#thread on Insurance:
Slowly but surely Medical Insurance is taking over health care.
It is the most misunderstood aspect of health care!
For starters, it’s a privilege not a right!
In returning for paying a premium, you MAY get covered for an amount ranging from ZERO
Slowly but surely Medical Insurance is taking over health care.
It is the most misunderstood aspect of health care!
For starters, it’s a privilege not a right!
In returning for paying a premium, you MAY get covered for an amount ranging from ZERO
to your policy limit!
It starts with the room rate limit!
If your policy has that, you will be entitled to a room costing 1% of your yearly limit!
That’s not it.
That decides the “package” you are entitled to! It includes everything.
Hospital fees, medicines, surgeon’s
It starts with the room rate limit!
If your policy has that, you will be entitled to a room costing 1% of your yearly limit!
That’s not it.
That decides the “package” you are entitled to! It includes everything.
Hospital fees, medicines, surgeon’s
fees etc!
If you choose to upgrade to a better room, now that total package goes up!
Guess who is responsible for the difference?
You are!
Now let’s look at other cost cutting measures the insurance companies might employ!
Some surgeons prefer to have another
If you choose to upgrade to a better room, now that total package goes up!
Guess who is responsible for the difference?
You are!
Now let’s look at other cost cutting measures the insurance companies might employ!
Some surgeons prefer to have another
surgeon present for certain potentially tricky surgeries.
It is more likely that the insurance company will not cover the fees of the 2nd surgeon!
Another area they might cut costs is in covering the baseline products used and not the top of the line!
So they may cover an
It is more likely that the insurance company will not cover the fees of the 2nd surgeon!
Another area they might cut costs is in covering the baseline products used and not the top of the line!
So they may cover an
Indian or Asian product at full cost like a knee replacement implant or a heart value replacement but not an European or American one.
Again no prizes for guessing who covers the difference!
Certain carriers have started setting limits on what they will pay for procedures.
Again no prizes for guessing who covers the difference!
Certain carriers have started setting limits on what they will pay for procedures.
Now I don’t see any surgeon or hospital agreeing to accept reduced fees merely because a insurance carrier has mandated it.
Again who covers the difference?
Lastly, Insurance is a protection plan!
Meant to cover unexpected accidental illness or event.
It’s not in place
Again who covers the difference?
Lastly, Insurance is a protection plan!
Meant to cover unexpected accidental illness or event.
It’s not in place
to cover for rash actions or risky behaviour!
Life insurance policies often specifically exclude coverage in cases of death caused due to high risk elective events like bungee jumping or parachute jumping etc.
The logic is you are putting yourself in harm’s way! That’s not
Life insurance policies often specifically exclude coverage in cases of death caused due to high risk elective events like bungee jumping or parachute jumping etc.
The logic is you are putting yourself in harm’s way! That’s not
covered!
Same logic will eventually apply to medical insurance! It might already be in place!
It is in place if you fall sick inspite of all necessary precautions.
If you are over weight, have unfavourable reports, your premium goes up!
At one point insurance companies
Same logic will eventually apply to medical insurance! It might already be in place!
It is in place if you fall sick inspite of all necessary precautions.
If you are over weight, have unfavourable reports, your premium goes up!
At one point insurance companies
in the US were trying to buy Amazon purchase history for its members to see how much of their shoping was being done online! Logic being that if you don’t step out even to purchase routine items you are probably not stepping out to exercise and hence at a higher risk of
an illness like blood pressure or diabetes or something serious like a heart attack etc.
The motivation for this entire thread was that video!
In my opinion it is very likely that if Pooja Bedi or her husband catch COVID and need hospitalisation. the insurance could deny
The motivation for this entire thread was that video!
In my opinion it is very likely that if Pooja Bedi or her husband catch COVID and need hospitalisation. the insurance could deny
coverage!
If they were out well protected with a mask on an essential task, the COVID happened IN SPITE of their precautions!
By posting a video not only defying the precautions but also writing about it, she is confessing in print to being reckless!
The carrier could very
If they were out well protected with a mask on an essential task, the COVID happened IN SPITE of their precautions!
By posting a video not only defying the precautions but also writing about it, she is confessing in print to being reckless!
The carrier could very
easily deny coverage on those grounds!
And I don’t see anything wrong on their part if stated in the Terms and Conditions to deny coverage!
So in conclusion, please understand insurance policy is a possible coverage for unexpected expenses! NOT a guarantee!
Hope this helps!
And I don’t see anything wrong on their part if stated in the Terms and Conditions to deny coverage!
So in conclusion, please understand insurance policy is a possible coverage for unexpected expenses! NOT a guarantee!
Hope this helps!
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