer )
For many of us who have bought health insurance before, the term'pre-existing conditions' is a major cause of stress. Will acertain condition be covered? How much will the coverage be? Howmuch will the premium be loaded? What about the waiting period? There are many questions and factors to look at… when purchasing ahealth insurance policy - here are some key points to keep in mindwhen it comes to Pre-existing Conditions. What is a pre-existing condition? Some of us mistake pre-existing conditions as 'an illness orcondition that a person might have at the time of buying apolicy'. Well, pre-existing condition does not only refer to an illnessesthat a person has at the time of buying a policy but it alsoincludes a thorough medical history of any condition ranging fromheart attacks, diabetes, past hospitalizations, any surgeries,medications for any disease or illnesses like high blood pressureor thyroid, skin disorders, major accidental injuries and any signsor symptoms such as increase in sugar, or high blood pressure. Inother words, the insurance company wants to know about absolutelyany disease, condition or injury you've had. All insurancecompanies have their own take on 'pre-existing conditions' soyou need to read the literature very carefully. By and large, under the standard definition, 'apre-existing condition is any condition for which the patient hasalready received medical advice or treatment prior to enrollment ina new medical insurance plan.' This means that a pre-existing condition refers to any healthproblem faced by the individual prior to seeking health insurance.Usually there is a 'look-back' period of around five to ten yearswhich the insurance company investigates. Important disclaimer - part of the definition of a pre-existingcondition is that it is 'a medical condition that is known OR unknown '. This means that if you have a diseasethat existed before you bought a medical insurance policy, but youdidn't know about it at the time, it is still considered apre-existing condition! Insurance companies dislike pre-existingconditions Until recently, most health insurance policies would exclude coverfor pre-existing conditions along with all related conditions. Forexample, someone suffering from high blood pressure would in allprobability also have exclusions placed on their policy for angina,aneurysm, heart attack, stroke etc. This would also be the caseeven if the condition was under control with medication. Insurers are reluctant to provide coverage to people who sufferfrom pre-existing ailments. This is because such people are morelikely to require treatment and thus, present a higher financialrisk to insurance companies So if I have a pre-existing condition, can I buy aninsurance plan which will cover it? Under the Dubai Health Authority's new insurance law, insurers willnot be permitted to deny individuals medicalinsurance coverage due to pre-existing conditions althoughtreatment for chronic and pre-existing conditions may initially beexcluded for the first 6 months of cover. Many insurance companies in the UAE now provide cover forpre-existing conditions, however, there are a few steps they taketo mitigate their risk. The following methods will likely impactyou if you have an existing condition: . Premium Loading: The insurance company willinclude the pre-existing condition, but charge a higher annualpremium. Waiting Period: Waiting periodsprevent you from making claims soon after signing on to aninsurance plan, or from claiming on pre-existing conditions. Theduration of a waiting period varies among insurance companies.While the Essential Benefits Plan in Dubai states the waitingperiod as 6 months, in serious cases you might have a negotiatedwaiting period that is much longer. Premium loading + waiting period: You may have both premium loading and a waiting period. Exclusion of Pre-existingconditions: The insurance company will offer the applicantmedical insurance coverage, but exclude the pre-existingconditions. This means the insurance company will not cover thecosts of all treatment and services stemming from this medicalcondition. The best way to make sure that you have coverage for any medicalconditions that you develop is to stay with the same company forthe long-term. Insurance companies cannot deny you a renewal onyour policy even if you develop a chronic or serious medicalcondition, as long as you have already been accepted into the plan. However, they can still increase the renewal price eachyear. Another possible way to get coverage for a pre-existing conditionis to apply for a group policy. If your company is large enough,the insurance company may cover the pre-existing conditions of allmembers of the group. Why choose a Group Medical Insurance Plan The new health insurance law in Dubai has made it mandatory for allemployers to provide health cover for all staff. This includesresidents and expatriates. When taking a group medicalinsurance plan (larger number of members) , an insurer knowsthat they get a mixed population of both health and un-healthyindividuals. They do not need to individually underwrite peoplebecause of the higher volume. Thus they are happy to coverpre-existing conditions and chronic conditions because they knowgiven the size of the group; the payout will be proportionatelysmaller. The minimum number of employees to qualify for a company healthinsurance plan, and waive any pre-existing condition underwriting,varies greatly amongst insurance companies in the UAE. It can be aslittle as 10 employees or as high as 50 members ( Full Answer )
\n. \n Answer \n. \nYes on Individual plans. Employer Groups have guarantees If you're denied as an Individual there may be a State Risk Pool for you http://www.nahu.org/legislative/HRPs/index.cfm
