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Medical Health Insurance Benefits

health insureHealthcare insurances are highly debated nowadays. Generally speaking, an employer should provide healthcare insurances to his or her employees. The group healthcare insurances are a lot cheaper compared to individual policies, therefore this can be regarded as a win-win situation: the employee gets insured while the employer does his duty. Nevertheless, if you are unemployed or you work on your own, you should know that a private medical health insurance has numerous advantages that must not be neglected. These policies can not only cover expensive medical procedures, but they can also help you pay for dental care. In this article I will present you the most popular types of medical health insurances, their main advantages and disadvantages as well as useful tips that will help you decide on the type of insurance that is the most suitable for you.

Why Is Healthcare Insurance Important?

Unexpected situations occur all the time, and when they do, you need to be prepared for them. Regardless if you need money for an expensive surgery or you need an extensive dental procedure that costs thousands of dollars, the proper healthcare insurance can help you with the payment. The insurance can provide the entire sum of money or it can only pay for a part of the medical expenses. Even so, a healthcare insurance should be taken into account, otherwise medical bills can leave you in serious debt.

A good healthcare insurance stimulates you to get regular blood tests and screenings, and it is vital to monitor your health on a constant basis. This way, you can discover any medical issues that can become life-threatening in the long run, and the policy can help you pay for the necessary treatment. This is known as “preventive care”. It is always better to prevent a disease or a condition than to treat it, and this is where the preventive care concept steps in!

Despite the fact that they are very useful, it must be mentioned that no medical health insurance is universal: these policies cover specific procedures and provide payment for certain prescription drugs. This is why it is essential to thoroughly read the terms and conditions before purchasing a policy.

Types Of Health Insurance

Putting it in a nutshell, there are three main types of medical health insurance available: the fee-for-service policy, the Health Maintenance Organizations (also referred to as “HMO”) and the Preferred Provider Organizations (or the PPO).

The fee-for-service policy is actually a traditional healthcare policy. Basically, companies pay certain fees for the medical services provided to insured employees. However, companies do not pay the entire sum, you need to pay a monthly fee as well. The main advantage of this policy is that it provides you flexibility: you can choose any doctor you wish and you can change your doctor whenever you want, if you are not satisfied with the provided services. There are two main types of fee-for-service insurances: the basic insurance (which covers basic medical services, such as prescribed medication) and major insurance (which cover the medical expenses of serious, long-term diseases).

The HMOs are the most popular group health insurance policies for small companies. They are very popular nowadays due to the fact that they are less expensive compared to other similar policies and they cover a wide range of medical expenses. Moreover, this type of insurance also provides preventive care, which is essential and should not be ignored. On the other hand, compared to the previously mentioned medical health insurance, the HMO does not provide you as much flexibility (meaning that you have limited choices of doctors).

The PPO insurances somehow resemble the HMO policies. The sole difference is that the PPOs include specific services which are found in the indemnity plan. They are cheaper and you can also benefit from discounts if you decide to visit a doctor that is outside of the Preferred Provider Organizations.

Advantages And Disadvantages Of The Medical Health Insurance

As stated above, this type of insurance has numerous benefits that should not be neglected. Even so, millions of Americans do not have a health insurance at the moment. It must be mentioned that besides the numerous benefits, this policy has its disadvantages as well.

Perhaps the biggest advantage of health insurances is that they provide preventive care, which can detect dangerous diseases in incipient stages and treat them efficiently. Besides the fact that this feature can be a life saver, it is also very cost-effective: discovering and treating a disease sooner is undoubtedly cheaper than treating it when it starts to advance.

Another important advantage is that with a health insurance, you can treat your medical problems in a fast and efficient manner. This is possible due to the fact that this insurance provides you fast access to high-quality medical services, therefore it can be regarded as a time-effective policy as well.

Regarding the main disadvantages of a medical health insurance, one of them is that these policies can turn out to be quite expensive. Based on the type of insurance as well as the coverage it provides, you can pay a significant monthly fee. Besides, your choices of doctors and hospitals may be limited, depending on the type of health insurance that you have. In the end, health insurances can save your life, despite their price.

Another downside is that health insurances only cover specific medical expenses. This way, if you do not read the terms and conditions carefully, you might end up in the unpleasant situation when you rely on your insurance just to find out that it does not cover your medical bills. In addition, another important fact that you must pay attention to is that a private health insurance covers certain medical services that the public health plans may not cover.

