Have been a health Insurance broker for more than ten years and every day that I read more and more horror stories that are posted online regarding medical insurance companies not paying claims, refusing to cover certain illnesses and doctors not getting reimbursed for medical services Unfortunately, insurance companies are driven by profits, not people albeit they want people to make gains. If the insurance provider can get a legal reason to not cover a claim, it is likely that they will find it, and you the customer will suffer. However, what most folks do not understand is that there are quite a few loopholes in an insurance policy that provide the insurer an unfair advantage over the customer. In actuality, insurance companies go to great lengths to detail the limitations of the policy by providing the policy holders 10-days a 10-day free look period to review their coverage.
Unfortunately, most individuals place their insurance cards in their wallet and set their coverage in a drawer or filing cabinet during their 10-day free appearance and it usually is not until they get denial letter from the insurance company they take their coverage out to actually read through it. The majority of Individuals, who purchase their own Health Insurance, rely heavily upon the insurance broker selling the policy to describe the program’s coverage and benefits. This being the case, a lot of people who purchase their own medical insurance program can tell you very little about their strategy, besides, what they pay in premiums and how much they need to pay to meet their deductible.
For many consumers, buying a medical insurance plan in their own can be a huge undertaking. Buying a medical insurance policy is not like buying a car, in that, the buyer understands that the transmission and engine are standard, and that power windows are optional. A medical insurance plan is a lot more ambiguous, and it is often very hard for the consumer to ascertain which sort of policy is regular and what other advantages are discretionary. In my view, this is the principal reason that most policy holders do not understand that they do not have coverage for a particular medical treatment until they get a huge bill from the hospital saying that benefits were denied. Sure, we all whine about insurance companies, but we do understand that they serve necessary evil.