What Health Insurance Covers

Every one of us must have health insurance coverage. Medical expenses in the unforeseen circumstances like sudden illness or accident can ruin you financially. It is likely that you may not be able to afford the best possible treatment in the absence of health insurance.

Health insurance will enable you to get correct & sufficient medical treatment. Your health insurance will look after the expenses of your regular check ups, visits to doctors, specialists if needed, hospitalization expenses & emergency calls. In case of tests like X- ray, MRI or any therapy, the health insurance will reimburse these expenses at prescribed rates. In a few cases you may get cent per cent reimbursement, but in most of the cases you have to shell out a small fraction of amount & the rest of it is covered by insurance.

The deductible can be paid for individuals or per family. If the deductible is exceeded you would have to pay for the percentage as per the statement mentioned in your policy. There are many types of medical insurance plans. Some medical insurance plan offers only with a network care while some offer out of network coverage. Some medical policy allows you to seek a specialist without any referrals while others ask you for a referral to seek a specialist.

You have to be careful to see whether your policy covers the follow up treatment/therapy after surgery. You have to get confirmation from the representative of insurance company or you have to read the policy terms thoroughly beforehand. Otherwise you will have to bear those expenses fully which are not covered under the policy.

Health insurance policies generally do not cover the expenses for the unwarranted surgeries like donation of kidney or bone marrow, cosmetic surgeries for hair transplant, face lift, liposuction, changing of shape/size of nose, boob jobs etc.

The validity of your medical coverage is till you undergo your surgery. After surgery if the doctors ask you to stay for another day checkup which has some good medical reason, then it would also be covered under medical insurance. In cases where you stay in the hospital for your better satisfaction and for some guidance from your doctor, then you have to beat these charges.

You must tell your doctor which insurance policy you are having because they generally know the rules & regulations of different companies & in case there are any queries raised, they will be able to answer them in a better way.

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