Indemnity Health Insurance
What is an Indemnity Health Insurance Plan?
Indemnity plans are those in which you will get a reimbursement for the cost of hospitalization or medical treatment up to the sum insured.
There are a number of benefits to an indemnity health plan:
Extensive coverage – these plans cover a wide range of illnesses and treatments.
Flexibility to choose hospitals – you have the flexibility to choose from various hospitals and medical centers, so you can choose the best option based on the type of treatment you require.
Cashless claims – the insurer may also have tie-ups with network hospitals, where you can enjoy cashless claims.
Ability to make multiple claims – you can make multiple claims under the same policy, up to the sum insured amount.
Affordable premiums – generally indemnity plans have more cost-effective premiums, as they may include deductibles or co-payment clauses.
Pros and Cons of Indemnity Health Insurance:
Is a indemnity health insurance plan is right for you? Let’s take a look at some of the pros and cons:
Pros:
The indemnity health policy is different than policies offered by health maintenance organizations (HMOs) and preferred provider organizations (PPOs) because it allows you obtain medical care where you choose providing compensation for a set portion of the costs.
A key feature of the indemnity health insurance plan is that it does not force you to choose a primary care doctor.
Indemnity health insurance plans are also unique because they allow you to see a specialists and do not require you to obtain a referral in order to get compensated.
You are free to use as you feel needed for your own health care. This is significantly different than HMOs and PPOs which use managed care and may force you to choose a primary care provider as part of the plan.
Indemnity health insurance plans do not use a provider network.
Cons:
Waiting periods on coverage for some pre-existing conditions
A medical questionnaire may be required to be approved for coverage
Coverage is not mandated or standard, so plans vary greatly in covered services and costs with very little government oversight
They are not meant to replace Major Medical insurance.
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