Health Insurance Blog

June 2, 2011

Limitation Of Group Health Policy

Most Americans enjoy health insurance coverage at their  jobs through their group health plans. When this is obviously the best and the most feasible solution to stay covered against the rising cost of private health policies, group health insurance has certain limitations of its own. This write up would reveal the negative side of a group health plan to help you make better choice.

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The employer participating group health plan covers the workforce without discriminating against their age, sex, ethnicity and most importantly health condition. This is, hence, the source of health coverage for people with health condition. The cost of the policy gets distributed amongst the participating members of the group. But, since group health policies ensures guaranteed issue the healthy members of the group end up paying more than required for older members and members with health conditions. The cost of group health plan can be more than private health plans in the long run for the healthy members of the group.

Another disadvantage of group health plan is that you are not allowed to shop around for better rates and also, can’t customize the policy to meet your needs. A group health plan is a packaged deal and you have to accept what is offered to you. Often the group health plans offer only basic coverage and don’t shield against more intensive health conditions.  Further, you can’t terminate the plan in between or switch your insurer easily.

A group health plan is also more expensive than private health plans. You can enjoy a cheaper rate in a group plan as long as the employer is contributing to it. But during the COBRA continuation period your premium rate increases to 102 percent for the same amount of coverage.

The most significant disadvantage of group health plan, however, is that you lose coverage when you leave employment and if you don’t opt for COBRA, your health plan gets discontinued.

December 23, 2010

Health Insurance Plans: General Idea

Health is wealth and to preserve that wealth you need to stay fit. But that is easier said than done. The body is prone to various ailments and often the most health conscious go down with some unknown and uncalled for diseases. And many times the length of treatment needed is unpredictable too. So the obvious question that arises is the amount of money that will be needed to continue the treatment. Once the not so well to do simply died of diseases, and there are many instances when some diseases wiped out almost the entire population of human settlements.

But those horrible days are long over and modern medicine has taken care of such medical disasters. Discovery and inventions have made this possible. But treatment comes at a cost as the modern medicines and treatments have become costly. So where to get the money from?

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Here comes in health insurance. A type of insurance where the insured person gets coverage for incurring expenses related to health care. Generally the insurer has to choose the value up to which the insurer will give coverage. The premium or the annual charge for such coverage will be decided by the company. The rate varies from company to company. Sometimes if such health plans are from the government, the premium rates get heavily subsidized. These government plans are generally targeted at the not so well to do people of the society.

Often the health plans allow the insured to go for the treatment without paying the health care provider as long as the cost of treatment is within the pre-determined amount. Any expenses above that need to be borne by the insured. However, when no such cashless options are available, the insurance agency generally reimburses the amount spent up to the limit of the pre-decided amount of insurance.

These days the types of health insurance are many. One can get various specific insurance plans like schemes for children, unemployed, low income groups; ailment specific insurance plans like those for breast cancer, prostrate cancer, high risk health coverage, etc. If one is traveling abroad, then one can even take a travel insurance for any health care emergencies there.

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