How Does Health Insurance Work?
There are lots of different kinds of health insurance. Plan that
cover medical services and prescription medicines, plans that
cover dental expenses, disability insurance that replaces income
lost due to extended illness or injury, long-term care, and so
on. In the United States, people typically refer to the plans
that cover medical expenses as "health insurance", and these
plans are usually bought by employers and offered to employees
as part of their compensation, or "benefits".
Health insurance plans are usually sold once, then renewed on an
annual basis. So when a consumer buys health insurance (either
directly or through an employer), the insurer agrees to pay for
health expenses as long as the premiums are paid on time and the
account is in good standing.
Health insurance plans come in two flavors: "Fee-for-Service" or
"Managed Care". Both types of insurance cover major medical,
surgical and hospital expenses, and are often referred to as
"major medical plans". Fee-for-service plans pay the medical
service provider a fee for each service provided to a patient,
and that patient can usually go see whatever health care
provider they wish. Managed care plans, on the other hand,
pre-pay contracted providers for each member's coverage in
advance. Members are offered a financial incentive to use
providers who belong to the plan. Here are a few common terms
that you'll probably run into:
Deductible: This is the amount you must pay out-of-pocket before
the insurer will pay anything. Deductibles can vary widely,
ranging from $0 to a few thousand dollars.
Co-insurance amount: This is the percentage of your medical
expenses you must pay after you reach your deductible. This will
typically range from 10-30%.
Maximum out-of-pocket amount: This is maximum amount you are
required to pay in a given year, after which the insurer will
pay 100% of the cost of covered medical expenses.
Covered benefits: Types of medical services the insurer will pay
for.
Exclusions: Types of medical services the insurer will not pay
for.
Its true: there's a lot of jargon, and plans are difficult to
evaluate and compare. But it's important, and worth your time.
Carefully review plan descriptions, and take your time to
understand the coverage of any plan you're currently under - or
considering purchasing.