It is exactly what it says. The EMPLOYER provides health insuance coverage if you desire to avail yourself of it. The employer MAY cover all of the cost, some of the cost or none of the cost. But, because you are part of a group insurance plan, the cost will generally be less than finding a policy o…n your own. ( Full Answer )
It depends on why the ins. co. denied the claim. Usually a simple call to the insurance company by the insured person is enough to get the insurance co to at least review the claim again. If the policy is part of a group plan through an employer, you might want your human resources department …to make the inquiry. Often, insurance companies will deny a perfectly legitimate claim, because they know a percentage of patients will simply give up and walk away. They save lots of money this way. The key is to be persistent. If there is any validity to the claim, they will eventually pay the claim just to make it (and you) go away. If you suspect the insurance co. is not acting in good faith, let them know you are going to contact your state's insurance commissioner regarding the matter. You may also want to threaten to take legal action (sue) if they do not reverse their decision. If they claim the procedures were not necessary, tell them you intend to sue the doctor, and you will compel the insurance co. to testify on your behalf. I've actually used this technique and it was very effective. They reversed themselves immediately on a $2000 claim. You can also threaten to go public with your claim, use the local news media to publicize your plight. ( Full Answer )
A lot of this is determined by the law in your state (or the law in the state your policy is written in). Can you give a little more information?
Coming in January of 2009, six companies have been chosen by the State of Florida to provide "Guaranteed Issue" policies. Do a search on "Cover Florida" and you'll find some articles on the subject. Unfortunately, there aren't many details on the plans. I write applications for BlueCross Blueshield …of Florida, one of the six companies chosen, and we don't even have any details as of 12/11/2008. ( Full Answer )
Can you drop your health insurance coverage at anytime from your employer? Read more: http://wiki.answers.com/Q/Can_you_drop_your_health_insurance_coverage_at_anytime_from_your_employer#ixzz1d7yLrC9k .
Yes - Aetna just did it to us because our daughter has asthma. Iwas so shocked. They stated the reason that her combined conditionsof asthma and eczema (yes mild eczema - at least for her) "exceedthe allowable limit provided by our underwriting guidelines" As of January 1st, 2014, this is no longer… permissible. No existingcondition can be a reason for declining coverage. This is one ofthe changes that the PPACA (ObamaCare) made. ( Full Answer )
Assuming you had health insurance when you were employed, you may continue that insurance through the COBRA program by paying the applicable premium. Those premiums will be much larger than the ones you were paying while you were employed.
Yes, you are covered as long as you are in the country. Some companies do not allow you to go to doctors out of their system though, so be careful!
Health Insurance is an agreement between you and the insurer. The agreement says that if you pay an agreed upon amount (called "premium") to the insurer, it will pay certain amounts for accidents or illnesses that you may have in the future. Health insurance policies may also pay for certain prevent…ive services like test and vaccines. Since policies vary by coverage and price, make sure to read the benefits and limits of each plan before you buy one. The best way to learn the difference between a policy that satisfies you and one that you won't be happy with is to compare several. ( Full Answer )
Auto insurance usually has several components. Not all coverages are purchased by every applicant, but the basic coverages are as follows: Liability insurance provides coverage to the named insured and others who are identified by name or by relationship to the named insured in the policy for neg…ligent acts or omissions while operating the insured vehicle. Stated otherwise, if a covered person is legally liable for causing damage to another in the operation of the insured car, the insurer will pay those damages. Because the damages are payable to a third party, liability insurance is often referred to as "third-party coverage". Liability insurance may be for bodily injury or for property damage, and the policy will specify the amount of coverage that is available for each type of damage. Some policies of commercial auto insurance have "combined single limits", which meld bodily injury and property damage coverage into a total available limit. Medical Payments / Personal Injury Protection (PIP) is a form of "first party" coverage because it pays expenses incurred by the insured. Specifically, it pays a portion of the medical expenses and lost wages insured by the insured and others specified in the policy and/or by statute without regard to fault for the collision. The payments may be subject to a deductible. Under-insured / Uninsured (UM) is designed to compensate the named insured or others designated in the policy by name or by their relation to the insured, for bodily injury, and the effects thereof, if the at-fault party did not have bodily injury liability coverage. Because it effectively takes the place of the adverse party's liability coverage, the damages recoverable by the insured or other person to whom the coverage applies may be reduced or eliminated according to the rules of comparative or contributory negligence to which the jurisdiction adheres. ( Full Answer )
