Health Insurance, what does it mean?
Health Insurance, what does it mean?
Your health insurance policy is an agreement between you and
your insurance company. The policy lists a package of medical
benefits such as tests, drugs and treatment services. The
insurance company agrees to cover the cost of certain benefits
listed in your policy. These are called "covered services."
Your affordable
health insurance policy also lists the kinds of services
that are not covered by your insurance company. You have to pay
for any uncovered medical care health insurance that you
receive. Keep in mind that in case of health insurance
a medical necessity is not the same as a medical benefit. A
medical necessity is something that your doctor has decided is
necessary. A medical benefit is something that your insurance
plan has agreed to cover. In some cases, your doctor might
decide that you need medical care that is not covered by your
insurance policy.
Health Insurance
companies determine what tests, drugs and services they will
cover. These choices are based on their understanding of the
kinds of medical care that most patients need. Your insurance
company's choices may mean that the test, drug or service you
need isn't covered by your policy.
Your doctor will try to be familiar with your insurance coverage
so he or she can provide you with covered care. However, there
are so many different insurance plans that it's not possible for
your doctor to know the specific details of each plan. By
understanding your insurance coverage, you can help your doctor
recommend medical care that is covered in your plan.
Take the time to read your insurance policy. If you still have
questions about your coverage, call your insurance company and
ask a representative to explain it. Remember that your insurance
company, not your doctor, makes decisions about what will be
paid for and what will not.
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