So, what is health insurance? To put it in simple terms, a health insurance policy is an agreement between an individual and an insurance company. The policy will include a host of benefits such as medical tests, medicinal drugs and other medical treatments. When an Insurance policy is issued by the company, then it implies the insurance company has agreed to cover the cost of a particular set of benefits listed in the policy, which are known as “covered services”.
So, when a particular service is not covered by the insurance company and you have it performed anyway, the insurance company “denies the claim.” In such a situation, the individual will be left with no other choice, but to pay for the service out of his own pocket. However, the policy holder has the right to challenge the insurance companys denial, by following the appeal process mentioned in the plan handbook. But, it is advisable to do so after consulting the doctor in this regard.
It is also very important to read the terms and conditions of the insurance policy clearly, before signing up for one. This is to ensure that your hard-earned money is not invested in a policy that does not meet your needs. It is also important to bear in mind the fact that decisions pertaining to what will be and what will not be reimbursed are made by the company, and not by the doctor. So, even when a shadow of a doubt about the policy arises, it is advisable to call the insurance company for support.
In conclusion, when considering the purchase of health insurance it is important to consider all of its merits. One has to realize that the money that is involved in purchasing a medical insurance is very little, when compared to the cost incurred in undergoing some major medical services. Moreover, insurance policies may also be tax deductible, in which case you can be said to be paying for your policy with money you might have otherwise given to the tax man. These are some of the financial incentives of having an insurance policy. Excluding the protection to family and oneself, however, the greatest benefit is that possessing a health insurance policy would also ensure peace of mind to the policy holder, a significant psychological benefit. In light of all these advantages, it really wouldnt be such a bad idea to own a health insurance policy.
