The Basic Health Insurance Plan

A basic health insurance policy provides insurance against medical expenses that are outcome of sickness & accident. This is a novice term that refers to various surgical, medical & hospital benefits. The broad category of medical cover provides an extensive range of benefits for medical hospital & surgical care.

Plans may be tailored in such way that they may be bounded to cover only one or two types of expenses like surgical expenses or hospital or miscellaneous medical costs. These types of plans are known as basic plans.

Other, more extensively written, plans may cover all the expenses resulting from illness or accident using some specific exceptions. Health insurance plans include fee-for-service where doctors and other medical attendant’s receive a payment for their services provided not exceeding their bill amount. Prepaid policies provide hospital or medical benefits in the form of service rather than money. Many things should be kept in mind when selecting a health insurance plan such as:
Comprehensive care v/s Specified coverage: - Or in other words does the plan feature comprehensive coverage or only specific benefits?

A limited number of provider’s v/s any provider.-Are you compelled to choose from a specific list of providers or anyone of your choice?

 Regional operation v/s National.-Is the plan operates nationwide or limited to a geographical region?
Subscribers v/s Insured: - Are subscribers (the person who is paying the premium) considered insured or participants considered insured?

We will take a look at the limited coverage for medical, hospital, and surgical expenses. Discussing this first, will enable you to understand how the components are combined in major health and comprehensive plans. The extensive definition of basic health insurance policy in most regions includes medical, hospital and surgical expenses. The aim of this type of plan is to cover an extensive range of surgical, medical &hospital expenses as well as different categories of medical expenses.
Let us explore group v/s individual cover:-No matter how a plan is drafted, broadly or narrowly, health insurance is designed to reimburse for the expenses of care whether it results from illness or injury. Both group & individual plans are available to consumers. Normally individual plans are more costly than group plans along with having limited benefits but generally, both types cover the same services. Hospital expense benefit provides for the expenses incurred during hospitalization. This usually falls under two broad categories:

* Broad &Room – this includes special dietary requirements & nursing care.
* Miscellaneous medical expenses – this includes medical supplies, x-rays, lab work, medications, and operating special treatment rooms.

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