Health insurance

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Health Insurance

An insurance policy that provides coverage when the policyholder (or his/her dependent) becomes ill. For example, a health insurance policy may pay for most or all of the costs of a surgery. Health insurance may cover doctor's visits, medical procedures, prescription drugs, and so forth. The policyholder pays a premium each month in exchange for the coverage; additionally, the policyholder often must pay coinsurance and/or a copay for certain procedures. In the United States, many people procure health insurance through their employers because it is often expensive to buy on one's own. Likewise, many people have group insurance to provide medical coverage. A significant amount of debate exists as to the appropriate role of the U.S. government in regulating health insurance providers and whether the government should assume this role directly.

Health insurance.

Health insurance covers some of or all the cost of treating an insured person's illnesses or injuries. In some cases, it pays for preventive care, such as annual physicals and diagnostic tests.

You may have health insurance as an employee benefit from your job or, if you qualify, through the federal government's Medicare or Medicaid programs.

You may also buy individual health insurance directly from an insurance company or be eligible through a plan offered by a group to which you belong. As you do with other insurance contracts, you pay premiums to purchase coverage and the insurer pays some of or all your healthcare costs, based on the terms of your contract.

Some health insurance requires that you meet an annual deductible before the insurer begins to pay. There may also be coinsurance, which is your share, on a percentage basis, of each bill, or a copayment, which is a fixed dollar amount, for each visit.

Health insurance varies significantly from plan to plan and contract to contract. Generally, most plans cover hospitalization, doctors' visits, and other skilled care. Some plans also cover some combination of prescription drugs, rehabilitation, dental care, and innovative therapies or complementary forms of treatment for serious illnesses.

References in periodicals archive ?
This article is organized so that the next section develops a theoretical model examining the nature of equilibrium in the pricing of health insurance contracts.
Rich Roberts added, "Since our purchase of CPAP Care Club, LLC in May 2012, our Managed Care Department has added 50 new health insurance contracts providing access to an additional 40 million lives nationally.
McKenzie-Willamette filed the lawsuit against PeaceHealth in January 2002, alleging that its larger rival wielded its dominant market power to compete unfairly for health insurance contracts.
Hershey Medical Center to use the MaCS Performance system and services for managing all of their private and government health insurance contracts.
The new rules prohibit insurance companies from applying discriminatory limits against mental health services in private health insurance contracts.
The suit alleges PeaceHealth used its dominant market power to compete unfairly for exclusive health insurance contracts and engaged in a pattern of monopolistic behavior.

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