Friday, November 30, 2012

International Health Insurance - Securing Your Future

International health insurance is incredibly important and the demand for it has never been higher. As social health insurance services are struggling to keep up with the ever increasing costs of medical treatment, the need to make other arrangements has become very crucial, particularly to the expatriate. For those who live and work abroad, the need to access the right sort of cover can turn out to be an unpleasant experience with the cost of medical treatment often being very expensive and difficult to arrange especially during times of emergency. There are many providers that offer a wide range of benefits that allow for peace of mind for you, your family and your personnel.

If you are studying abroad then the benefits of getting a good international health insurance plan are invaluable. Any unexpected medical emergency can deplete your financial resources, leaving you with no money to pay for school. Many students who experience unfortunate events like this find their only option is to return to their countries as they cannot afford the study or living costs after paying for their medical needs. If you are in any semi long-term situation overseas a good international health care insurance plan is absolutely essential. There are two options as a student if you are staying overseas, you can acquire coverage in your home country before you leave or obtain student coverage once you get to your destination.

In any situation where you need to obtain international health insurance for either study or work, you need to be sure you clearly understand the terms of the agreement you sign with the insurance company. There are often several limitations and restrictions with the policy and making sure you understand them up front will reduce the number of misunderstandings that could occur.

For many people who spend extended time overseas, the question of medical coverage does not cross their mind until it is too late when they find themselves hospitalized and needing to pay expensive medical bills. This can be quite stressful financially and rather unhelpful. In these situations an insurance broker may pop up and you will find yourself with a policy that is rather expensive and the restrictions and limitations are either not examined or simply don't arise until it is too late again. It is absolutely vital that you take care of your medical needs before you travel overseas by obtaining overseas coverage so you can rest in the knowledge that should an emergency arise, you will be covered.

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Is COBRA My Best Option for Unemployment Health Insurance?

COBRA is a health insurance option that is mandated by the Federal Government. It was created in an addendum to a budget bill. COBRA allows employees who are receiving employer sponsored health care to continue their coverage after their employment is terminated for a certain amount of time if they pay for it out of their own pocket. While COBRA is the best option for some individuals, this is definitely not the case for everyone. It is important that you look closely at all your options before making your decision.

The main reason why someone would want COBRA benefits is the existence of a pre-existing condition. Pre-existing medical conditions can drastically drive up the cost of health insurance. Some conditions are so severe that no private insurance provider will take the risk of insuring an individual at any cost. At the very least, most insurance companies will not cover any expenses arising from a pre-existing condition, meaning that those expenses will have to be paid out-of-pocket. If an individual or a member of his or her family has a condition that is covered by their COBRA benefits but would be a pre-existing condition under a new policy, COBRA is likely that individual's best, and possibly only available option.

For most individuals, COBRA is probably not the best option. The reason for this is cost. Most employers get their plans at a discounted rate because they purchase so many plans. Many of these plans would be prohibitively expensive for an individual to purchase on their own. Additionally, COBRA makes it legal for insurance providers to charge an extra fee to continue a plan for COBRA. This means that you will be overpaying for an already expensive plan. There are thousands of available health insurance plans and providers in the United States. The chances are very high that there are multiple plans that can be found for less money and more tailored coverage than any COBRA benefits that can be purchased.

If you are relatively healthy and have few health care needs, you can get a high deductible or catastrophic plan that can tide you over until you find a new job. These plans tend to be very affordable but do leave you vulnerable to paying a large deductible should anything happen. You can purchase policies with lower deductible amounts, however as the out of pocket expenses get lower, the premium prices will rise.

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Small Business and Health Care Reform

First, a word of caution: wait. Wait and see what transpires in health care reform. Whatever I write today will probably change this year, next year, or the year after. The Patient Protection and Affordable Care Act, better known as Obamacare, is being challenged by most states. The latest kerfuffle was initiated by the Thomas More Law Center. It filed suit because the law stipulates that people who choose not to participate can be taxed under the Internal Revenue Code.

