I have been a health insurance salesman for over a decade and every day I read many “shocking” stories posted on the Internet about health insurance companies that do not pay claims, refuse to cover certain diseases and doctors are not paid for medical services. Unfortunately, insurance companies are driven by profits, not people (even though they require people to make a profit).
If the insurance company can find a legitimate reason not to pay the claim, there is a good chance they will get it, and you and the buyer will suffer. However, what many people fail to realize is that there are very few “loopholes” in an insurance policy that give an insurance company an unfair advantage over a consumer. In fact, insurance companies go so far as to specify their availability limits by giving policy owners 10 days (10 days free viewing time) to review their policy.
Unfortunately, most people put their insurance cards in a wallet and put their policy in a cupboard or filing cabinet during their free 10-day appearance and usually until they receive a letter of “refusal” from the insurance company they take the policy to really learn.
Most people, who buy their own health insurance, rely heavily on the policy agent who sells the policy to explain the coverage of the plan and the benefits. If so, most people who buy their health insurance plan can tell you very little about their plan, besides, what they pay for premiums and how much they have to pay to satisfy their deductions.
For many consumers, buying a health insurance policy on their own can be a daunting task. Buying a health insurance policy is not the same as buying a car, therefore, the buyer knows that the engine and its transmission are standard, and that electric windows are preferred.
The health insurance system is very complex, and it is often very difficult for a consumer to find out what type of coverage is common and what other benefits you can choose from. In my opinion, this is the main reason why many policymakers do not know that they do not have access to certain treatment until they receive a large debt from the hospital which means that “benefits have been withheld.”
Of course, we all complain about insurance companies, but we know they work “with the necessary evil.” Also, while buying health insurance can be a frustrating, daunting and time-consuming task, there are some things you can do as a consumer to make sure you buy the type of health insurance you really need at the right price. Working with small businesses and the self-employment market, I have found it very difficult for people to differentiate between the type of health insurance “they want” and the benefits they need. ” ) and, although I agree that those types of strategies have a great tendency to “complain”, I can tell you that you are experiencing that these programs are not for everyone. Does 100% of health systems give the policymaker greater peace of mind? Probably.
But is the 100 health insurance plan? % is a much-needed item for most consumers? Probably not! In my opinion, when you buy a health insurance plan, you should find a balance between the two most important variables; needs, requirements, risks and price. options for a new car, you should weigh all these variables before spending your money.
If you are healthy, do not take medication and rarely go to the doctor, do you need a 100% joint payment of $ 5 for a prescription if it costs you $ 300 dollars more per month? It would cost $ 200 more per month to get a $ 250 deduction and a product name of $ 20 / $ 10 generic Rx co-pay compared to the 80/20 plan with a $ 2,500 issue offering a $ 20 / $ 10generic co-pay after payment of $ 100 Rx once a year? Wouldn’t the 80/20 plan not give you enough coverage? Don’t you think it would be better to add that extra $ 200 ($ 2,400 a year) to your bank account, as long as you have to pay your $ 2,500 deductible or buy a $ 12 Amoxicillin prescription?
Is it not wise to save your hard-earned money rather than pay high premiums for an insurance company? Yes, there are many ways you can save a lot of money that you can give to an insurance company in the form of high monthly premiums. For example, the provincial government encourages consumers to buy H.S.A. (Health Care Accounting Account) HDHP (High Deductible Health Plans) are eligible for greater control over how their health care dollars are spent. Buyers who buy HSA Qualified H.D.H.P. they can set aside extra money each year in an interest-bearing account so that they can use that money to cover medical expenses outside of the fund.
Even unconventional procedures covered by insurance companies, such as Lasik eye surgery, orthodontics, and other medications are taxed at 100%. If there are no claims for that year the money deposited in the deferred HSA can be transferred to the next year earning the highest interest rate.
In the absence of significant claims for several years (as is often the case) the insurer ends up creating a large account that enjoys the same tax benefits as a traditional IRR. Most H.S.A. management now donates thousands of non-refundable funds to transfer H.S.A. your money so you can earn the highest interest rate.
From my experience, I believe that people who buy their health system according to needs rather than need to feel that they have been severely deceived or “eliminated” by their insurance company and / or insurance agent.