Archive for the ‘Health Insurance’ Category

Do I need Health Insurance?

Saturday, June 12th, 2010

If you think you do not need Health Insurance; then think again. The unpredictable nature of life is itself a valid reason to own a health insurance. Life is filled with risks. Wherever there is an element of risk, risk management is indispensable. Insurance is just a form of sensible risk management.

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 company’s 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 wouldn’t be such a bad idea to own a health insurance policy.

Florida Health Insurance

Tuesday, June 8th, 2010

Florida health insurance costs can prove to be a very real obstacle to many Florida consumers that are searching for a comprehensive and affordable Florida health insurance policy. Florida health insurance premiums can be pricey at first glance. However, when you consider that even some routine surgeries plus a week or more in a Florida hospital could cost upwards of six figures then the importance of finding a Florida health insurance policy that is both comprehensive and affordable cannot be underestimated.

The Florida health insurance market is a very competitive market. This is at once a very good thing and a very bad thing for the Florida health insurance shopper. The competitiveness of the Florida health insurance market is good for the Florida consumer because it forces the top companies to drive down their rates in an effort to maintain affordable health insurance policies as they compete against each other for your business. The negative aspect of the Florida health insurance market’s competitiveness is that many insurance companies are attracted to the strong demand for health insurance in the state of Florida and not all have the sterling reputation of an Aetna, Humana, or a United Healthcare.

Without mentioning names, this strong demand for Florida health insurance will attract health insurance companies to Florida that are forced to put calendar year limits in their policies or only cover benefits up to a certain amount (an indemnity style policy) in order to try and compete with stronger, more established companies.

Just to contrast the seriousness of this, imagine that you blow out your knee as you are exercising and you have to have arthroscopic knee surgery and a week plus in the hospital brings the total bill to $100,000.

With a strong reputable Florida health insurance company with an established dependable network such as one of the Florida health insurance “Big 3” (Aetna, Humana, and United Healthcare) you will have coverage of anywhere from $3,000,000 to $5,000,000 per person without any calendar year limits and without limits on benefits payable for certain procedures. That $100,000 hospital bill is whittled down to your maximum out of pocket cost of probably around $3,000 to $5,000 depending on your policies deductible and coinsurance amount.

Now imagine that you had decided years back that you wanted to go with a Florida health insurance company that you had never heard of until then and purchase a seemingly attractive indemnity policy or a policy with a calendar year limit: if the limit on the policy is for say $10,000 for that particular procedure or maybe only up to $200 a day for every day in the hospital… guess what? Once you reach that limit threshold you are stuck with the rest of the bill. It is as if you do not even have insurance once you reach the limits in the policy.

The different Florida health insurance policies can be difficult to navigate without the assistance of an expert independent insurance agent. View Florida health insurance quotes from the top companies side by side and compare them to ensure that you have both affordable and comprehensive Florida health insurance.