Did you get that? If you do not want to engage in commerce, in this case the purchase of a product of insurance, the government has the power to tax and punish you. Not exactly freedom of choice, is it? One of the dissenting judges in the Sixth Circuit said, "If the exercise of power is allowed and the mandate upheld, it is difficult to see what the limits on Congress's Commerce Clause authority would be." (Italics mine.)

Indeed.

In January 2011 federal judge Roger Vinson quoted President Obama declaring in 2008, "It a mandate was the solution, we can try that to solve homelessness by mandating everybody to buy a house." Clearly the President uses flexible thinking when it's pet project. Nevertheless, 27 states have sued over the Act. At heart lies the right of states to determine for themselves what their citizens can do. Never before has anyone suggested that the federal government can force people to purchase something against their will.

The egregious behavior only begins there. How would you like to be the enforcer of this twisted law? As a business owner, you would be. Here is the mechanism, as outlined by the Congressional Budget Office that estimates revenues of $36 billion, yes billion, in a decade. You would have deduct the penalty payments from your employees' paychecks.

Massachusetts uses a similar program now and the state discovered there are people who are more willing to pay the fine than to be forced to purchase insurance they do not want.

Those of us who sell insurance and tell our potential customers that we will never try to sell them something they neither need nor want will find this impossible to swallow. Those of us who are business owners definitely do not want to become collectors of fines for the feds. No matter how you dice it, this is not what most of us signed on to. If you're bothered by this, for any reason, make your opinion known. In the mean time, attorneys general in the states are filing suit. Health insurance is one thing; forcing people to engage in purchasing products against their will is something else. Today the issue is insurance. What will tomorrow bring?

Patricia Woods

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Health Premiums Can Be Affordable

Are you one of the millions of Americans without insurance and worried each day that something will go wrong with your health? Premiums continue to rise and so many policies are very limited in what they cover. It can be tempting to go without insurance, especially if you are still relatively youthful and enjoy good health. Be aware, however, that one devastating illness or serious accident can leave you in financial ruin and can have very serious consequences for your life in the future.

An alternative that some choose is to only insure for catastrophic health; premiums for these plans generally cost much less as the deductibles for them are quite high. A few will pay for preventative and routine care but others do not offer such coverage. These plans will put a cap on what you will wind up owing if you do suffer a severe accident or major illness, but there is still the issue of how you will pay for your deductible and you could find yourself in a position where you can't pay for less expensive, relatively minor medical procedures and checkups that would make a large difference in your future well-being.

Discount medical plans are not technically an equal alternative to health insurance however they could provide a way to reduce your expenses for minor or routine medical care. These plans basically sell a membership that qualifies you for a discount on services from a variety of health-care providers. Do your homework before signing up with such a plan, as unfortunately there are also many bogus plans offered by scam artist which collect your dues and offer nothing in return. Research any company before you sign up for their program, however know that even with legitimate companies they might not be able to offer a discount for your preferred physician and/or the reduced price might not justify the cost of premiums.

A part time job with a corporation that offers benefits to their part time workers is a path that others find viable. This option works especially well for freelancers or the stay at home partners of workers whose jobs lack benefits. Barnes and Noble, Whole Foods and Starbucks are a few of the companies well known for offering their part time employees health insurance. As a bonus, many of these companies will also provide a 401(k) plan, dental plans, disability and a discount on purchases making this a very attractive option.

Your financial health depends on taking the time to insure that you have a workable plan to make sure you aren't ruined by major costs incurred by an accident or illness. Obtaining the proper insurance can be crucial to your continued financial health. Premiums can be expensive, but with some creative thought and research, you can find a solution that will work for you.

