 A health insurance policy is a binding contract issued by an insurance
company to an individual or group which promises to pay for health care
reasonably required by the "insured" or "policy holder"
or "certificate holder" to treat illness or injury. If the insurance
policy is issued to an individual, the individual applies for the policy
and pays the premiums either directly or through payroll deduction. Typically,
in individual health insurance the individual policyholder is insured and
also, in exchange for a higher premium, the insurance covers a spouse and
dependent family members.
In the circumstance where the health insurance
is obtained by an employer or a group or an association, the entity is
the "group policyholder" and the covered individuals receive
"certificates" of insurance. Generally, in addition to payment
of premiums by the policyholder, the insured is also responsible for payment
of deductibles and co-pays (a percentage of actual charges or a fixed
amount per visit) which are predetermined in the policy at set amounts
or rates.
Today, there are more types of health insurance, and more choices, than
ever before. The information presented here will help you choose a plan
that is right for you. You may be buying health insurance for the first
time, or you may already have health insurance but want to consider changing
plans. Married or single, children or no children, this information will
help you to find out how to choose a health insurance plan that best meets
your needs and your pocketbook. Definitions of the health insurance terms
used are included in the section called Understanding Health Insurance
Terms.
Thinking About Health Insurance Choices
Which of these statements best describes your thoughts on health insurance?
"I get health insurance through my job. I have the coverage I need...
I think"
Many employers offer a choice of plans. The information provided will
help you figure out the plan that's best for you.
"I know I need health insurance, but I'm not sure how to get the
best protection at the lowest cost."
You're not alone. Many people have questions about how to select a health
insurance plan. The information provided will help you find some answers.
"I can't afford health insurance right now. I have too many bills
to pay and other things I need to buy."
Health insurance is one of your most important needs. Without it, one
serious illness or accident could wipe you out financially. The information
provided will help you decide which is the best plan you can afford.
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