CandleFocus Glossary Editor
Health insurance is a critical safety net for individuals, families, and communities. It offers the assurance that health care costs can be managed in the event of an illness, accident, or other medical circumstance. Typically, once an individual or family selects a plan, a monthly payment is made to an insurance company, either directly or through an employer, that covers a portion of the costs associated with medical or surgical procedures and medications.
Health insurance plans vary in terms of what they cover and how much each person or family must pay out of pocket. Policies may vary in coverage of prescription drugs, primary care visits, specialists, emergency services, mental health care, and more. Coverage options can also change depending on the patient's age and health status.
There are many different types of health insurance plans, including group plans, managed care plans, and individual plans. Group plans are typically for people who are an employee of a company and offer the greatest amount of coverage than plans bought independently or through associations. Managed care plans include Health Maintenance Organizations (HMOs) and Preferred Provider Organizations (PPOs). These plans may offer additional coverage, such as vision, hearing, and preventive benefits with a lower monthly premium. Individual plans are bought directly from insurance companies or government-operated marketplaces.
No matter which type of health insurance plan is chosen, consumers are protected by federal and state laws and regulations that limit the kinds of policies that can be offered and provide other safeguards. The Affordable Care Act (ACA) provides the most comprehensive protections for consumers, ensuring access to essential health benefits and the elimination of lifetime caps on coverage.
Health insurance is essential for maintaining good health and high medical standards of care in our society. It is a key part of the safety net for individuals and families and a cornerstone of a strong economy. Insurance can give people the peace of mind that their medical costs will be covered and ensure that health care access is available to everyone regardless of income or medical history.
Health insurance plans vary in terms of what they cover and how much each person or family must pay out of pocket. Policies may vary in coverage of prescription drugs, primary care visits, specialists, emergency services, mental health care, and more. Coverage options can also change depending on the patient's age and health status.
There are many different types of health insurance plans, including group plans, managed care plans, and individual plans. Group plans are typically for people who are an employee of a company and offer the greatest amount of coverage than plans bought independently or through associations. Managed care plans include Health Maintenance Organizations (HMOs) and Preferred Provider Organizations (PPOs). These plans may offer additional coverage, such as vision, hearing, and preventive benefits with a lower monthly premium. Individual plans are bought directly from insurance companies or government-operated marketplaces.
No matter which type of health insurance plan is chosen, consumers are protected by federal and state laws and regulations that limit the kinds of policies that can be offered and provide other safeguards. The Affordable Care Act (ACA) provides the most comprehensive protections for consumers, ensuring access to essential health benefits and the elimination of lifetime caps on coverage.
Health insurance is essential for maintaining good health and high medical standards of care in our society. It is a key part of the safety net for individuals and families and a cornerstone of a strong economy. Insurance can give people the peace of mind that their medical costs will be covered and ensure that health care access is available to everyone regardless of income or medical history.