Answer:
Insurance Coverage in detail in one of the below areas is as
below:
3) Health Insurance
Policy;
Health insurance policy is the policy of insurance which cover
the health issues or diseases for the person and his limited family
members as per the insurance plan for the given time period. Health
insurance policy has following key features which stated below in
detail.
- Treatment expense
coverage to an amount limit: The health insurance policy
has a limit for the medical expense for the individual and his
family as per the policy signed off. For example the health
insurance policy has a limit of maximum $100000 amount for the
given policy, it means the policy covers the sum of medical
expenses of all the family member including the individual owning
the policy will be up to $100000 only and any medical expense above
$100000 will not be borne by the policy and individual has to pay
by himself for all medical expenses which are above the max limits.
This limit is for the policy time period only say one year etc.
- Policy cover
individual and his limited family members: The health
insurance policy has the limit to cover the family members also.
Generally the policy has the predefined criteria for family member
to include in the health insurance policy. The criteria could be
for married person like individual + spouse + max two children OR
for non-married person, individual + parents + one dependent
sibling (brother or sister) etc.
- Policy time
period: The health insurance policy has the standard time
period for which the policy is applicable and after the time period
the policy will be lapse unless renewed by the policy owner. The
general time period is one year.
- Policy Terms and
conditions: Policy has its detail terms and conditions
like which diseases are covered, what is hospitalization time
period, what medical investigation etc. The individual need to
understand the terms and conditions in detail
- Cash less
facility: The health insurance policy provides the
cashless facility where the individual need not to pay cash to the
hospital and his or his family member treatment will be carried out
on the basis of the policy terms and the hospital will cross charge
to the insurance company instead of the individual. The individual
need to get the cashless approval upon admission in the
hospital.
- Pre and Post
hospitalization limits: The health insurance policy covers
the pre and post treatment of the insured as per the policy terms.
It generally provides reimbursement for the one month pre treatment
and two month post treatment after the discharger from the
hospital.