health insurance

How does private health insurance work?

Posted by

If you have wondered how private health insurance works, it is because you are considering enjoying the peace of mind that they offer when it comes to taking care of your health. Who does not like to have immediate assistance in the event of an unforeseen event? For this reason, at Sanitas Seguro Médico Center, we tell you everything you need to know so that you know how private medical insurance works and decide to take out one in case you are thinking about it.

What is private health insurance?

We cannot explain how private health insurance works without first talking about this concept that is now on everyone’s lips.

When we speak of private medical insurance, we refer to a provision of services, in this case, health, which are established and appear in a contract between the insured and the insurance company. This contract between both parties is made under the Private Insurance Management and Supervision Law.

On the other hand, there is the insurance policy that consists of the document in which the coverage and conditions are detailed, that is, the package of services, medications, and tests that you hire.

Therefore, not all people have the same coverage. This is because they have different health policies.

Read More: Should You Get Long-Term Care Coverage?

Health insurance operation

We anticipate that taking out private health insurance is no mystery since it works just like any other insurance. You just have to take your time to know how much you want to pay and what services you want to enjoy.

Now that we know what medical health insurance is, we can explain how private medical insurance works.

Well, once you have contracted the policy with the insurance coverage that best suits your needs, as we have indicated above, we are going to see certain details that will surely be of interest to you if you are thinking of contracting private health insurance and thus, get to know better how private health insurance works.

Content Credit: Google

The first

This is the price of health insurance that we must pay for contracting the medical policy. This amount of money will be greater or less depending on the services, coverage, or benefits that we have contracted.

To find out how the cost of these premiums works and how private medical insurance works, it should be noted that its price varies depending on the risk that the insurer wants to assume. You should know that the health insurance premium depends on several variables, such as the following:

  • The age of the insured: it is understood that the younger you are, the less risk of contracting diseases you have. On the contrary, older people are more prone to it. Therefore, taking this into account, the insurance premium will increase as the years go by.
  • Coverages that are contracted: the premium also depends on the benefits to which the insured has access. So, if you enjoy more services, the logical thing is that the premium is higher.
  • Copay: this concept is key to knowing how private medical insurance works. When contracting private medical health insurance, there are two options: contract it with a copay or without a copay. But what does this term mean? Well, the copay consists of paying a small amount of money each time a police service is to be used.

The difference is that, depending on the option chosen by the insured, the monthly or annual premium that this insured must pay will be smaller or the opposite.

 Therefore, if you choose the copay option, the insured will pay an amount each time he uses a medical service but will pay a lower monthly or annual premium.

Medical Chart

Another characteristic of how private medical insurance works is that the insurance companies have a list of specialists and medical centers, giving the option in some cases that the insured person chooses the doctor or center of their choice.

Services Abroad

More characteristics of how private health insurance works is that if you are abroad and need medical assistance if your insurance includes it, it covers you in these situations.

The Waiting Periods

This point is important to know how private health insurance works and when hiring it. But what does this term mean? These are the months elapsed until a medical service can be used, that is, the time from the date of registration of the policy, during which some of the coverages included in the contracted policy are not effective.

Why take out private health insurance?

Now that we know how private health insurance works, we are going to talk about the advantages of hiring one of them or why you should consider hiring one.

If you are looking for speed and agility, hiring private medical insurance, you have the guarantee that it will be so. You will avoid waiting lists, and you will have immediate assistance in any circumstance.

And if it is an emergency, you can have both a hospital service and a home service.

In case you have to be admitted, you will have the comfort of a single room and the maximum comfort.

You also have direct access to specialists and a second opinion.

These are the great advantages of how private health insurance works and why you should rethink hiring one.

Are you interested in taking out private health insurance?

We hope that after reading this article on how private health insurance works, you have decided to hire one due to the great benefits it brings to the peace of mind of your health. If you need more information or any clarification, do not hesitate to contact us, we will be happy to help you.

Leave a Reply

Your email address will not be published. Required fields are marked *