In simple terms, Health insurance is a must for all citizens.
When we are talking about Health Insurance, the obvious question
does arise who needs health insurance? It
is for everyone, no matter your gender or age, one needs health insurance.
Perceptibly, health is an important aspect, and no one plans to get sick
or hurt but at a certain point in time people need medical care.
Why Health Insurance?
Healthinsurance protects you from unexpected high medical costs. Health insurance
is a device that ensures an individual against financial risks of care in case of
illness, as well as a minimum income when the condition deprives the person of
work.
In general, health insurance is a type of insurance coverage
that pays for medical and surgical expenses that are incurred by the insured.
It is, moreover, one of the fundamental components of social
security, and a duty of the State according to the 1948 Universal Declaration
of Human Rights.
A public health insurance system can be managed by a state agency,
delegated to private organizations, or perhaps be mixed. No doubt, high-quality
health care helps prevent diseases and improve quality of life.
Concerning a public health insurance system, the insurance premium
paid by the insured does not necessarily follow the rules of pure insurance, i.e.,
it is not based solely on the risk. Indeed, the public system fulfils both a
pure insurance function and a distribution function in which the better-off pay
the insurance of the most.
History of Health Insurance
Until the eighteenth century, protections against the risks of life
are provided by personal wealth, local solidarity or professional and charity.
In the nineteenth century, the industrial revolution concentrated
populations in cities where local solidarity can no longer play while the
number of accidents at work increased.
Besides, an intellectual and scientific movement is developing
which promotes individual foresight [at the origin of private insurance]. The
mutual insurance companies that provide collective insurance, and the notion of
sacred debt brought by the country revolution of which declaration of the
rights of man, and the Citizen recognizes for every national the right to
social assistance and social protection, giving rise to social security.
These new concepts are applied now, wishing a strong state, developed
the first system of compulsory social insurance with the draft laws on
insurance against industrial accidents and social health insurance adopted in
1883 and 1884.
Without
Health Insurance
At the
federal level [January 2019] health insurance coverage is no longer mandatory
and going without health insurance saves you money since you are not paying
premiums, but it could put you at financial risk if you get injured or develop
a serious illness.
The five
major 5 A’s of healthcare are:
- Ask
- Advise
- Assess
- Assist and
- Arrange
Health insurance typically covers most doctor and hospital visits, prescription drugs, wellness care, and medical devices.
Most health insurance will not cover elective or cosmetic procedures, beauty treatments, off-label drug use, or brand-new technologies.
List
of Diseases Not Covered Under Health Insurance
- Congenital Diseases/Genetic Disordered
- Cosmetic Surgery
- Health issues due to consumption of drugs, alcohol, and smoking
- IVF and Infertility Treatments
- Pregnancy Treatment
- Voluntary Abortion
- Pre-existing Illnesses
- Self-Inflicted injury
5 Types of Insurance You Don't Need
- Mortgage Life Insurance. There are some insurance agents that will try to convince you that you need mortgage life insurance
- Identity Theft Insurance
- Cancer Insurance
- Payment protection on your credit card
- Collision coverage on older cars
Difference between Health and Medical Insurance
Medical insurance will
provide you coverage only for hospitalization, pre-specified ailments and
accidents that too for a pre-specified amount while health insurance will
provide you with comprehensive coverage against hospitalization expenses,
pre-hospitalization and post-hospitalization expenses and ambulance.
Types Of
Health Insurance
Healthcare Insurance without Co-Payment
Health insurance Sanitary Assistance: the medical insurance that
includes the complete coverage to take care of the family! This medical insurance
is a product without co-payments for the use of medical services.
Healthcare Insurance with Co-Payment
It is the insurance that includes the complete coverage to take
care of the family and with a special co-payment adjusted to the use of medical
services made by the insured, which guarantees a lower premium than what would
correspond to another type of insurance.
Healthcare Insurance with The Reduced Copayment
It is the insurance that offers complete coverage for the whole
family, paying a reduced copayment. It allows contracting guarantees
independently or jointly, according to the needs of each family unit.
Health Care Insurance Choice
The insurance includes all the guarantees of Primary Care and
coverage through the Medical Board by presenting the health care and with the
best dental coverage! It also facilitates access to the most qualified doctors
of all specialties at special prices.
Medical Expenses Reimbursement Insurance
The insurance allows you to freely choose a doctor or hospital anywhere
in the world or, if you prefer, go to the services of any Medical Board without
having to make any financial outlay.
Compensation
It is the insurance that compensates the income that would be left
to obtain for a total temporary disability during the time in which the insured
could not exercise their usual work due to illness or accident. There is a
daily compensation previously contracted.
The option of Compensation according to Scale can also be
contracted [compensation up to the number of days fixed in a scale when the
insured suffers a loss for any of the illnesses or injuries included in it].
Essential Compensation
Essential Compensation insurance guarantees the payment of
compensation in case of illness or accident. It covers any profession, including
unpaid ones. The policy is also indicated for housewives, as an economic
complement in case of not being able to face daily tasks due to illness or
accident.
Growth in Health and Insurance Costs
Nearly all workers with health insurance provided by the company
face additional costs when using the healthcare insurance services out there!
Eighty-five per cent of the covered workers in our nation truly have a general
yearly deductible which must be truly met before insurance services are
reimbursed by their very own health insurance plan.
Even workers without annual deductibles often face other types of
cost-sharing when they use services, such as co-payments or co-insurance for
office visits and hospitalizations.
The Emergence of Deductible Health Plans
Much has been proclaimed recently about rising franchises under
the great Affordable Care Act. The plans are merely the health insurance
arrangement or plan with a bit lower premium as well as higher deductibles
compared to the conventional health plan.
According to statistics, every year
people die because of a lack of health insurance. It is
to be noted that what happens with the rest of the community who does not work,
maybe because of disabilities, because they are mothers and have to take care
of their children, or because they are elderly people?
Thus, Insurance is a must for all citizens and those who do
not have a social security scheme, should voluntarily join, just paying a very
cheap annual fee that entitles coverage for medical services during a certain period. One cannot ignore health services. Generally, it serves patients, families,
communities, and populations.
Conclusion
Patients are now becoming more sensitive to health care costs
because a lot of the costs come from their pockets. Notwithstanding, the
industry has not admittedly changed to present patients with financial
transparency so that a patient can appraise treatments as well as assess relative
costs and benefits.
As we all
know Omicron is a new wake-up call. The
world is approaching post-covid challenges and uncertainties still are looming
large striving to strike a balance between lives and livelihoods.
Now they have a sense of consciousness that having health
insurance is important because coverage helps get timely medical care and
improves their lives and health.
Tips
to Choose a Health Insurance Plan
- Look for the right coverage
- Keep it affordable
- Prefer family over individual health plans
- Choose a plan with lifetime renewability
- Compare quotes online
- Network hospital coverage
- High claim settlement ratio
There are several examples of countries that have implemented universal health care by providing health insurance for everybody, such as Malaysia, Brazil, Rwanda, Thailand, South Korea and China.
If we all contribute to this cause by paying our taxes and
paying special attention to the people in need, this will be no longer just a
dream, we can make this a reality for everybody now, we can change our lives. Nobody has life guaranteed and accidents
happen. Life insurance means protection and safety for everybody in need,
despite their social class.
Thus, it is important the major players of the insurance say private, public and government and also the policymakers should come to the forefront and bring out the wide range of potential merits rather than drawbacks and facilitate the common people to take the likely benefits from it. We should give value to Human Life.
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