Health care, especially
in emergency situations, can be too expensive for most people
to afford on their own. But foregoing hospital and physician care
is not a reasonable solution. The sound alternative is medical
insurance. Medical insurance essentially reimburses you for a
large portion of your health care costs when they arise, making
the care more affordable to you. And although insurance can be
expensive, the cost of treating an unforeseen illness or injury
is likely be much more.
How your medical insurance policy influences
your health care
Your medical insurance policy decides a lot more than simply whether
you'll get treatment for an injury or illness and how much health
care is covered. Your policy type and carrier also determine who
will provide for your health care, where and when you receive
health care, the quality of your health care, and how much you
pay for your health care.
Unfortunately, all these factors add up to one
complicated mess. Many people don't even understand the medical
insurance policy they may already have, much less how to shop
for a better one.
Buying a medical insurance policy is more of
an ongoing process than a one time purchase. To maintain your
health coverage, each month you pay a fee, or premium to your
medical insurance company.
This payment is similar to club dues. The money
is not earmarked specifically for your use, but is instead the
cost of membership. In this case, your premium won't go only towards
your future health care services; it's simply the fee you pay
to be covered by your health insurance company.
But the cost of health services is not simply
eliminated by paying the monthly premium. There are other costs
associated with major medical insurance coverage.
The first cost you'll encounter is the deductible.
The deductible is a pre-arranged dollar figure that you'll have
to satisfy before the health insurance company begins to contribute
any money to your health care costs.
Your deductible can be a significant out-of-pocket
expense, particularly because it must be satisfied each year before
the company pays. (So paying $1000 this year for medical services
will not decrease your deductible next year.)
Deductibles can range from a few hundred dollars
to a few thousand. Some health insurance policies do not have
deductibles ever and others have them only in certain cases.
The other expenses are co-payments and co-insurance.
All medical insurance policies will ask that you agree to one
or both of these charges. Co-insurance means you'll be required
to pay a certain percentage of your health care costs, and a co-payment
means you'll be required to pay a certain dollar figure for each
service.
|