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subject: Key Components To Your Medical Insurance Coverage [print this page]


Key Components To Your Medical Insurance Coverage

At first glance you may believe that you know exactly what your insurance company is offering you but when you look at the bigger picture there can be a fair amount of information that is hidden in the policy documents and if you don't know what to look for you may not realize what your health insurance company restricting until you are left with a big bill. Those policy documents are written in something other than English and if you want to find out what they really say it is going to take a little bit of reading and research.

Most people know to look at the co-pay or co-insurance amount and the deductible but most insurance companies realize this and therefore they don't usually change these amounts too much. While these items seem of the utmost importance to most people it is the exclusions and limits that are set about by the health insurance companies that make your insurance become a lot more costly.

If you want to find these exclusions it is necessary to go through the policy documents and look for words like except, excluded, pre-authorization, limited and the maximum benefit for life or annual benefit maximum. These words are the ones that actually reduce your insurance up to a very limited pre-determined amount before you even go to see a doctor. It is important to understand that a pre-authorization for treatment is often a requirement for insurance policies, and without taking the simple step of obtaining a pre-authorization, you will most likely have to foot the bill for the entire treatment.

At first it may be difficult to really understand what your policy documents have to say, but if you do your homework and look up information online you will soon begin to see what your policy papers are really saying about your health insurance coverage . If you have further questions about your health insurance coverage make sure that you call your insurance company and ask them directly about the actual meaning of a quotation or a selected section.

It is your right to understand what your health insurance policy provides and what it does not cover. Taking the time to make your choices carefully together with gaining a full understanding of your policy will help maximize your insurance benefits and you will also know the pitfalls you might encounter along the way.

by: Ethan Kalvin




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