Insurance Quote Hero

Health insurance is there for our protection and coverage for medical expenses. But just like any other insurances, there are also some limitations and exclusions as to what is the coverage of your policy. In a way, this is for the protection of the insurance companies that they don’t have to pay for unnecessary expenses that will result to lesser profit for the company. Remember at the end of the day, insurance companies are still business that needs to earn profit to be able to continue operation and provide more coverage. Here are some of the typical limitation and exclusion of your health insurance:

• Pre-existing conditions- many health insurance will provide a six month to a year waiting periods for pre-existing conditions in cases like lapse of insurance coverage that’s more than 63 days. Lets ay for example that you have diabetes, once you leave your job and would still be unemployed after some time then you would have to purchase an individual insurance. This is to avoid the waiting period and still be covered until your next policy.
• Cosmetic surgery- this is not really needed for health purposes that’s why it is not covered. Most would undergo cosmetic surgery for aesthetic purposes but if the cosmetic surgery is recommended for correction of certain conditions and it is endorsed by doctors then most likely it would be covered. An example of cosmetic surgery that may be covered under your health insurance policy is a reconstructive injury because of an injury or injuries due to birth defect like cleft palate. Face lifts and liposuction are not covered because these are elective surgeries that you should pay with your own money.
• Non-traditional treatments- treatments that are used instead of conventional medicine and treatments are called alternative treatment. Sometimes, these can be used together with the conventional medicines and treatment but it is not really required. It is not covered because it considered as experimental and non-traditional in nature. Examples of such are acupuncture, yoga, acupressure, massage or biofeedback.
• Home care and private nursing care- there are some type of sickness that does not require for you to stay in the hospital and would just require home care. This type of care is not covered for some health care benefit however there are some policies that offers this as an advantage.
• Mental health treatments- depending on the policy some would cover for mental health treatment and drug rehabilitation.  However if the substance abuse is because of addiction and self satisfaction as opposed to abuse due to mental illness, then for sure it is not covered. You will have to get referral from your doctor to be able to get mental health treatments.
• Common drug benefit exclusions- drugs that are used for cosmetic purposes are not covered as well as non-traditional drugs used for treatment. An example is hair growth stimulants or diet and weight loss pills.  You can also expect food supplements and vitamins to be not included in the coverage.

These are only some of the exclusions and limitations in health insurance policies. It is important that you get to know and study your health insurance policy to get to know more about this. It is helpful to know these things so that you can avoid paying for medical expenses out of your own pocket. If in doubt, you could always ask your insurance company to be sure and not get shocked when the bill would come only to find out that it is not covered. You can also discuss with your doctors to stick with treatments that are covered by your insurance to avoid extra expenses.

As a mom, my priority is always the safety and health of my son.  I always pray and make it a point to do anything in my power for my son to be healthy and strong. In times that he does get sick, I always consult the doctor right away. It’s a good thing that he is part of the health insurance benefit that is part of the benefit from my work.  I could just imagine how much we would suffer financially if my family does not have health insurance and we would just rely and settle for what we can afford on treatments. My son is not sickly but it still gives me peace of mind knowing that when something happens, we could go in and out of the hospital to get some help.

Basically a health insurance is a contract between the person being insured and the insurance company. The amount that the insurance company would have to pay for medical expenses is called coverage and usually varies depending on what policy is agreed upon.  The policy will be the one determining how much premium or monthly payment to the insurance company. We all know that medical bills can be quite expensive and could even be a source of bankruptcy especially in the event of a major medical event, and having a health insurance would save you from this event.

The most common type of insurance is the group health insurance. This is the type of insurance that people can avail of from their employers and have coverage until you are 65. Normally, the premiums that are priced much lower than those who pay for individual health insurance plans because of the large numbers of the persons that are being insured. It is also the same price for everyone in the group no matter what the status of their health may be. Employers are not at all required to provide health insurance for employers but if they do not have one for their employees then most likely they will have a hard time finding employees.  This is the reason why many companies would boast about their health insurance coverage for their employees and it is also a way for showing that they do care. I know this for a fact because when I tried to search for work, one of the key things that I look for an employer is the offer for a god health insurance not only for me but for my whole family.

On the other hand, the individual health insurance is the most expensive type of insurance. This is for a person who does not have any type of coverage or have one but is not enough. This can be hard to avail because you will be asked for physical examinations and you will need to answer some set of questionnaire regarding your health and the health history of your family. That means that the more you need the insurance because of poor health, the higher you have to pay for the premium.

There are also other supplemental plans of insurance that one can avail of. These types of insurance are made to pay benefits in addition to whatever regular insurance policy you have. We also have to understand that cosmetic surgery, pre-existing health conditions, non-traditional treatments, homecare and private nursing, mental health treatment and drug benefit exclusions are not covered by health insurance. For example cosmetic surgery is not really a health concern and it is an elective surgery therefore the insurance company should not pay for it.

Having a health insurance is for our protection and peace of mind. I myself, can’t imagine what will happen if me and my family don’t have one. now I could concentrate about being a good mom without worrying about hospitalization.