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Leading 3 Ideas For Getting Individual Health Insurance

In our twenties, thirties and forties, we would perhaps question why we need any kind of medical health insurance, we're fit, healthy and in all likelihood think it is a complete waste of our precious money. The truth is health issues can hit any time and your age is no barrier to a lot of long term ailments that require costly treatment plans. One more reason why why many would question why they might consider individual health insurance would be that we've got the best health service in the world at our disposal. Sadly the National health service is someplace between a rock and a hard place currently and the service is undergoing a huge reform, with substantial waiting lists and questionable hospital care and treatments.

Exactly what kind of items might you expect to have from a individual health insurance members of your family? The most popular explanation people choose to go for private medical insurance is to overcome any NHS hospital waiting lists. Even the most basic protection would get you speedy hospital admission if you needed it with access to a consultant and any treatment very quickly, plus a private en-suite hospital room. This private medical insurance won't be able to actually substitute all the NHS services, it should be used in addition to them for best result, the more individuals who have this insurance coverage, the smaller the National health service waiting lists will likely be.

Basic individual health insurance would include certainly the fee for a stay in hospital as well as the costs for any assessments, fees, drug treatments, dressings and any other sundries. Even a cheaper individual health insurance policy would include for fees for things typically done on an out-patient basis such as physiotherapy, treatment options and tests. Most will likely include minor surgical procedures, and some cancer treatment options like chemotherapy, along with any connected fees for tests as well as other medicines. Needless to say like every insurance coverage there are basic and comprehensive policies and your personal needs and situation would probably dictate which you decide on.

The more comprehensive individual health insurance could have things like hospital intensive care, theatre use and private comfortable en-suite hospital rooms. You can also find things such as prosthetics, radiotherapy and psychiatric care included. Out-patient care would come with a more in depth policy and that includes most of the in hospital treatments mentioned above. Comprehensive cover does mean more expensive cover so you have to bear that in mind when examining these policies. If you want you can even have a private ambulance journey for you suddenly getting unwell and being required to go to hospital added onto the policy.

There is no doubting this individual health insurance is undoubtedly a rapidly expanding market with many looking at it as a substitute for National health service treatment. The basis of these kind of policies is that you simply are purchasing yourself the assurance that you will get excellent quick treatment if you fall ill, and there's no cost you can place on that assurance. Some insurance firms have specialised with this kind of cover but there are some that offer it as well as other products so you should find a lot of companies battling for your business. The sum of twelve pounds does not appear a lot per month but that is the type of costs you would probably locate for a simple policy, which isn't a great deal for peace of mind.

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How The Healthcare Bill Will Affect Small Businesses

Debate about the new Health Care Bill once dominated the airwaves and Internet. However, discussion has gone dormant. Better known as "Obamacare," the legislation has been tweaked since its passage.

Those changes had no impact on most cost increases. So, a question remains unanswered. How much is the Health Care Bill really going to cost you? Small business owners face a variety of mandates.

Employers will be required to report the value of an employee's medical insurance on his or her 2011 W-2 forms. The U.S. Internal Service delayed this edict. It's letting employers decide whether to comply this year.

If not for Congressional action, small businesses would have mandated to file Form 1099s.

People remaining uninsured after 2013 could face penalties. This mandate remains law, despite numerous states' constitutional challenges. With that said, the IRS has yet to figure who'd owe the penalties.

Businesses with more than 50 or more full-time equivalent employees, which have no health plan, face an excise tax beginning in 2014. In theory, companies with part-time employees could be required to provide coverage.

High-income earners could face a nearly 4 percent Medicare surtax on passive income, starting in 2013. They are married couples, filing jointly, earning $250,000 or individuals earning $200,000.

Unearned income like interest, royalties, dividends (or K-1 income from an S-Corporation), capital gains, annuities and rental income is subject to the tax. IRS rules exclude business income.

No change is on the horizon, before these requirements are enacted. If changes are made, they'd be the U.S. Supreme Court's responsibility. With that said, more guidance from the IRS is needed.

Former Office of Management and Budget official James Capretta, now a Heritage Foundation fellow, claims the 10-year cost of "Obamacare" could meet or exceed $2.5 trillion, according to Investors.com.