Auto insurance usually has several components. Liability insurance is the limit of how much the insurer will pay on your behalf to someone you injure while driving. Property damage is the limit of how much the insurer will pay on your behalf to someone on account of damage to their property yo…u cause while driving. Medical Payments / Personal Injury Protection (PIP) pay medical bills up to the limit of the insurance. Fault is not considered. Underinsured / Uninsured (UM) insurance is there for the benefit and protection of the insured in case someone else is at fault and causes injury to the insured. This is very important insurance. ( Full Answer )
Life Insurance policies are of various kinds. There exist term policies, whole life insurance policies. endowment policies, universal life insurance policies. Each type has its own characteristics. In general, life insurance policies are contracts that pay a specified amount (the proceeds) upon t…he death of the insured. Term insurance is sometimes characterized as "pure protection" in that it does not contain within it an element of "savings" or accumulated value. In contrast, whole life, in addition to the death benefit, accumulates value as premiums are paid, which can br borrowed. If the loan is not repaid, the balance, plus the contract rate of interest, will be deducted from the death benefit. ( Full Answer )
A health insurance policy is a contract between an insurance company and an individual or his sponsor (e.g. an employer). The contract can be renewable annually or monthly. The type and amount of health care costs that will be covered by the health insurance company are specified in advance, in …the member contract or "Evidence of Coverage" booklet. The individual insured person's obligations may take several forms like Premium, Deductible,co-payment etc More precisely, it is a type of insurance that protects against the risk of financial harm resulting from the insured's sickness, accidental injury or disability (although there is a distinct form of insurance usually called "disability insuance" which replaces income lost as a result of sickness or accidental injury). Health insurance can be either group or individual. ( Full Answer )
Health insurance is literally "insurance against charges incurred due to health related services being rendered" what that means for the typical person is that you pay a little bit every month so that in the case that you do need health services for yourself or loved ones you have help paying those …costs. If you are employed and opt for health insurance coverage then you will pay a premium (a flat rate taken out of your paycheck according to level of coverage you want and how many people it will be covering). Most employers have one insurance company with different plan choices (United Healthcare, Aetna, Cigna, BCBS, etc). Just because you have health insurance coverage does not mean that you will not have any responsibility for charges incurred. Insurnace companys use "cost-sharing" methods to save themselves money. The three types of cost sharing - copay, deductible, and coinsurance. Copay is a flat dollar amount that you pay for specific services (10 $ office visit 20 $ specialist 150 $ surgery). Deductible is a minimum amount you must pay before your insurnace company will pay anything. Coinsurance the insurance company pays a portion, usually 80-100% of the total charges and the balance left is the patients resp. How good a insurance coverage is usually depends on lower deductible and copays and how much the total out-of-pocket ends up being for the patient. ( Full Answer )
Disability insurance is intended to replace income lost as a result of an illness or accident that is not excluded by the terms of the policy. Stated otherwise, it provides a source of replacement income, for a stated period of time, when the insured is unable to work because of an illness or an acc…ident if that illness or accident is not excluded from the scope of coverage. Disability insurance is medically underwritten, meaning that the insurer takes into account when considering the application the health condition of the applicant, including preexisting conditions. One applies for a stated monthly benefit and the premium is based, in part, on that amount. Disability policies also have "elimination periods", which are similar to "deductibles" on property and casualty policies. An elimination period is the period during which no benefits are payable following a qualifying disability. A longer elimination period will generally correlate to a lower monthly premium, because the insurer's obligation to pay will not be triggered until after the elimination period has passed. The definition of "disability" contained in the policy is also significant. In an "any occupation" policy, the insured must generally be unable to perform any work for which he/she is suited by experience or education in order to collect. In an "own occupation" policy, the insured must be unable to perform the material duties of the position that he/she had at the time of the qualifying disability. "Any occupation" policies are generally less costly than "own occupation policies". Disability coverage can be had in the form of a group policy (such as, through employment), or as an individual policy. There are also "short-term" versions of disability coverage which pay for a maximum of, for example, 90-120 days, and "long-term" policies which can, all other things being equal, pay until retirement age. ( Full Answer )
It depends on the company you decide to go with. I recommend you this site where you can compare quotes from different companies: mycheapinsurance.net
