Health Insurance – Who and How
Many separate entities handle health care in the United States. Though the private sector handles the health care and has thousands of insurers, the public sector has programs like Medicare, Medicaid, Veterans’ health administration and Children’s Health Insurance programs.
Hospital and doctors visits, medicines, surgical interventions have become very expensive and have reached so high that they are not within the purview of individuals and hence health insurance is a must. By paying premiums regularly and on time, you can avail the facilities of large sums of money when you need medical aid. Even the doctor’s consultation fees have sky rocketed. There are many insurers and you have to scout around to find the best one who will give the best policy so that you do not have to worry about your health expenses. Each one has its own special facilities and benefits so you have to really look around, get quotes, read the agreement thoroughly before you sing on the dotted line.
Most employers give their employees group health insurance whereby the company or the organization deals with the insurers and gets the best deal while the employees just sign. There are many benefits in buying group health insurance. You do not have to worry about the terms and conditions as the employer would have found out everything. You do not have to worry about paperwork as that too is taken care of by the employer. And you do not have to worry about the premium as in most cases it is deducted from the salary. For the organization also it is a benefit as it is tax free.
Almost everyone has health insurance these days, even visitors and travelers. In most cases health insurance can be bought by travelers while booking their tickets. Senior people spend more on health care than others and hence they need health insurance the most. However there may be some insurers whose policies do not cover certain ailments and procedures. Generally body sculpting surgical interventions like plastic surgery is not covered by health insurance. Also some may draw a line at other procedures like visits to the dentist or ophthalmologist.
Doctors and hospitals are generally funded by payments from patients and insurance people for services rendered by them.
Some insurers have a tie up with certain doctors and hospitals so that the insured person has to go to these recognized doctors and hospitals for treatment if the insurer pays their bills. If the insured person goes to another doctor or hospital he may be required to foot the bill himself.