Health Insurance Coverage

For managing disease, health insurance is a strategically good decision. A Health Insurance Policy would normally cover expenses reasonably and necessarily incurred under the following heads in respect of each insured person subject to overall ceiling of sum insured (for all claims during one policy period).

  1. Room, Boarding expenses
  2. Nursing expenses
  3. Fees of surgeon, anesthetist, physician, consultants, specialists
  4. Anesthesia, blood, oxygen, operation theater charges, surgical appliances, medicines, drugs, diagnostic materials, X-ray, Dialysis, chemotherapy, Radio therapy, cost of pace maker, Artificial limbs, cost or organs and similar expenses.

Health Insurance

In the previous post I introduced Life insurance. This section will introduce Health Insurance and its role on Health Management.

Investopedia defines –

Health insurance is a type of insurance coverage that pays for medical and surgical expenses incurred by the insured. Health insurance can reimburse the insured for expenses incurred from illness or injury, or pay the care provider directly.

Health Insurance covers the whole or a part of the risk of a person incurring medical expenses. It is contact between insurance provider (the insurance company) and the individual. On mutual agreement, the insurer (insurance provider) takes certain health risks of the person against a premium. This contact can be renewable or lifelong. Sometimes it is mandatory as defined by the law of some particular country. The time frame, type of health risk, amount of cost that will be covered by the insurance are clearly defined in the contact.

Patients with chronic disease, like – diabetes, heart disease, renal disease are highly suggested to adopt health insurance.

Life and Health Insurance : Tool for Managing Health

As a part of chronic disease management, insurance is a widely used supplementary tool. This article will introduce Insurance in general and move deeper in the upcoming articles.

To say simply –

Insurance is a legal contract in which an individual receives financial protection against a particular loss from an insurance company.

It is a tool used to hedge against the financial risk which may result from full or partial damage to the insured property or person. Insurance company charge a particular amount of money against the risk they are taking. It is called Insurance Premium. Premium is the price of insurance which may be paid either one time or installment basis.

There is another type of cost associated with insurance. It is called – deductible. Deductible is charged to meet the out of pocket expense of the insurance company whenever claim is made. It can apply per-policy or per-claim basis which depend on insurance policy type.

Ranging from tangible assets like land to intangible assets like life, you can insure a lot of things.
When you are insuring your life, it is called life insurance.

Natural death, disease, or accident may bring an ending line to our life. Whatever the reason is , our death is always associated with some financial burdens and losses to our near and dear people.

To safeguard the financial losses, we may consider life insurance.

According to Investopedia –

Life insurance is a protection against financial loss that would result from the premature death of an insured.

The named beneficiary receives the proceeds and is thereby safeguarded from the financial impact of the death of the insured. The death benefit is paid by a life insurer in consideration for premium payments made by the insured.

In the next article, I will introduce Health Insurance and how does it work for managing health.