Showing posts with label Online Health Insurance. Show all posts
Showing posts with label Online Health Insurance. Show all posts

Wednesday, 31 August 2016

Know Limits and Restrictions Levied in the Health Insurance

While buying a plan from a particular insurance company, most of the buyers look only into minimum premium plan with less focussing on the coverage features. Sometimes buyer is too pushy to get lesser premium from the insurer or the insurer did it to reduce their loss. This may result in no benefit of coverage or wastage of the policy. And it would experience the policyholder during medical emergency.

Know Limits and Restrictions Levied in the Health Insurance

Here are limits and restrictions levied in the health insurance:

1)   Daily-wise Cash Limit

Insurers talk about lots of cash benefits at the time of purchasing policy, but there is limit set on daily basis. Policyholder should also make sure this limit.

2)   Sub-limit Set for Disease and Procedure

Health insurance policy also has some limit set for the disease and other procedure. So policyholder must aware of the coverage set for this benefit. At the time of buying insurance policy, if customer wants to get more coverage, they may select plan with more add-on options.

3)   Hospital Room Rent Limit

If the customers are not aware of the coverage include in the health insurance policy, they have to pay some or full percentage of bill amount. Make sure the coverage plan and select with this coverage option.

4)   Co-pay


The policy plan, discussed at the time, may talk about coverage of all health factors. This may sound attractive but later customers have to pay some or maximum percentage of total bill. So one should take care while purchasing the policy and should read all the benefits and coverage mentioned in the document.

5)   Geographic Restrictions

Some insurers cover only some particular geographic area and deny offering coverage in other area or territory to reduce premium. This can cause severe issues in case if any family member or loved one is in another geographical region. Customers are not aware of such kind of restriction. They have to make sure about such term.

6)   Renewable Age Limit

Insurers also offer renewal for lifetime, which may be a doubtful term for the customers. They should clear the term at the time of renewable.

Thursday, 11 August 2016

Factors Determine the Cost of Health Insurance

Insuring yourself to secure health through Health Insurance is the best way for everyone. Each person should know how health insurance cost is calculated. 

Mainly two categories are considered under Health Insurance 1) Individual Health Insurance 2) Group Health Insurance.

Individual Health Insurance is based on individual‘s health and lifestyle. This is assured between the buyer and the insurer. Some insurers give this type of insurance for buyer and its family.

Group Health Insurance is insured by the employer and employees group selected by human resource department of the employer. Health factors of the whole group are calculated under this policy.

The major factors, which determine the cost of the health insurance:


1) Person’s Insurability

Under Group Health Insurance, health factor of the whole group is taken into consideration in order to determine the cost.  While under Individual Health Insurance, the cost of insurance is evaluated on the basis of the person and his/her family. For this, an application form is filled out to cover the plan including some questions regarding health concern.

Under individual health insurance policy, some insurer may deny insuring the person who has pre-existing health problems.

2) Person’s Health Condition

If a person is getting covered under Health Insurance, company inquire and dig ups health history of the person. Laboratory test, urine, blood sampling etc. has been done under this process. In case, if the diseases such as Blood Pressure, Cancer, Heart Disease or any other major cause found, it will affect the premium plan of the insurance policy.

If a person is inspected using tobacco, smoke, drink, he/she will pay an additional cost based on their habit of using these products.

Generally maternity is not covered under individual health insurance. If a person wants this plan, it will also cover complication of pregnancy and many other issues.

3) Choice of Insurance Plan

Coverage also depends on the choice of plan. This will affect the premium cost. The plan is summed up by the term “Out of the Pocket Maximum”. This depends on the maximum money; a person would pay for co-payments and deductions.

4) Location of the Person

Location where the person lives such as country, city, zip code etc. will be used to determine the premium cost. In general, urban places are more expensive than rural places.

5) Age and Gender

Premium cost also varies from age-to-age. The older the age, the more premium will cost for the health of the person. The reason behind is as a person gets older, more health problems occur, in results of more visit to the doctor.

Also, premium cost also varies from gender-to-gender. Men of the same age of Women have lower premium cost. It is considerable from the facts that women are more likely to go to the doctor than men at the younger age.

When a person understands these factors in determining premium cost of health insurance, it will easier to find the best-suit plan as per person’s choice.

Get more information on Health Insurance here