Health Insurance Net

                         Health Insurance Net

How to choose the health insurance coverage that is right for you?
What to look for in a policy in your particular situation?

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NewsTarget: "46.6 million Americans now have no health insurance: Uninsured gap widens"

 
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Health Insurance Net

Hospital expense benefits provide for expenses incurred during hospitalization.  Indemnities usually fall under two broad groups:

-   Room and board – including nursing care and special dietary requirements

- Miscellaneous medical expenses – including x-rays, lab work, medications, medical supplies and operating and special treatment rooms

In some cases, benefits might be included for certain surgeries and related costs like pain killers given during a hospital stay.

Room and board benefits may be paid based on indemnity or reimbursement depending upon the particular policy.  When paid on an indemnity basis, the insurer pays a specified rate per day that has been pre-determined and is laid out in a schedule within the policy.

The schedule will spell out the details of the benefit coverage as it pertains to length of stay.  Once the length of stay has been exhausted, no more benefits are available.  These are sometimes called dollar amount plans and typically the number of days is from 90 up to 365.

More commonly used is a reimbursement basis, also known as an expenses-incurred basis.  With this type of coverage the policy will pay in one of two ways – the actual charges for a semi-private room or a percentage of the actual charges.  There are no specific dollar amounts but a maximum number of days will still be specified.

Surgical Expense Benefits fall under two plans, scheduled and non-scheduled. 

In the scheduled plan, surgical expense policies pay the fees incurred from the surgeons services and related costs incurred when the insured has an operation.  read more »

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