Investors.com also reports subsidies to individuals and businesses would soar. For instance, subsidies for a family of four earning $60,000, covered by an employer's health plan, would fall by $4,500 in 2016.

That's as opposed to a family buying insurance from a government exchange. Mandating people purchase health insurance would increase premiums by 10 percent or more.

Rising health care costs have already affected businesses, according to finance.yahoo.com. It noted that the Wall Street Journal reported Caterpillar will take $100 million hit in the first year.

Medical device Medtronic warned new taxes could translate into significant layoffs. Verizon announced it would likely cut benefits in response to higher costs.

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Review on Health Insurance Coverage

For one to get cover, it is mandatory that you take a health insurance policy which is a contract between an insurer and the policy holder. The policy taken is renewable and this can be done either monthly or per year. This policy also states the cost that the insurer will cater for and what health issues are catered for. Having the insurance cover does not necessarily mean you have cover to all health matters. You have to specify what the insurance will cater for.

Getting health insurance is important for an individual or even the family but you have to ensure you go for the right insurance cover. Having forehand information about a particular cover is important and this you can do by looking for the information in the internet or talking to an insurance agent.

It is also very important that before purchasing any health covers, that you take the following factors into consideration. Firstly, you should know the need behind your wanting of insurance. Knowing the need ensures that you settle for the best plan. The need can be either of a family or company nature. In this plan you should know of the three main covers which include the individual, family and group health insurances. Individual insurance is that which is offered to cover an individual. The family cover is meant to cater for the medical expenses of all family members whereas the group insurance is mainly taken by employers for their employees.

Insurance covers have different costs and the costs range from one insurance company to the other. It is therefore important that you ensure your budget is enough to pay for the insurance plan that you choose. Do not always go for the plans offering low rates as low rates do not necessarily translate to better deals.

When you take a health insurance cover, the focus is mainly on your health. Recognizing this will ensure that you choose the best plan that will cater for you needs. It is important that you purchase insurance cover from a known and reliable insurance provider as you will be assured of better services and plans.

Having an insurance cover for your health acts as a form of security as it reminds a person that they care about their health and in the case of any health matters they do not have to worry about the medical bills.

In conclusion, individuals should be advised on taking health insurance as it will greatly help in catering for their expenses in the case of medical problems. You should do research on insurance plans before settling for any.

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Ways to Handle Improper Denied Claims

Insurance denials are inevitable for any Physician Office. What can Providers do to minimize the prevalence of specific types of insurance denials?

1. Verify insurance benefits for upcoming appointments

2. Make sure the Provider is eligible to be reimbursed by insurance carrier for procedure

3. Check your Place of Service (Inpatient/Outpatient/ASC)

4. Do not bill for Bundled Services

5. Authorize for Service prior to treatment

6. Perform Medically Necessary Services

7. File claims On Time

8. Assign appropriate Modifiers

These above steps can trim down the number of denials your Practice may receive. In contrast, there are various insurance delays that your Practice will encounter that will be unavoidable.

Specifically:

1. Pre-existing review

2. Medical Records Review

3. Accident Details

These are a few of unavoidable delays for reimbursement. What can you do to arm your Practice to be equipped to respond to these delays in payment?

1. Hire skilled Accounts Receivable staff

2. Have all Supporting medical records available to forward to Medical Review department of insurance carrier in regards to the specific claim in question.

3. Obtain relevant information from patient regarding any sustained injury, so this can be appropriately documented for the patient medical record; and available to forward to insurance carrier.

These are a few ways to successfully manage denials. In doing some of the listed items, you can significantly reduce the number of improper denials sent to your Practice.

Improper Insurance Denials

Even despite our best efforts, frustration can set in when claims are inappropriately denied by insurance. Appealing claims is the call of duty for most practices, hospitals and ambulatory surgical centers. What are the elements of a good appeal? How should a good appeal begin?

