What Does Medical Insurance Cover?

Every one of us must have health insurance coverage. Medical expenses in the unforeseen circumstances like sudden illness or accident can ruin you financially. It is likely that you may not be able to afford the best possible treatment in the absence of health insurance.

Medical insurance will provide you with proper and adequate medical attention. The coverage includes for the regular medical checkups and sick visit to your doctor and also special care and urgent care needs. The diagnostics treatment cost with x-ray, MRI or therapy and also prescription bills will be taken care under the medical insurance coverage. The coverage might be 100% of medical expenses in rare cases but in most cases the coverage would pay for a larger percentage leaving you with a smaller portion of the bill to pay.

Health insurance policies mostly stipulate certain limits per person or per family, up to which the expenses are to borne by you & when such limit is crossed, you have to pay only a small percentage of expenses as stipulated in the policy. Some health insurance policies expect you to get the treatment from the hospitals on their list only while some insurers allow you to get the treatment from any hospital of your choice. Some policies stipulate that you can avail specialist?s treatment only if you are referred to a specialist by general practitioner.

You have to be careful to see whether your policy covers the follow up treatment/therapy after surgery. You have to get confirmation from the representative of insurance company or you have to read the policy terms thoroughly beforehand. Otherwise you will have to bear those expenses fully which are not covered under the policy.

Health insurance policies generally do not cover the expenses for the unwarranted surgeries like donation of kidney or bone marrow, cosmetic surgeries for hair transplant, face lift, liposuction, changing of shape/size of nose, boob jobs etc.

The validity of your medical coverage is till you undergo your surgery. After surgery if the doctors ask you to stay for another day checkup which has some good medical reason, then it would also be covered under medical insurance. In cases where you stay in the hospital for your better satisfaction and for some guidance from your doctor, then you have to beat these charges.

You must tell your doctor which insurance policy you are having because they generally know the rules & regulations of different companies & in case there are any queries raised, they will be able to answer them in a better way.