Navigating the complexities of modern health insurance plans, networks, and policies
Synopsis
Health insurance is a type of insurance coverage that pays for medical and surgical expenses incurred by the insured. It can also provide coverage for non-medical expenses such as lost wages or funeral expenses, which are related to an illness or injury. An employer may arrange the insurance plan for an employee benefit, as part of a collective bargaining agreement. Individuals may purchase insurance or a family may be covered by a family plan. Insurance plans typically include a premium, a deductible, copayments and coinsurance. Health insurance can cover a portion of the cost of prescription drugs or may cover them entirely. In addition to traditional health insurance plans provided by employers, new types of plans have been developed in the past two decades. Health insurance is an important benefit that helps cover the high costs of medical care. As the cost of medical care continues to increase, the value of health insurance increases. However, the costs associated with operating the insurance system have escalated, leading to criticism about the excessive costs associated with health insurance. Advocates of universal coverage argue that the inefficiencies associated with a market-based system represent a failure of the uninsured to receive adequate care. In contrast, free-market advocates see the excessive costs and the inadequacies of present insurance coverage as a lack of competitive forces in the system. In effect, their argument is that many people are uninsured because the cost of insurance coverage is too high and that improving the efficiency of the current system will lower the cost of health insurance.