A thorough assessment of the denial reason the insurance carrier has provided should be the first step. Next, if the denied reason can be addressed over the phone, this is the best way to begin. However, in many cases, these types of denials will require a written appeal. If the denial is related to medical necessity, begin by carefully reviewing the insurance carrier's Medical Policy. Next, examine the medical record to ensure the procedure or service performed is compliant with the carrier's medical policy. After that is established, begin writing your appeal. Start by stating the purpose of your letter. Next, state the reason (provided by the insurance carriers EOB) the claim was denied. Then, state the reason(s) the denial is incorrect (reasons identified when medical record and medical policy was inspected) and why the claim should be reconsidered for reimbursement. Lastly, express that you would appreciate this appeal being handled in an expeditious manner.

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Are You Covered? Health Insurance Is a Luxury for Some

If you are not covered, health insurance in the USA can seem out of reach. In 2009, the Kaiser Family Foundation and the Health Research and Educational Trust revealed that the average cost of an employer sponsored health insurance plan was $5,791 for individuals and $13,375 for families. Because of the cost, many employers are cutting back on the coverage they are offering and asking the employees to pay a greater share of the premiums. Some workers, unable to cover the larger cut out of their paycheck, are opting to drop coverage. Others are only covering the employee, as most employers pay a greater percentage of their premium, and looking to purchase inexpensive plans or get government sponsored insurance for spouses and children.

Private policies range greatly in price and vary greatly in what is covered. Health insurance plans for individuals averaged $161 a month in 2009, according to eHealth, an online source for finding policies. The average family paid $383 a month. It's difficult to make a head to head comparison of private policies versus employee sponsored or group rate plans, as the coverage offered is not always the same and the pool of people covered varies, which can significantly lower or increase the rates.

Along with prohibitive cost, some individuals find it difficult, if not impossible to find an insurer willing to offer them a policy. Those with pre-existing conditions will often only be able to get a private policy that excludes coverage for their condition for a specified number of years. Those that are obese or smoke or have a history of mental illness also find it very difficult to find affordable coverage. States have insurance pools to insure those deemed "uninsurable" but those often have very high premiums, putting them out of reach for many.

Even those with insurance might find that they can't afford to use it, as they have plans with high deductibles, coinsurance rates and expensive co-pays. A $30-40 co-pay for a regular doctor's visit is not uncommon, with visits to specialists and urgent care clinics costing even more. Deductibles can be several thousands of dollars with a 20% coinsurance rate on top of that. It can be tempting to take the gamble and go without insurance for those whose only choice is a policy with very high out of pocket expenses before the coverage kicks in. Completely covered health care expenses are a relic of a different era of insurance.

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How Important Is Health Insurance?

Health insurance is far more important than people realize, particularly people who are in good health. Most people assume that if you never get sick and don't participate in potentially hazardous activities, that health insurance isn't really necessary. However, health insurance doesn't exist to protect you from circumstances that you are already in. It exists to protect you from what has yet to happen.

Let's assume that you are a very healthy person. You may not have gotten ill enough to visit a doctor in five years. That doesn't mean that you won't catch the next flu that comes around. Some serious health conditions can appear without warning among even the healthiest people. There are many thousands of Americans who have developed cancer in their twenties. There are some health conditions whose appearance has little or nothing to do with a person's overall health. For example, it doesn't matter what condition you keep your body in if the meal you are served in an expensive restaurant was infected with E. coli.

Health insurance is admittedly expensive. Coverage can really take a bite out of your monthly budget, especially now when the cost of almost all necessities is rising and just getting by is becoming increasingly difficult. However, not having insurance can be even more expensive. Many people think that the cost of not having insurance would be a couple hundred extra dollars for a doctor's visit. Those people are seriously mistaken.

If the risk of not being insured was in the hundreds, almost no one would have health insurance. Most of the serious medical conditions that make insurance attractive can cost many thousands of dollars. A short stay in a hospital may cost you well over ten thousand dollars, longer stays requiring complex procedures even more. Not being covered may ruin your finances for years, and may even lead to bankruptcy.

