It is easy to get confused about individual health insurance, what with all the terms bouncing around amid America's debate over health care. It can seem as if individual medical insurance is unattainable. The truth is, it isn't.
Many people are in a situation where individual health insurance is not only an option; it is a necessity. People who need individual medical insurance include recent college graduates, newlyweds, people between jobs and those who are retiring early. Some could also be small business owners, the backbone of America's economy. People could have left a group plan or simply be in the market for better individual health insurance. All these folks can benefit from considering individual medical insurance.
Basically, individual health insurance, whether it is individual medical insurance or group insurance, provides a resource for paying medical costs. A health insurance policy constitutes a legal contract between an insurance company and a group or individual. In this contract, the insurer agrees to provide health insurance benefits, as specified in the contract, for a mutually agreed-upon price, known as the insurance premium. The premium commonly is paid in monthly installments, although some people may choose to pay their premium annually in a lump sum.
Whether individual health insurance or group, insurance pays for medical expenses related to injury or illness. It pays either by reimbursing the individual or by direct payment. The kinds of medical expenses covered are specified in the contract between the individual and the insurer, as are the amounts paid for any given medical service.
Individual medical insurance can be purchased to cover a single individual, a parent with dependent children, or an entire family. Most Americans get their health insurance coverage through their employers or a government program such as Medicare or Medicaid. However, some 27 Million Americans buy individual medical insurance.
Independent salespeople known as brokers or agents sell individual health insurance in nearly every state. As independent salespeople, brokers and agents have the flexibility to offer insurance plans from different companies. This enables them to help individuals find the health insurance coverage that meets their needs best. Brokers and agents also help process claims and answer questions about a plan's coverage in addition to the insurance company's customer service staff.
Each state's insurance department regulates the health insurance industry, making sure that premiums are the same for the same services. This means that individual health insurance purchased through any independent broker or agent will have the same price or monthly premium.
When presented with a range of options for individual medical insurance, a consumer is under no obligation to purchase any of the offered plans. Nor is he or she required to purchase a health insurance plan from an agent who may be consulted for a quote.
When applying for health insurance, individuals are typically asked to include a way to pay for the initial premium, such as a check, credit card number or bank account information for electronic funds transfer. Most insurance agents will not process this payment until the individual is approved for health insurance coverage. In the event the individual is denied coverage, or decides to cancel the application before it is approved, a refund will be issued if the credit card has been charged or the check cashed.
With the consumer in charge of the process for evaluating and applying for individual health insurance, there's no reason for concern about getting such medical care coverage.
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