If you think you do not need a health benefit plan; then think again. The unpredictable nature of life is itself a valid reason to own a health benefit policy. Life is filled with risks. Wherever there is an element of risk, risk management is indispensable. Insurance is just a form of sensible risk management.
So, what is a health benefit plan? To put it in simple terms, a health benefit plan is an agreement between an individual and an insurance company. The policy will include a host of benefits such as medical tests, medicinal drugs, and other medical treatments. When an Insurance policy is issued by the company, then it implies the insurance company has agreed to cover the cost of a particular set of benefits listed in the policy, which are known as “covered services”.
So, when a particular service is not covered by the insurance company and you have it performed anyway, the insurance company “denies the claim.” In such a situation, the individual will be left with no other choice, but to pay for the service out of his pocket. However, the policyholder has the right to challenge the insurance company’s denial, by following the appeal process mentioned in the plan handbook. But, it is advisable to do so after consulting the doctor in this regard.
It is also very important to read the terms and conditions of the insurance policy clearly, before signing up for one. This is to ensure that your hard-earned money is not invested in a policy that does not meet your needs. It is also important to bear in mind the fact that decisions about what will be and what will not be reimbursed are made by the company, and not by the doctor. So, even when a shadow of a doubt about the policy arises, it is advisable to call the insurance company for support.
In conclusion, when considering the purchase of a health benefit plan it is important to consider all of its merits. One has to realize that the money that is involved in purchasing medical insurance is very little when compared to the cost incurred in undergoing some major medical services. Moreover, insurance policies may also be tax-deductible, in which case you can be said to be paying for your policy with money you might have otherwise given to the taxman. These are some of the financial incentives of having an insurance policy. Excluding the protection to family and oneself, however, the greatest benefit is that possessing a health benefit plan would also ensure peace of mind to the policyholder, a significant psychological benefit. In light of all these advantages, it really wouldn’t be such a bad idea to own a health benefit policy.