Going without health insurance can also severely limit the kinds and quality of health care that you receive. While emergency rooms do have an obligation to offer treatment to those without coverage, that obligation is limited to stabilizing your condition and does not extend beyond that. Most doctors and health care facilities will require payment in advance if you do not offer proof of insurance. Free and sliding scale clinics are an option for care, but again, they are limited in the kinds of treatment they can offer and waiting times can be daunting.

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Part Time Workers Struggle With Health Care

Part time workers are often on the financial edge, struggling to make ends meet, unable to find full time work. With the weak jobs market, many workers are underemployed, seeking full time positions but having to settle for part time hours. To make matters worse, there is a growing trend amongst companies to no longer provide health insurance coverage to their part time workers.

The largest private employer in the United States, Walmart, has recently announced they will no longer offer health insurance to their new part time hires. Walmart had been offering health benefits to its part time workers since 1996, a valuable financial benefit to a position that did not come with a high wage.

While the news may create negative PR for Walmart, the Fortune 500 company is hardly alone. The number of large employers offering health insurance benefits to part time workers is down to 42% according to the Kaiser Family Foundation. The rate drops to just 16% of total businesses in the U.S., regardless of size. The cost of providing health care is often too steep for small companies with low payrolls.

While some large companies like United Parcel Service provide extensive health coverage to their workers based on union contracts, many more companies provide it voluntarily. Such companies are coming under pressure to change this policy as health care premiums continue to rise at levels well above inflation.

Some expect the situation for part time workers to worsen if some of the provisions in the Affordable Care Act are enacted in 2014. One requirement of the new law requires employers with more then 50 employees to offer health benefits or face a $2,000 fine for each uncovered worker. However the penalty only applies to full time workers, not part time workers. Under the Affordable Care act, employers will face no penalty for not providing coverage to a worker who puts in less then 30 hours a week.

There is concern the law will provide an incentive for employers to shift to more partial rather then full positions, leaving fewer workers with health coverage. A recent study by the Urban Institute found many employers would not make this switch, as offering good benefits helps retain talented workers. However the study did find that companies with a high number of low wage workers would be more likely to drop their health plans.

The reason for this is another provision in the Affordable Care Act. Workers who are at or below 250% of the poverty level will be eligible for federal subsidies to purchase private health insurance. The amount of the subsidy declines as income rises above the poverty level. While this is of some benefit to less then full time workers, the subsidy will likely not cover the full cost of insurance, leaving them behind where they would be with an employer sponsored plan. Because employers will face no fine for not providing health benefits to part time workers, and because many of those workers will be eligible for federal subsidies, companies will have an incentive to create more part time positions that do not offer health care.

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How To Acquire Health Insurance

Before you buy health insurance in California, due diligence should be paid to make sure that you are getting coverage you really need. Health insurance isn't cheap even if you are fortunate enough to be included in group health insurance. Those who need to purchase an individual health insurance plan will agree to this idea.

There are many factors that you should consider before you buy health insurance so you are able to come up with an intelligent and informed choice previous to signing the paperwork:

Look Into Your Options

There is a possibility that you might be able to get coverage through group health insurance, which is much more affordable than an individual plan. That's why if you have a job, you should check your choices through your employer before you buy insurance on your own. If you're unemployed, then compose a list of the top five carriers in your area and compare their plans to decide if your needs match the premiums they are offering.

Coverage

While costs play a major role when getting insurance, you would be wise to consider the coverage you get for the cost. What are the requirements for your family's health history and personal health concerns? Concentrating too heavily on the price then could land you inexpensive insurance that doesn't respond to your health and wellness needs. It's ideal to consider your present and future plans and goals for your life, including having children, getting married, traveling, etc. If any of these are the case, you should consider a higher-priced a policy that will give maternity coverage, pay for overseas doctors, offer family plans, or cover any other events that you are planning for your future.

