Notice: Undefined index: aid in /home/idolain/ on line 2
Ways to Understand Health Insurance

Article Side

Online Article Directory!

Hello Guest! Login or Register to submit articles!

Ways to Understand Health Insurance

By Elissa Joyce Subscribe to RSS | November 29th 2011 | Views:

One thing that most people know is that health insurance is important. But of all these people, only a few understands the process as well as the terms used by most health insurance companies. Terms such as health insurance for pre-existing conditions, co-pay, co-insurance, deductibles and premiums are just a few of these words that remain jargons for some. It is best that you get to know some of the most important terminologies used by the health insurances as well as the health providers in order for you to avoid confusion.

What is co-pay or co-payment?

If you have a private health insurance, you would hear this term a few times while getting a medical treatment such as a doctor’s office visit or in patient treatments. Co-pay is what you would pay upfront once you need a certain care. This may or may not go to your deductible based on the type of coverage you have.

What is a deductible?

The deductible is the total amount that a primary insurance holder should pay first before getting payments from the insurance company, given that you already paid your health insurance premiums. If you haven’t satisfied the deductible, the insurance will not be able to assist you on paying your medical treatments. For instance, your plan requires you a $3,500 deductible for the year.

Keep in mind that there is a calendar year and a contract year. If what your plan has is a calendar year, then the deductible should run from January to December of that year. If you have a contract year, then it will start from the beginning of your contact. Once that $3,500 deductible was satisfied in any part of that year, the insurer should begin paying.

What is co-insurance?

The term coinsurance is the percentage that will determine your part of payment as well as the insurer’s share. For, instance, you have a 70/30 co-insurance. 70 percent of the medical coverage must be reimbursed by the insurance company and the remaining should be your out of pocket. Your payment may then go to your deductible depending on your insurance.

What is pre-existing condition?

The health insurance for pre-existing conditions is a sort of limitation that may greatly affect the way you will receive coverage or reimbursement from your insurer. It is based on your medical records that were submitted upon your enrolment to the plan. For example you have a pre-existing condition limitation or PCL and the end date is 90 days upon enrolment. If you were treated of any medical treatments and it fell under or is related to your pre-existing condition, the insurer would have to turn down your claim.

What are the exclusions for PCL?

For the people who are 19 years old and below, the pre-existing condition should not apply. This regulation took effect on September 2010. And another good news is that PCL should totally be taken out by all insurance companies on the year of 2014. But today PCL would still apply to people who has it and are above 19 years old.

Elissa Joyce - About Author:
Know more about health insurance for pre existing conditions by visiting Get all of the information you need and start planning your future health insurance premiums as soon as.

Share on Facebook Tweet It Stumbleupon this post This post is delicious !

Article Source:

Related Business Articles Subscribe to RSS

Home medical equipment monitors your every health problem
Published by Chooseems on June 19th 2012 | Business
Purchasing home medical equipments offers surplus vantages that can never compared with any other. I...
The health benefits of E Cigarettes
Published by Mary Porter on June 18th 2012 | Business
Since smoking has been banned in public places such as bars, pubs and restaurants smokers find it ha...
Professional liability insurance
Published by Francesca on December 1st 2011 | Business
More and more professionals and companies decide to protect themselves by insuring themselves with a...
Find the best Eagan Chiropractor for your health
Published by Ashish Pandey on May 7th 2012 | Business
You can get the best of family care by using the services and facilities of a nice chiropractic care...
Dental insurance billing services help maximize revenue
Published by Outsource Strategies International on February 3rd 2012 | Business
Dental insurance billing can help dental practices streamline their revenue cycle. Proper dental ins...
Understanding critical illness insurance and its technicalities
Published by Julia Roger on May 10th 2012 | Business
Those persons, who have kids, should look for those insurance plans under the critical illness insur...
Battle your health problems with the help of Zadroga claim
Published by Jennifer Weinstein on January 15th 2012 | Business
With the help of Zadroga claim, the victim would be able to present their loss report and get the co...
Where to search for the best car insurance quotes?
Published by John Nikolas on November 30th 2011 | Business
Are you looking for good car insurance quotes? If so then internet is the best place that can help y...
Second hand bicycles offer health aid to be always fit
Published by Bicyclesuk on April 2nd 2012 | Business
There are several bicycle stores that sell second hand bicycles, & it is the most excellent method t...
Organo gold coffee health benefits with a rich taste
Published by Jamessms on January 25th 2012 | Business
Organo gold coffee is the supreme coffee experience gotten with the presence of Ganoderma Lucidum. T...
Basic information about public liability insurance
Published by Lauraallen on April 3rd 2012 | Business
You can understand the importance of public liability insurance only when you face bad time in your ...
What is olive oil? What are olive and oil benefits for our health?
Published by Oliveoil on February 17th 2012 | Business
Here we should point out that especially the Greek olive oil contains much higher amounts of antioxi...
Choosing the best life insurance quotes amongst all available
Published by Alex Alben on December 14th 2011 | Business
Not every one understands the importance of life insurance policies. But those who understand know t...
Fast and efficient insurance verification services for healthcare facilities
Published by Outsource Strategies International on January 12th 2012 | Business
Fast and efficient insurance verification services for healthcare facilities simplify the workload o...
Factors involved in deciding the cost of long term care insurance
Published by Ashish Pandey on March 28th 2012 | Business
You need to keep in mind some factors in order to decide the cost of long term care insurance. Have ...
Understanding difference between extended Lexus Car Warranty and insurance
Published by Ashish Pandey on February 8th 2012 | Business
By buying the Lexus car warranty from reliable sources like you can alway...
How to get Alaska auto insurance
Published by Insurance Inde on January 13th 2012 | Business
Everyone seeks for the protection of their autos and if you are a native of Alaska then protection l...
Kitchen the gateway to health
Published by Smith Wymondham on December 9th 2011 | Business
Kitchen is the place where the familly’s health is taken care. Good food gives good health. Proper...
Medical billing service: Secret behind health care institutes’ top level service
Published by Activemds on April 17th 2012 | Business
Around the world, medical and health care service of United States is appreciated for its quick and ...
James Zadroga health and compensation Act attracted Asbestosis victims
Published by Jennifer Weinstein on January 8th 2012 | Business
The James Zadroga 9/11 health and compensation act came as a relief to all those who were bearing th...