How fair is that , well this is the cold reality of the health insurance world. That's correct, you heard it right, the insurance business is a cunning one, the industry is denying health insurance for babies they categorize 'too fat.' This is of course all because such babies, they say, are just 'too risky' to insure. Insurance companies are on a regular basis rejecting people with pre-existing conditions who aren't covered in a group health care plan. This is one of the kinds of insurance denials that health insurance reform efforts are trying to do away with. When it rains it pours not only it was fat baby, no insurance last week but now it looks like skinny baby, no insurance too! A Colorado couple sought health coverage for their two-year-old daughter recently and got similar treatment, they had no idea that they were about to become the latest front in the war to reform health car and health insurance in America.
The changing healthcare and health insurance landscape in the United States has resulted in more individuals and families purchasing health insurance coverage on their own. Rather than touch on the number of reasons why this is the case, I would like to provide individuals and families finding themselves in this position with ten basic ideas to assist them with getting the best health insurance policy for their specific situation. Below is a combination of ten questions and suggestions that will provide the tools necessary to get a medical insurance policy that will best work for you and your family.
1)What are your typical health and medical care expenses in a calendar year? Most people are surprised when they go through this exercise to learn that they would be financially better off in most years to purchase a high deductible health insurance plan and use the premium savings to directly offset heath care expenses throughout the year.
2)How long do you anticipate needing the health insurance coverage? For example, many companies sell temporary policies that can be put in force for 1-6 months and they are relatively inexpensive. If you are in between jobs or in a waiting period for employer coverage, this may be your best option.
3)What is your budget? If your budget is tight, having a $1000, $2500 or even $5000 deductible is better than having no coverage at all. The ability of doctors and hospitals to save and prolong life in the United States is in many cases extraordinary. However, their treatment is not free and going without health insurance coverage can in some cases result in you and/or your family losing an entire life's worth of savings and assets.
4)Be careful to choose a plan that covers the "big stuff". It is nice to have a policy that covers items such as: physician office visits, routine physicals, outpatient testing, and blood work. However, it is essential to have coverage for major services such as cancer treatment, transplants, critical illness, traumatic accidents, and infectious diseases. Find out the lifetime maximum amount as well as if the policy contains "internal" dollar limits.
5)Always carefully read and understand the pre-existing condition clause and policy exclusions so that you will not be surprised down the road if a claim is denied. This is important whether you are purchasing a standard medical, temporary, or studenthealth insurance policy.
6)Does the insurance company you are considering have a substantial network of preferred doctors and hospitals in your area? In addition to family doctors, what type of access will you have to specialists and the best hospitals in the event you or a family member is diagnosed with an illness that requires specialized care? Also, what are your options for preferred health care providers when traveling?