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Accident & Health Insurance
If you are not employed by a company that provides insurance benefits, or if you are, but don't yet qualify for them, you have to buy your health & accident insurance from private companies, of which there are many. Before you comparison shop, however, you should familiarize yourself with what health & accident insurance really are. What is Health Insurance? Health insurance traces its roots back to the year 1694, but it really only became popular in the late 19th century, at which time, it was more like what we now call disability, or accident insurance, because it only provided benefits if the person insured suffered injuries that could lead to permanent disability or death - it existed as a source of emergency care for the insured and their family. Normal medical issues had to be covered out-of-pocket on a fee-for-service basis, and this continued into the early part of the 20th century. By the mid-to-late 20th century, old-style disability insurance had morphed into modern health insurance, and, as structured today, now offers comprehensive coverage of both preventive and routine medical care, as well as most emergency medical procedures and a good portion of necessary prescription drugs. Modern health insurance policies are annual or monthly renewable contracts with the insurance company, and the policy holder pays a deductible plus a co-payment when claiming benefits. For routine doctor visits, usually just the co-pay is paid, while for a hospital stay the deductible will kick in - you would have to pay the first $1000 in fees, for example, as well as a certain amount per day in the hospital. Generally, there are caps on the amount of out-of-pocket payments in a single year, but there is also a lifetime cap on what the insurance company will pay. |
Most health care providers will bill the insurance company for everything except the co-payment. As well, many doctors and service providers have network affiliations with insurance companies that lower the fees charged, or otherwise increase the benefits offered if policy holders stick within the network. What about Accident Insurance? If old-style disability insurance has evolved into health insurance, what do you do to protect yourself or your family in the event of an accident? It's not a silly question. There is accident insurance, also known as death and disability insurance which is considered "supplementary" insurance because it works in cooperation with any whole life insurance you usually have. This is insurance that pays benefits in the event that you are ever injured to the point that you cannot work, or will provide financial assistance for your family if you die. Unlike health insurance, this kind of insurance is not based on your medical history or general health, but on your income. Policy amounts are determined by how much you make, and premiums are paid a few cents per thousand dollars a year. Accident insurance is actually a private-sector version of other kinds of disability protection, like Social Security and Worker's Compensation Insurance, which are also based on your earned income. Both health & accident insurance are a vital part of the American medical system, which relies heavily on insurance company funding for research and development. As well, the insurance itself is based on the concept that in any pool of insured people, only a few will actually use their insurance. Because of this model, insurance allows the cost of medical care to be spread across a larger segment of the population, for lower out-of-pocket expenses. |
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