In general, health insurance covers the cost of medical or hospitalization care as a result of an illness or injury that occurs or is manifested while the policy is in force. Like other kinds of insurance, the benefits are payable in return for the insured paying a premium. A premium is the amount o…f money charged by the insurer for the coverage. The coverage can be any one of a number of varieties, depending upon what is purchased: 1. Fee for service. This involves the health care provider billing the insurer for a fee, and the insurer paying all or part of it. Generally, there are guidelines that the insurer follows in determining the amount to be paid, and it is often determined by a community standard. The policy itself provides that the person insured must pay a portion of the charges per visit or occurrence (the deductible), and also what of usually called a co-payment. The latter reflects the fact that a policy may pay only a percentage of the allowable charge, for example, 80%. The corollary is that the insured pays the remaining 20%. In general, the larger the deductible and co-payment that the insured assumes, the lower the premium, because the insurer is at risk for less. 2. PPO. This stands for Preferred Provider Option. In a nutshell, healthcare providers agree to become a part of the insurer's network of providers, and pre-negotiate fees for stated procedures. An insured who is a member of a PPO typically sees a physician or goes to a hospital that is in the network, and gets the benefit of the reduced fee. The PPO pays the pre-negotiated rate, subject to the insured being responsible for a deductible and a co-payment (as discussed above). If the insured goes to a non-network provider, normally the deductible or co-payment is higher. 3. HMO. This stands for a Health Maintenance Organization. Ir is a form of what has become known as "managed care" and emphasizes preventive care. It has several models, including one involving in-house physicians, and one involving physicians who maintain their own practices but are devoted mainly to HMO patients. For a fixed monthly fee, the patient is entitled to a range of services. Costs are kept low because medical expenditures are monitored closely and permission is required to see an out-of-network provider. ( Full Answer )
All home insurance companies offer differnet policies so this question is to general to answer correctly, but most insurance will cover: Fire or lightning explosion falling objects impact by vehicle or aircraft riot water escape (from a pluming system) smoke windstorm or hail vandalism or malicious …acts escape of fuel oil (maybe) There are other coverages but the question is to general to determine if you are looking at a basic policy or a comprehensive and each insurance company is different. ( Full Answer )
Short term or temporary health insurance does not cover pre-existing conditions, and most have very limited benefits. These plans are meant for people in transition between jobs, between school and work, between work and Medicare, or the like. They only last for six months, though you can renew them… again. Some companies will allow you to stay on short term plans through six "renewals", or 36 months. ( Full Answer )
A good health insurance policy depends on who you are. If you're young and in good health, you may want cheaper premiums; however, if you have children, your health insurance coverage should ideally cover medical visits, prenatal care and the ICU. Basically, it varies according to what your needs ar…e. ( Full Answer )
You can get good health insurance coverage on AARP, Humana One, and Aetna. The companies provide you dental, medical, pharmacy and life insurance. Prices are decent and you can be prepared when you are injured or dying.
This is a difficult question to answer because health insurance costs depend on a number of variables including how many people you are covering and what type of plan and coverage you want for you and your family.
Health insurance coverage is mandatory in Massachusetts for anyone over 18 who can find affordable insurance. Those with low income may be eligible for insurance at no cost.
There are several different options for health care coverage with Aetna. You need to decide how many people will be on your plan, and what kind of coverage you want, just doctors visits, prescription coverage, emergency room, etc.
Humana is considered to be one of the best health insurance providers in the United States, but the level of coverage varies between plans. If you purchase yourself you can decide on the amount of coverage vs. cost, but if you get it through an employer they will decide your level of coverage themse…lves. ( Full Answer )
That would depend on each individual insurance company. COBRA is often available but very cost prohibitive. Contact your insurance provider for more information.
Well, health insurance won't repair your car will Uninsured Motorist will. Your health insurance won't pay for your friends, relatives, or children's friends who happen to be in your car when you have an accident with an uninsured motorist when they don't have health insurance. If they are injured a…nd have no health insurance they will look to you for payment of their injuries. The cost for U.M. coverage is relatively small for the coverage that you get. Also, if someone hits you and has no insurance the Uninsured Motorists part of your policy will act as if the person had the required insurance that they should have in paying for your losses. After your losses are paid they will go after the other party to recover the costs paid that they should have paid. The costs to collect these funds are paid by your company and once they collect these funds even your deductible will be recovered and sent back to you. The legal costs to collect these costs could be substantial. ( Full Answer )
HCF health insurance offers plans that cover either individual people, or you can get a plan that covers the whole family. They also have dental and vision add ons, and plans for emergency visits, and prescriptions.
