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Health Insurance

What Is Health Insurance?

Health insurance is a type of insurance that helps pay for medical expenses such as doctor visits, hospital stays, prescription medications, and preventive care. Health insurance policies typically share healthcare costs between the insured individual and the insurer.

Coverage may be provided through employers, government programs, or private insurers.

Why It Matters

Healthcare costs can be extremely expensive. Health insurance helps individuals and families manage these costs by covering part of medical expenses and limiting out-of-pocket costs.

Insurance coverage can also provide access to preventive care and essential medical services.

How Health Insurance Works

Health insurance policies typically include:

  • a premium paid regularly for coverage
  • a deductible paid before coverage begins
  • coinsurance or copayments for services
  • an out-of-pocket maximum limiting annual expenses

After these requirements are met, the insurance company covers eligible medical costs according to the policy.

Example

A patient with health insurance visiting a doctor may pay a small copayment while the insurer covers the remainder of the visit cost.

Health Insurance vs Medical Insurance

  • Health insurance is a broad term covering many types of medical care.
  • Medical insurance often refers specifically to coverage for medical services.

FAQs About Health Insurance

Do all health insurance plans cover the same services?
No. Coverage varies depending on the policy and provider.

What is a health insurance deductible?
It is the amount paid before insurance begins covering expenses.

Can people buy health insurance individually?
Yes. Policies are available through employers or private markets.

Related Terms