What does Health Insurance Cover?


If you search the web, “health insurance” is one of the most profitable searches on Google. This search often leads to a confusing array of pages with differing opinions on coverage and cost. Here are some answers to questions that might come up when shopping for health insurance.

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what does health insurance cover
what does health insurance cover

What does health insurance cover?

Health Insurance will cover medical services, hospitalization, doctor visits, dental services, prescription drugs, and more. The majority of people purchase their own health insurance plan outside of their employer’s group policy. If you don’t currently have health insurance and you are wondering what you might need when shopping for a policy, here is a list of some common things that might be covered in your policy:

  1. Prescription drugs. Some insurance companies may force you to pay a percentage of the cost of each prescription. Generally this will range from 10%-20%.
  2. Emergency room visits. The largest portion of hospitalization costs are incurred by individuals who use emergency rooms as their primary source of medical care. An insurance policy will help cover the cost of an emergency room visit. The good news is that most insurance companies will cover the full cost of emergency room treatments if you are hospitalized within 24-48 hours after the emergency room visit, depending on what your policy states.
  3. Doctor visits and Preventative Care services. Just like having auto insurance helps protect you from costly car repairs, having health insurance helps protect you from a large portion of medical care costs.

Types of health insurance

This informative blog post will discuss the various types of health insurance and provide a link to an article explaining each type.

Health Insurance: Protects your immediate financial losses in case you get seriously sick or injured, but also provides access to preventative care and prescriptions, such as emergency room visits and prescriptions.

  • Health Reimbursement Arrangement (HRA): An employer-provided health insurance plan that reimburses employees for medical expenses.
  • Health Savings Account (HSA): A special bank account through which money is deposited pre-tax to pay for medical expenses.
  • Group Insurance: The group policy covers the costs of employees at a specific company, organization or association.
  • Dental Insurance: Dental insurance provides coverage for regular dental treatments and procedures, including cleanings, fillings, and extractions that are not covered by basic dental plans.
  • Vision Insurance: Vision insurance provides coverage for regular eye exams and vision-related treatments and procedures, such as eye surgery.
  • Dental Insurance: Dental insurance provides coverage for regular dental treatments and procedures.
  • Medicare: The federal government’s health insurance program is available to people over the age of 65, anyone with disabilities, widows or widowers of active-duty military personnel (and their spouses).

Who needs health insurance?

Health insurance is a complicated topic. It’s hard to tell which company is the best deal and what the best coverage looks like. There are so many different variables: Spending limits, deductibles, coinsurance rates, and so on and so forth. All of these variables can make it difficult to know where you stand with your current plan — or if you even have a plan at all.

We’re here to help answer those questions for you. We’ve done the research and compiled a list of the 25 best health insurance companies so you can make the right decision for your family.

  • Sunshine Health Insurance Inc.: Sunshine Health Insurance Inc. earned an overall score of 77 out of 100, which is good. They earned points in every category, with their strongest showing in customer service and medical claims processing. If your family has an average income and spends about average on medical bills, Sunshine Health Insurance Inc. could be a good choice.
  • Sunstate Health Plan: Sunstate Health Plan earned an overall score of 79.5 out of 100, which is good. They scored top marks in customer service and sales practices, but they lagged behind the rest of the pack in financial strength and network adequacy.
  • The Association Network Inc.: The Association Network Inc. scored a 76 on our overall ratings and earned top marks in network adequacy, claims to handle, and cost management. They were also an impressive 4th place in customer service. If you’re looking for your health insurance needs to be taken care of quickly and efficiently, The Association Network Inc. could be the answer for you.

what does basic health insurance cover?

If you or your family face the often stressful, expensive, and sometimes debilitating decision of choosing what kind of health insurance plan to purchase, you’re not alone. Thankfully, this handy guide will tell you everything you need to know about basic health insurance so that once that decision is made, it won’t be just another thing on your mind.

There are three main types of basic health insurance plans: HMOs (health maintenance organizations), POS (point of service) plans, and PPOs (preferred provider organizations).

Is short-term health insurance worth it?

Hopefully, you have health insurance. But if you don’t, or you’re not sure if it’s worth it, this blog post will present the benefits and drawbacks of short-term health insurance—one of the most popular types available. For more information on any type of coverage, just type in “short-term health insurance” into your favorite search engine.

Is surgery covered by insurance?

Yes, Surgery is covered in Health Insurance. So if you have health Insurance & encounter any surgery then you can claim to the insurance company.


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