6 Important Parts of a Health Insurance Policy

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If you're like most people, you probably don't read your health insurance policy very carefully. However, if you ever need to file a claim, you should understand what your policy covers and what it does not. Here are six key components of a health insurance policy to be aware of.



1. The Policyholder

The person who owns the insurance policy is known as the policyholder. In most cases, the policyholder is also the policyholder's insured. There are some policies, however, where the policyholder and the insured are not the same people. If you have a life insurance policy on your spouse, you are the policyholder, but they are the insured.



2. The Beneficiary

In the event of a claim, the beneficiary is the person or persons who will receive benefits from the policy. If you have a life insurance policy, for example, your beneficiaries are the people who will receive money if you die. Beneficiaries can be named on other types of policies as well. Beneficiaries can also be named on other types of policies, such as health insurance policies.



3. The Premium

The premium is the amount you pay for your insurance coverage. Premiums are typically paid monthly or annually. In general, your premium will be determined by factors such as your age, gender, health status, and lifestyle choices.



4. The Deductible

A deductible is the amount of money you must pay out of pocket before your insurance company begins to pay for covered expenses. For example, if your deductible is $500 and you have an accident that results in $1,000 in medical bills, you must pay the first $500 and your insurance company will pay the remaining $500.



5. Exclusions and Limitations

Every insurance policy contains exclusions and limitations that define what is and isn't covered by the policy's terms. Most health insurance policies, for example, exclude coverage for pre-existing conditions or experimental treatments. It's critical to understand what your policy excludes so you're not caught off guard if you ever need to file a claim.



6. The out-of-pocket maximum is the most money you can spend on covered medical expenses in a calendar year. Once you have reached your out-of-pocket maximum, your insurance company will start paying 100% of all covered expenses.



Now that you understand the six essential components of a health insurance policy, sign up on roHealth today. Our expert team is here to assist you in locating the best health insurance policy for your needs and budget. Remember, if you have any questions about your policy or need assistance filing a claim, our team is always here to help. Thank you for your time!