Price

Some insurance companies offer nearly identical coverage at different prices. However, other health options will have a higher cost since they list a variety of coverages that don't meet your need in the least, making them impractical. It's quite easy to get package quotes before you actually buy insurance even if you're not committed to that particular agency.

With a little research and perseverance, you will find that insurance companies offer products with slight differences in price but with more or less the same coverage.

The Paperwork

Once you have listed out insurance companies that meet your needs, be sure to compare their prices, coverage and other stipulations. Understand the fine print before you sign a contract to ensure that you bypass any possible surprises when it's time for you to pay the premium or when you actually need to see a doctor. When in doubt, your insurance agent should clarify any questions you have before you purchase a policy.

Even though you need to consider several factors before buying an insurance package, be careful not take too much time since you could lose your right to insurance that would otherwise cover pre-existing conditions. This is especially the case if you're between plans or coverage from a previous policy is about to end. You only get sixty-three days to be uninsured under the Health Insurance Portability and Accountability Act. After that, you will no longer covered for pre-existing conditions.

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Health Insurance - 5 Costly Mistakes You Could Make When Buying A Policy

Buying a health insurance policy can be a complicated process, and many people are unaware of the easy mistakes you can make when purchasing cover. Here are the top 5 "don'ts" when shopping for private medical insurance.

1. Choosing a budget policy

As with all insurance policies, your premiums will directly affect your level of cover. Although buying a budget PMI policy may seem like a bargain, you could actually lose money in the long-run. Cheap health insurance policies will have limits which it is important to be aware of.

2. Not checking the policy limits

On a basic policy, providers may put a limit on the maximum amount they will pay for a single medical condition, and on how long they will continue to cover it. For example, an outpatient limit of £500 would mean that you could only claim up to £500 a year for any outpatient treatment, and pay out of pocket for the rest.

Many customers are also unaware that budget health insurance policies will not include cancer cover. Even patients with basic cancer cover may only be able to claim up to a certain annual limit, such as £30,000.

This does not mean you have to purchase an expensive comprehensive policy. It is essential to customise your policy to suit your needs and budget.

3. Not customising your policy

Many insurers are moving away from the traditional approach to health insurance, which grouped policies into 'budget', 'standard' and 'comprehensive'. Now, customers can pick and choose what they would like covered, and what they don't mind receiving on the NHS.

Different people have different requirements for PMI. Instead of paying for what you don't need, many health insurers are now offering a 'core' policy, supplemented by additional options. This could include diagnostic tests and scans, full outpatient cover, full cancer cover, or dental and optical.

In addition, there are many discount schemes which can help save you money without compromising your cover, like paying an excess and limiting your hospital list.

A good health insurance comparison website will show you all the options from each different PMI policy, and allow you to tailor your quotes to suit your needs and budget.

4. Choosing an unethical company

When searching for a PMI policy, it can be a good idea to use a comparison website. However there are many unethical companies which claim to offer you instant online quotes, but actually take your details and sell them on to another company.

Always make sure the website you are looking at is FSA regulated, with its registration number displayed clearly at the bottom of the page. True comparison websites will always give a written description or demonstration of the service they provide. If the company does not offer these things, then it would be a mistake to give them your personal information.

5. Choosing the wrong underwriting method

Health insurance policies are not intended to cover pre-existing conditions. However, your underwriting method will determine whether your pre-existing conditions will be covered in the future. There are two common types of health insurance underwriting- full medical underwriting and moratorium.

If you choose full medical underwriting, then you will need to complete a Medical History Declaration, answering questions about your health. Full medical underwriting will usually exclude pre-existing conditions from the cover along with any conditions related to it.

If you choose this Moratorium, the insurer will automatically exclude any pre-existing medical conditions you have suffered from during the five years before your policy starts. However, if you go treatment, symptom and advice free for two continuous years after the start of your policy, your insurer will reinstate cover for that condition.

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