To summarize, these are the basics of health insurance. They are absolutely indispensable, and it is definitely better to have this policy and not need it than need it for your medical bills and not have it. You have several options where you can choose from, therefore take your time to check the main advantages and disadvantages of each one of them and choose the policy that best meets your needs!

Vision Insurance For Individuals

Selecting Your Vision Insurance For Individuals Policyeye_vision_insurance1

For those who wear glasses or contacts, have problems with vision, or for individuals who simply want to have their annual eye exam covered, the right vision insurance for individuals policy is going to cover those costs. All policies and insurers provide different coverage options and rates; prior to selecting your policy and provider, you have to know what those rates are, and what is covered. From the price of new lenses and frames, to the co pay you will pay when you go in for an eye exam, you have to find out what you are paying, and what you are saving, with the policy that you choose to purchase.

What is Covered?

When selecting your vision insurance for individuals policy, you have to know what is covered. Some of the coverage options will include:

– Eye exams and annual visits to the optometrist.
– New frames, glasses, or contacts, if you need to change your prescription.
– Cost of eye drops or other medication if required. – Office visit (apart from the co pay that you will pay when you go in for the exam).

These are generally covered with most insurance providers. But, you have to find out how much is covered. In most cases, an insurer is going to cover a certain dollar amount. This means if you want the name brand frames, you are going to be paying out of pocket for the remainder balance.

How Much Will You Pay?

Of course most people who have an insurance policy, purchase based on the best rates and coverage options. It is important to consider how much your monthly premium is, which in most cases, is far lower than health and other policy coverage. In most instances, with any policy you purchase, you will have a co pay when you go in for an eye exam; the exam, eye drops, and other medications will generally be covered. For most policies, your lenses are also going to be covered or contacts will be covered. Top insurance providers will also cover a certain dollar amount for your frames; if they are a low priced frame, they tend to be covered; but, for those who want designer name frames, or pricey transition lenses, the additional cost will come out of pocket.

Is The Cost Of Surgery Covered?

If glasses or contacts are not the solution, today most vision insurance for individuals policies will cover insurance; of course the policy will cost more monthly if it is to cover these policies. It will of course require your optometrist to sign off as a necessary procedure, if the vision is so distorted, it can’t be corrected with glasses or contacts. Additionally, many insurance providers are going to ask for a second opinion, if you have to have surgery, in order to correct your vision problems.

With most insurance providers, you also have to consider the type of surgical procedure you need to have. Like medical insurance, if you need an emergency surgery or office visit, only certain policy levels will cover that, or the visit to the specialist you have to see; it works in a similar manner with your vision insurance for individuals policy. It is important to find out what procedure you must have, and you must find the insurance providers that will cover that operation, and will cover the entire cost. Many eye surgeries can cost $15,000 and up; for this reason, before deciding on a policy, you have to know what procedures it will cover, what proof you must show for the procedure to be covered, and up to what dollar amount the policy will cover, in the event you do have to have surgery, for corrective vision.

Is There An Annual Minimum?

With certain policies, you might be required to pay an annual minimum to have the policy; due to the fact that most people do not visit the optometrist regularly, it is not something they think about often. For this reason, when you are considering and comparing the insurance providers, and the vision insurance for individuals policies they offer, you have to know what the lowest price coverage is, and what it covers. Comparatively, you have to find out what the more expensive policies cover, especially if you do visit the optometrist more often.

Is Your Optometrist Covered?

Generally, vision policies are lenient with the optometrist you visit; since most people go to larger offices, most are covered with most insurance providers. But, if you do go to an independent office, make sure your doctor is covered, prior to selecting your policy; and, find out what your co pay is going to be, as these offices tend to charge a higher price for their services. Most insurance providers will cover small, independent offices, but before you do select your provider, and the coverage you are going to purchase, it is important to compare a few insurers. Doing this you not only find the full coverage that you want, you also find the best coverage, for a much lower price, and you will also be able to visit any office you want to visit, when you do have to go in for an eye exam, or any other routine visit you have to make to your optometrist.

With more than one insurance provider for vision coverage, it is important to find out what each insurer has to offer, what you are going to pay for their policy coverage, and what options you have, in terms of coverage levels. From a basic plan to cover your eye exams, to a policy that will cover the most expensive surgery, if this is the only way to correct your vision. Before you do select the vision insurance for individuals policies for your coverage, you have to look into several options. This is the only way to select the right provider and policy coverage, and it is the only way to ensure your optometrist is covered, and you are going to pay the lowest out of pocket expense for your coverage.