Questions To Ask When Buying Or Renewing Health Insurance In The Marketplace

The coverage guaranteed by the health insurance or accident insurance, because it is better to do it and what advantages insurance offers online.

But which health insurance to choose? And how to decide whether this or that insurance is the most convenient?

The health insurance is nothing more than a contract between a citizen and an insurance company under which the customer receives a health and economic protection from the other party, upon payment of a premium.

Before signing the contract, the client must complete a questionnaire in which (in the most faithful way possible, because it is in their interest) they must describe his health conditions. Cheating is not a good idea: you risk paying the premium for years and, when you need it, you will be refused the compensation.

It is better, then, to admit that you are a smoker (which entails a greater risk of respiratory, cardiovascular and cancer diseases). It is good and right to say that sedentary life and little movement, what are the eating habits, if you have particular disorders. In short, everything that really has – or may have – to do with health.

Why buy health insurance?

The health insurance is especially useful for those most exposed to the risk of losing their income due to an illness. But it can also be used by those who are wary of the National Health Service and prefer to use a private service both in the case of specialist visits and in case of surgery. As long as everything is well defined in the contract.

The reimbursements guaranteed by the health insurance

1. Permanent disability

As a general rule, the policies fully intervene on disability rates of more than 26% of the reduction in working capacity, reimbursing all the medical expenses that the insured person needs.

2. Medical expenses in private facilities

Health insurance can also cover the costs incurred in treating a disease in a private and specialized facility, both for admission and for surgery. In this case, the insured can have their advantage by being admitted to a clinic affiliated with the company without spending a dime (or rather, having already spent it in the insurance fees).

If, on the other hand, the patient decides in favor of a private clinic, the company could apply an overdraft of between 20 and 30%.

3. Other expenses guaranteed by health insurance

In trying to understand which health insurance to choose, it is important to evaluate all the possible coverage offered by the insurance.

In addition to those we have seen above, the insurance can reimburse (if provided for by the contract and in the manner in which they are indicated by the individual companies) the expenses for:

  • Hospitalization;
  • Physiotherapy;
  • Surgical interventions;
  • Cures and medicines;
  • Food and accommodation for the patient’s carers;
  • Ambulance transport;
  • Pre and post hospitalization fees.

How to know which health insurance to choose

Before buying an insurance, in order to understand which health insurance to choose, some important aspects need to be assessed. First of all, as it may seem trivial, you have to ask yourself what you need, because there is the possibility to personalize your insurance. The exact same health insurance could be effective for one person but not for another. So, the first assessments to be made are what risks you run daily depending on the type of work you do, if the office is under the house or you do so many miles a day in the car, if the environment in which you live is more subjected to environmental risks, etc. A person working in a construction site will run more risks than those who are comfortably seated at the desk (at worst the latter will put on more tummy than the construction worker). Those who travel by car to get to work will have more danger than those who go by foot or by train. Those who live and work in a high traffic density center will be more subject to smog (and therefore respiratory diseases) than those who live and work in the mountains.

That said, with the proposed health insurance contract in hand, we need to understand some important items that will cover the possible compensation.

In particular:

  • the ceiling. This is the highest amount that the insurance company can compensate. As logical to think, the higher the ceiling, the higher the premium to pay;
  • the repayment procedure. It can be directed (when the treatment is needed, the company directly reimburses the health facility and the insured person pays nothing) or indirect (the patient pays the facility and then receives the money from the company).

When the insurance company can deny compensation?

Health insurance includes so-called exclusion clauses.

They concern those situations in which the company can refuse to provide compensation to the insured, namely:

  • Voluntary abortion;
  • Cures for malformations;
  • Dental care (unless they are necessary due to accident or cancer);
  • Psychiatric diseases;
  • Cosmetic surgery;
  • Treatment for drug use or for alcohol abuse.

Health insurance against accidents

Another type of health insurance on the market, to always choose according to your needs, is the accident insurance.

It covers those unforeseen events that can cause serious injury, and in particular:

  1. a temporary disability, in which case the company guarantees a contribution for each day of lost work (if one breaks a leg, for example). This insurance is particularly suitable for those who are not employed and do not have sickness benefits;
  2. permanent disability, which provides compensation based on the percentage of disability. It is of interest, above all, single-income families, those, that is, in which there is only one person to bring the salary home.

My Canadian Pharmacy recommends that you approach the problem of buying insurance with significant amount of consideration and common sense, taking into account everything said above.