Functions: Routine care; such as shots, vaccinations, doctor check-ups, mammograms, to prevent a serious illness. Emergency care; such as broken bone, immediate illness, or overdoses, and all or a percentage of ambulance fees. Prescriptions; pays for a percentage or prescriptions that are prescribe…d by a doctor. Chronic illness; cancer, tumors, or other cases that require a repeated treatment. Characteristics: Basic health care insurers provide for emergency assistance, routine care, prescriptions, and cases of chronic illness. ( Full Answer )
yes health care insurance provide dental coverage i think well maybe i dont know why are you asking me whyyyyyyy holy mother bejesus stop asking me thank you for asking me
Most insurance companies offer health care coverage. The top companies that offer health care coverage are UnitedHealth group and Wellpoint Inc. But there are a lot more too.
"Star Health Insurance offers coverage in outpatient care, emergency room assistance, hospitalization, pharmaceutical care, and coverage with your primary care provider."
Number one characteristic is that it provides a benefit upon the insured's death. Secondary benefits are: cash value accumulation (on whole life and universal life insurance plans), which can be used as loans for personal use, to supplement retirement funds, or to increase the death benefit. The ter…m insurance policies can have a Return of Premium feature, that would return all premiums back at the end of the term (10, 20 or 30 years). ( Full Answer )
Assuming the employer offers coverage to spouses, then the employer would not have the right to turn a spouse away. The spouse's loss of coverage is a "qualifying event" and the employer's insurer would allow the spouse to join.
There is a domestic partner law for same-sex partnerships. There is no law for opposite-gender relationships, i.e. Common Law Marriage. However, state law does not apply to employer funded health care if the employer's plan is a) not written on WI paper (i.e. your company has a large office or co…rporate officer in another state and they bought the plan from that state) or b) self-funded (the employer pays the claims and uses the health insurance carrier for administrative services only). ( Full Answer )
It is the InsurekidsNow, they have Children's Health Insurance Program which provides free or low-cost health coverage for more than 7 million children up to age 19. CHIP covers U.S. citizens and eligible immigrants which means, it is available in every state that qualifies their program.
According to a PBS documentary the number of Americans without insurance has reached the astronomical number of 44 million individuals, these were current figures.
Health Insurance varies depending on the plan on which the purchaser has signed up for. Plans can include services such as: ambulance rides, hospital stays, doctor visits, prescriptions, crutches and more.
The most important thing to know about health coverage is the variety of options available. The Affordable Care Act (affectionately known as Obamacare) has increased options to some extent. The first tier of options to look at are where the health coverage comes from. It could be through work, a …parent or as an individual policy. Next to consider are the options available for preexisting conditions as well as the premiums. It is claimed that premiums will go down starting in 2014. ( Full Answer )
Private health insurance is an alternative to government issued health insurance. It can be provided through a union or employer or one can purchase it from a private health insurance company.
There are many online sources that help people find and get individual health insurance coverage. One example is eHealthInsurance, which guides people to providers such as LifeWise.
There are lots of companies that offer good health insurance for maternity coverage. The rates continue to change. One can use the website eHealthInsurance to locate good coverage in ones area.
There are many companies that offer travel health insurance coverage. These companies include Geico, AllState, StateFarm, E-Health Insurance, and Golden Rule.
Health insurance in the United States is very expensive and some places of work give free health insurance. Some can be obtained by going to some companies such as Obamacare,
The Cobra health insurance temporarily extends the coverage by your sponsor or employer. This implies that you can get it after a loss of a job or loss of benefits.
There are lots of reasons that dropping your health plan at anytime is unwise. But to answer your question: You can go for up tothree months without health insurance, and still not have to paythe penalty/ tax. You drop your health plan by stopping yourmonthly payments for it. If you are covered by a…n employer plan,you would notify your employer. The employer will have forms foryou to sign, and may ask you to verify that you have healthinsurance from another source. When you stop paying for your plan -- either at work or at home --your coverage will also stop. You pay for health insurance inadvance for the following month. So, if you don't pay the bill thatis due at the end of January, you won't have coverage in February. Keep in mind that you cannot pick up coverage whenever you want to.If you drop out, you cannot re-enter until the next openenrollment. Whatever medical bills you have while you are uninsuredare your responsibility. There is no such thing as back dating yourhealth insurance to cover your hospital bills that you had lastmonth. ( Full Answer )
You can get health insurance whenever you want. However, foryounger and healthier you buying health insurance is hassle freeprocess.