Medical insurance coverage

Medical insurance coverage is something we need to consider carefully. Even minor medical needs, such as prescription drugs or minor health problems, can add up if you do not have adequate medical insurance coverage. In the case of major illness or accident, which can happen to anyone at any time, proper medical insurance coverage is invaluable.

What is medical insurance coverage?

If you’re self-employed, you may not be used to having to seek out your own medical insurance. In its simplest form, medical insurance coverage is a trade-off. You (or your business) will pay an insurance agency a small amount over a long period of time. In turn, the insurance agency hopes that by the time your coverage expires you will have paid in more than you will have used.

The reality is that many lucky individuals will make the insurance companies money, because those that pay into it have not needed to use the benefits that they have paid for. If this is the case, consider yourself lucky, because many people of all ages will find themselves in a medical emergency, be it illness, accident, chronic problems, disability or another medical issue that requires medical insurance coverage. It’s like wearing a seat belt or bicycle helmet – you hope it’s something you never need to use. But if you do need it, you’ll be glad you got it!

How to get medical insurance coverage

Depending on your location and the type of work that you do, medical insurance coverage is generally acquired through government or from a private insurance company.

What is excluded from medical insurance coverage?

The types of illnesses or procedures that are covered or excluded can vary greatly. Here are a few examples of the types of coverage that are often excluded from coverage:

  • Behavioural problems, for example ADHD;
  • Hospital fees;
  • Home care or private nursing;
  • Cosmetic surgery;
  • Prescription drugs;
  • Dental care;
  • Vision care;
  • Hearing care;
  • Alternative medicine;
  • Pre-existing conditions;

There are often limits and caps to medical insurance coverage, as well. And you may face co-payments and deductibles.

When purchasing medical insurance to keep you and your family safe, do not assume that you are covered for all circumstances. Be sure to get familiar with the policy. Make sure you have an understanding of what is included, what is excluded and what the maximums are.

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