Getting Health Insurance in an Emergency

This is an attempt to drive people to urgent care centers or doctor’s offices which are less expensive and can save the insured money. Exceptions exist for referrals from a physician to the ER for non ER services, non ER services provided to children under age 14, instances when an urgent care clinic is more than 15 miles away and when care is administered on Sundays and major holidays.

Necessary ER Visits

There is a lot of grey area here but the Affordable Care Act defines an emergency as anything that “a prudent layperson, possessing an average knowledge of medicine and health” would believe to be emergent and in need of immediate attention.

That leaves it to the patient to self-diagnose and then decide which is the most prudent place to go. Of course, it does not help that ER staff and doctors often cannot determine if an ER visit is necessary without examining the patient and possibly performing additional tests to rule out a condition.

True Emergencies

While coughs, sore throats, and headaches are usually not emergencies, the reality is that the Journal of American Medicine discovered that six of the top ten reasons for unnecessary ER visits are also in the top ten symptoms of real emergencies!

Before You Head to the ER:

Try telemedicine or a virtual doctor’s visit. This approach is just beginning to get traction. Many major insurance companies provide this coverage benefit.
Choose a retail or “nurse in a box” clinic often located in big box or drug stores. The majority have non-business hour availability.
Check out a faith-based program. This is where participant’s support each other’s medical needs across the country and world by utilizing Medical Cost Sharing Principles.
Before an Emergency Happens – Know Your Policy
Make sure you know what your insurance policy says about emergency care reimbursement and what defines an emergency. This is more important than ever in a world of rising deductibles, higher co-pays and co-insurance, less coverage and increasing premiums.

Do your due diligence before you receive an ER bill and also check the hospital’s financial assistance guidelines. While many folks assume this is only for non-insured or low-income situations, there typically is an option for insured to under-insured patients as well. You must meet their guidelines to qualify.

The Features Of A Good Health Insurance Plan

The skyrocketing medical expenses, make health insurance plans very essential. When you have an insurance plan, you feel more secure because you are covered even in emergency medical situations. You do not have to start looking for money to get medical attention and you do not have to use the money you have to cater to the medical needs when you have a health insurance plan. There are so many health insurance providers today offering all sorts of plan and you therefore must know what features to look out for to get a plan that is most valuable for your medical needs.

1. Good room rent limits. This is an important feature when hospitalization is inevitable. A good health insurance plan should not have a maximum limit on the room rent so that you know this expense is well covered no matter how long you or a member of your family gets admitted in hospital. Such plans are however hard to find because most come with small percentages on maximum limits, they will pay for room rent. At least choose a reasonable percent to get better value from your plan.

2. Preexisting disease cover. A good plan should cover even pre-existing diseases you have before you buy your insurance plan. This is the best kind of policy because then you get the important medical care you need with the diseases compared to plans that do not include preexisting diseases in their plans. Choose a plan that covers the preexisting conditions and one that has a lower waiting period for claims on the same.

3. Impressive hospital network. When getting a health insurance plan, a good one is the one that makes it possible for you to get medical help from a number of hospitals. Such an impressive hospital network ensures that you get help as soon as you need it and from a hospital nearest to you. Choose a plan that directly ties you up with the good hospitals within your locality to enjoy better delivery of services. Cashless facilities are best because you won’t have to go through the process of filing for reimbursements.

4. High no claim bonuses. The truth is that you will not always make claims on your health insurance. For this reason, a good plan should offer you no claim bonuses when no claims are made. It affects the sum assured by the next renewal, but you definitely want to choose a policy that offers you high no claim bonus, so you get better value for your money even when you do not end up laying claim.

5. Least exclusions. A good health insurance plan should cover most of your health needs. There is always an exclusive section of the policies and unfortunately most people forget to go through it before taking up the policies. Ensure you check the section out and select a plan that has the least number of exclusions to help you relax knowing that it has you covered for most health issues.

Health Insurance Plan for Students

What have you observed recently on the enrollment system of your school? Aren’t they now asking for a certain amount that will go under your personal health insurance? Do you think it’s worth it or not? Well practically speaking for me it is really important, especially in case of accidents. That’s just one of the many ways you can benefit from a students’ health insurance policy. Other example is when you plan to travel and study abroad during an upcoming semester; you need to consider purchasing overseas student health insurance seriously because who do you think will going to take care of you there? Having a health plan for student like us will make us rest assured about any kind of illness and medical expenses that we may face anytime during our student life. This is very important if you are staying in abroad or traveling for study.

As we all know that students’ life is full of excitement and adventure and this leads to an exposure of unorganized and unhealthy way of living. Examples of these are attending parties late at night, bar hopping, frequently eating on different fast food chain, and dorm style of living provides refuge to various types of microorganisms, health disorders and finally diseases. Having a health plan will save a huge amount of money that you would otherwise be spending on paying your hospital bills and medicine required by the doctor. Some people think that college health insurance is enough for their children, but actually it is not good to depend only on this, because, a college health insurance may not provide you with a broad coverage for some health issues.

What Is Health Insurance?

What is health insurance and why do I need it? Health insurance protects you and your family from a financial hardship due to medical expenses in the untimely event that you are injured or become ill. There are four types of health insurance, you may need just one or you may need a combination to ensure you have the most insurance coverage possible. It is best to evaluate each type of insurance to obtain an accurate account of which type will best suit your needs.

Individual medical coverage is designed for people who do not receive this type of coverage through their employer or family. Medical supplement insurance is designed for the elderly who contribute to Medicare however, desire additional coverage to supplement expenses that Medicare won’t cover. Hospital income insurance is intended to compliment your main health insurance program. This coverage provides a prearranged daily benefit amount for unforeseen expenditures that accompany extended hospital stays for a covered sickness or injury.

The fourth type of health insurance coverage is disability insurance, which comes in three different forms. Disability insurance protects you in the event you become physically or mentally disabled due to an accident or illness. This type of insurance is designed to provide you with your living expenses if a disability prevents you from working or earning a living.

Disability income insurance is used as a principal income substitution plan or as an enhancement to your income continuance or group disability plan. This plan is devised to keep you economically secure during hard times by paying monthly wages directly to you when you are unable to work. Mortgage disability income insurance is designed to protect your most precious possession, your home. This policy specifically provides you with money meet your mortgage obligation if you become totally disabled. Individual credit disability insurance will help you pay off loan payments in equal monthly installments. In the event that you become totally disabled this plan will make payments on your behalf directly to the financial institution.

There are many things to consider when contemplating which type of insurance is most beneficial to you and how much coverage you really need. If you are working and receive insurance through your employer investigate how much coverage you are really provided in terms of health care. Then ask yourself the following series of questions:

Does it cover pre-existing conditions, genetic conditions, chronic or life threatening conditions? Does it just cover accidents that occur in the workplace? How much money will it shell out before it is considered at its limit? Will it cover the cost of transplants or long-term care? What about family members, how much coverage will your insurance plan provide them? Then think about your lifestyle. Do you drink or smoke? Is hypertension a family heirloom? Are you at high-risk for diabetes, a heart attack or stroke? Are you accident-prone or do you often take unnecessary risks? Do you work late hours and drive a considerable distance to and from work? Are you the primary breadwinner and if so how will the bills be paid if you are out of work due to an unforeseen disability caused by an accident? Consider all of these things then ask yourself if you and your family are adequately insured.