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When do you Need Health Insurance?

by Lucille Green

Many people do not realize or appreciate just how important their health is until it is too late. Therefore it is an important asset and as with all important assets, it should be insured.

Although we always hope we won’t require them, the health insurance will pay for medical attention from a doctor or hospital and associated expenses that arise from the situation. Health cover includes various types of other insurance which can also be purchased separately such as accident, disability income insurance, medical expense insurance, and accidental death and dismemberment. This means that health cover policies can be arranged around the needs of the individual and his particular circumstances.

At the bottom of the ladder is the fee-for-services health insurance plan where the insurer decides how much he will pay towards any medical assistance whether a sum or percentage which is agreed at the outset of the policy. Before the plan can commence an agreed deductible must be paid in advance but fortunately this type of plan is not very common now.

Health Maintenance Organizations- these organizations are prepaid health plans where you designate a doctor of your choice but you must go through that person before you are able to see any specialist or any other doctor. This type of plans sees a relationship build between the insured and his or her doctor so over time a trust will form and the doctor can help recommend ways to stay healthy and not use medical services so frequently.

Preferred Provider Organization- is basically a combination of fee-for-service and Health Maintenance Organizations where you designate a network of hospitals and doctors by whichever insurance you buy the options are confined to that set of doctors and hospitals. Using this type of system, if the insured uses the medical services of a medical facility or doctor outside of this group then there is a good chance that any expenses will not be paid.

An Exclusive Provider Organization or EPO is a network of individual medical care providers, or groups of medical care providers, who have entered into written agreements with an insurer to provide health insurance to subscribers and with EPO, medical care providers enter a mutually beneficial relationship with an insurer. All medical costs are met by the Exclusive Medical Organization providing it is with one of those in the network and any medical attention supplied outside of this will not be paid, but some exceptions do exist.

Prior to opting for a plan it is better to ponder over your needs and family requirements and you may even want to use the checklist of the agency through which you are purchasing the policy and ask for more information from the health benefits manager at your workplace or a health plan representative. Don’t forget you have your own personal expert in your doctor who will no doubt be well aware of every type of health plan that will meet your needs.

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