Ever heard of health insurance? It is very common for people to confuse this type of insurance and health plan. And while they have similarities, they are different services. How Does Health Insurance Work?
In this way, we will explain in this article all the details about health insurance, so that you can solve your doubts and if you want to hire the product, know exactly what it is about.
Health insurance is an alternative to health insurance, especially for those who do not want to depend exclusively on the Unified Health System or cannot assume a high amount of debt.
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What is health insurance?
When contracting health insurance, the insured is free to seek the doctor they want without being stuck in the accredited network.
Therefore, when needing medical services, the user can consult and, depending on their policy, request a total or partial refund of the amount paid.
The policy is contracted based on the risk questionnaire and takes into account all your needs and preferences. Thus, the monthly fee ends up being lower than a health plan.
It guarantees and coverage
When hiring this service, you need to be sure about the warranty and coverage, after all, when choosing it and not the plan, you need to be sure that your medical needs will be met.
Each insurance company works in a different way, with different coverage that, in general, are services in outpatient clinics, hospitals, and obstetric clinics. So, before hitting the hammer, you need to study your options well.
Find out if your insurer offers:
- Hospitalization (operations and hospitalizations);
- Outpatient care (consultations, exams, and analyses);
- Stomatology (dental consultations and treatments);
- Childbirths (natural deliveries and cesarean section).
However, ensuring the provision of these services is not your only concern when choosing an insurance company. There are a few things that you should check before signing a contract. We’ll talk about them later.
However, ensuring the provision of these services is not your only concern when choosing an insurance company. There are a few things that you should check before signing a contract. We’ll talk about them later.
Considerations When Choosing Health Insurance
Health insurance is like any other service, and when choosing the insurance company that will take care of your medical needs. It is important to pay attention to a few points.
Research the complaint numbers. Companies that accumulate excessive numbers of complaints are sure to pose future headaches.
As we said a few paragraphs above, the coverage offered may vary from one insurer to another. But there are some basic services that need to be provided in any case.
The grace period is the period of time between contracting health insurance and the date when the customer can actually use the service. This time must be clear in the contract and you need to be aware of health Insurance Work.
The last point to be considered is cost-effectiveness, that is, the service provided must meet the needs at a fair price.
health insurance policy
The policy is the document issued by the insurer, which contains the insured’s data and all the conditions of the contract being insured.
In this case, you must pay attention and ensure that this document contains all the services you have contracted. Neither more nor less than what was agreed.
Read the contract carefully before signing and clear all your doubts with the insurance company. If you’re not 100% confident with the deal, don’t sign.
How is it redeemed?
The redemption of health insurance is the “return” of a part of the amount that was paid during the current contract period.
The situations in which this redemption is possible to differ according to the clauses of your policy. However, there is a list of situations in which it is possible to request redemption according to the Superintendence of Private Insurance:
- Natural Death;
- Death by Accident;
- Total/Partial Permanent Disability due to Accident (IPA);
- Total Permanent Functional Disability Due to Illness (IFPD);
- Total Permanent Labor Disability Due to Illness (ILPD);
- Medical, Hospital, and Dental Expenses (DMHO);
- Temporary Disability Days (DIT);
- Daily Hospitalization Rates (DIH);
- Serious Illnesses (DG)
To request redemption, the insured must contact the insurance company and obtain the necessary documents. However, the required documents change from company to company. Consult your insurer.
Is it worth having health insurance?
After reading the article, you may still be wondering if health insurance is really worth it. The answer to this question will depend on your financial budget and the expectations you have.
However, in general terms, this is a cheaper alternative that offers a service similar to those provided by health insurance.
So, analyze the alternatives well, make a financial plan and decide consciously, that way you won’t end up in debt.