health insurance

19
HEALTH INSURANCE Presented By :- 1) Haifa 2016-2017 SECTON : 2 Supervised by : DR :

Upload: hi-hi

Post on 23-Feb-2017

47 views

Category:

Healthcare


0 download

TRANSCRIPT

Page 1: health INSURANCE

HEALTH INSURANCE

Presented By :-1) Haifa

2016-2017SECTON : 2

Supervised by :DR :

Page 2: health INSURANCE

Outline

• Defecation of HEALTH INSURANCE• NEEDS HEALTH INSURANCE• TYPES OF HEALTH INSURANCE• PLAN HEALTH INSURANCE• THE ADVANTAGES OF LIFE INSURANCE• DISADVANTAGES OF LIFE INSURANCE• INSURANCE SURRENDER POLICY

Page 3: health INSURANCE

objective

• WHAT IS HEALTH INSURANCE• WHY YOU NEED HEALTH INSURANCE• TYPES OF HEALTH INSURANCE• HOW TO CLAIM HEALTH INSURANCE• HOW TO PLAN HEALTH INSURANCE• HOW TO GET LIFE INSURANCE• WHAT ARE THE ADVANTAGES OF LIFE INSURANCE• WHAT ARE THE DISADVANTAGES OF LIFE INSURANCE• HEALTH INSURANCE SURRENDER POLICY

Page 4: health INSURANCE

WHAT IS HEALTH INSURANCE

Health insurance is a type of insurance coverage that covers the cost of an insured individual's medical and

surgical expenses.

Page 5: health INSURANCE

HEALTH INSURANCEWHEN YOU ARE IN NEED

HEALTH INSURANCE PROTECTS YOU FROM HIGH, UNEXPECTED COSTS

MAKE QUALITY TREATMENT AFFORDABLE

CASHLESS SERVICETAX BENEFIT

WHY YOU NEED HEALTH INSURANCE

Page 6: health INSURANCE

TYPES OF HEALTH INSURANCE

Page 7: health INSURANCE

1- Free-for-service plans - more choice, more cost

• Allow you to choose your doctor or hospital, usually with no (or minimal) restrictions.

• give you a full range of services:Doctor visitsHospital staysEmergency careSurgeryLab tests

2- Health Maintenance Organizations (HMOs) - less cost, less

Page 8: health INSURANCE

4- Preferred Provider Organizations (PPOs) - medium cost, moderate choice

A PPO is a cross between a free for service plan (focusing on doctor choice) and an HMO (focusing on low cost).

5-High-Deductible Health Plans - Pay As You Go

the newest wave in health insurance.They offer coverage only after you reach a deductible that is significantly higher than in traditional insurance plans

3- HMOs with POS option - flexible managed care

These plans will cover most or all of the costs if your primary care doctor refers you to a specialist not in your plan.

Page 9: health INSURANCE

HOW TO PLAN HEALTH INSURANCE

Page 10: health INSURANCE

• When and what is the expected requirement

• Features to look for while choosing a health plan

• Flexibility of the plan

• Guaranteed renewability

• Number of critical illnesses covered

• Limit on the family size

• Option of relevant and segmented benefit for parents

• Number of hospitalization days and daily cash limit

• Medical network

Page 11: health INSURANCE

HOW TO GET LIFE INSURANCE

Page 12: health INSURANCE

Steps to follow for getting life Insurance• See if you can find the actual life insurance policy• Call the life insurance agent or life insurance

company on the life insurance policy.• Next fill out the life insurance claim forms• Send in the life insurance paperworkWhat to look for in a Life Insurance policy• Policy Benefits• pricing and premiums• additional Services• Customer Support

Page 13: health INSURANCE

• Risk Cover • Protection against rising health expenses• Daily hospital cash allowance• Peace of Mind• Tax Benefits• Coverage of expenses related to organ donors• Convalescence Benefits

WHAT ARE THE ADVANTAGES OF LIFE INSURANCE?

Page 14: health INSURANCE

• Restricted hospital• Health does not cover pre-existing diseases• Expenses of defect related AIDS is not covered

Eg:- Contac lance, Hearing AIDS, general ability & intoxicating Drugs

• Most company do not have separate health insurance cover for a child

• Older the age higher the cost of premium

WHAT ARE THE DISADVANTAGES OF LIFE INSURANCE ?

Page 15: health INSURANCE

HEALTH INSURANCE SURRENDER POLICY

1. Call the company

2. Fill out the forms

3. Speak to the representative

4. Package the policy and forms and mail them

5. Wait for the check

Page 16: health INSURANCE

COMPANY IN INDIA

Page 17: health INSURANCE

SUMMARY• Health insurance is insurance against the risk of incurring

medical expenses among individuals. By estimating the overall risk of health care and health system expenses, among a targeted group

• TYPES OF HEALTH INSURANCE• 1-Free-for-service plans - more choice, more cost• 2- Health Maintenance Organizations (HMOs) - less cost, less • 3- HMOs with POS option - flexible managed care• 4-Preferred Provider Organizations (PPOs) - medium cost, moderate

choice• 5-High-Deductible Health Plans - Pay As You GoSteps to follow for getting life InsuranceWhat to look for in a Life Insurance policy

Page 19: health INSURANCE