What is health insurance?
Simply put, health insurance
is protection against medical costs. A health insurance policy is a contract
between an insurer and an individual or group, in which the insurer agrees to
provide specified health insurance at an agreed-upon price (the premium).
Depending on your policy, your premium may be payable either in a lump sum or in
installments. Health insurance usually provides either direct payment or
reimbursement for expenses associated with illnesses and injuries. The cost and
range of protection provided by your health insurance will depend on your
insurance provider and the particular policy you purchase. If your employer does
not offer a health insurance plan, you may wish to purchase health insurance on
your own.
Why do you need it?
Let's face it--health insurance is a
necessity in today's world. The costs of medical care and treatment have soared
to new heights in recent years and are expected to rise even further in the
years to come. Think for a moment about the enormous medical costs you would
incur if you suffered a major injury tomorrow or were suddenly stricken with a
life-threatening illness. Uninsured people live with such risk every day of
their lives; health insurance can shield you from that risk. Even if you're
healthy today and have never had any major problems in the past, you simply
can't predict the future.
In addition to medical emergencies, routine conditions requiring
visits to a physician happen all the time (e.g., pregnancy, viruses that seem to
hang on forever, moles that don't look quite right). This is especially true if
you have children. Ear infections, rashes, and high fevers are commonplace with
infants and children; numerous trips to the doctor can be pretty expensive
without health insurance.
What do you need to know?
You should know where to get
health insurance, and understand the various types of private health insurance
that are available. There are some important differences between indemnity
plans, HMOs, PPOs, and POS plans.
You should understand your own health insurance policy, and become
familiar with common health insurance provisions, including limitations,
exclusions, and riders. It's important to know what your policy covers, and what
you'll have to pay for out of your own pocket.
While price is an important consideration, there
are also other factors that may influence your decision when it come to choosing
a health insurance plan. You should understand the taxation of health insurance benefits
and premiums, especially if you're self-employed.
You should also be aware of your COBRA rights, in the event that
you lose your health insurance coverage.
When to get it
If you don't have health insurance right
now, you should seriously consider purchasing it as soon as possible. No one can
predict the future--you don't know when you might suffer an accident or become
seriously ill. Health insurance can help to protect you against financial
ruin.