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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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 »