Major Medical

Aegis has national contracts with several A rated insurance carriers for group and individual major medical Plans:

AETNA , BLUE CROSS/BLUE SHIELD, HUMANA, ASSURANT, UNITED HEALTHCARE, UNICARE ETC.

  Individual Medical

  Short Term Medical

  Student Medical Insurance

Major Medical - Basic Medical Services You Want Covered

You probably already have some idea about which services you'd like your medical insurance to cover. Even if your list of requirements is short, it's best not to assume that all policies will cover it.

Use this short guide to assess which benefits are the most important to you.

This page:

  . Lists the services usually covered under medical insurance

  . Describes some additional extra health care services

  . Lists a couple of "rules of thumb" for choosing a health care plan

The deductible, co-payment and co-insurance

It is important to understand that the cost of health services is not completely eliminated by paying the monthly premium. There are other costs associated with major medical insurance coverage that you have to meet.

The first cost we'll discuss is the deductible . The deductible is a pre-arranged dollar figure that you'll have to satisfy (pay) before the health insurance company begins to contribute any money to your health care costs.

Your deductible can be a significant out-of-pocket expense, particularly because it must be satisfied each year before the company pays. (So paying $1000 this year for medical services will not decrease your deductible next year.)

Deductibles can range from a few hundred dollars to a several thousand. While some health insurance policies do not involve deductibles, others involve them only in certain cases. Again, the higher the deductible, the lower your monthly premiums.

The other expenses you will encounter are co-payments and your co-insurance . All medical insurance policies will require that you agree to one or both of these types of charges. A co-insurance payment means that you will be required to pay a certain percentage of your health care costs, while a co-payment means you'll be required to pay a certain, pre-set dollar amount for each medical service you receive before your medical insurance kicks in.

These are usually charged in addition to your deductible. In either case, the medical insurance company will pay a substantial amount of your medical costs in comparison to your financial responsibility.

The point of having medical insurance is, after all, to alleviate the financial burden on you and your family in case of medical emergencies and/or a chronic illness.

NOTE:
Finding the right plan now is the wisest action you can take to assure the future health and security of both you and your family.

Other rights and responsibilities

Medical insurance isn't an all-or-nothing proposition. Major medical insurance policies will contain statements that protect both you and your health insurance company from having to pay too much money for services. It has been said that insurance companies don't make money selling insurance but on denying claims. As far as the insurance company is concerned, they will generally limit the coverage they sell you.

Medical insurance companies protect themselves by employing what is called a "lifetime payout provision." Such a provision limits the total amount the health insurance company is responsible for paying in your entire lifetime. This maximum payout is usually in the millions of dollars.

It is important to have a high maximum payout, or you will run the risk of prematurely depleting your coverage just when you need it most.

The provision that protects you is called the out-of-pocket maximum and it limits your out-of-pocket expenses during a given year. Once this limit is reached, your medical insurance company will compensate you for 100% of your health care costs. This limit is particularly important in the event of a serious illness or accident.

The basic health care services

The most important factor and the first you need to consider when it comes to determining which health insurance policy to purchase is the type of policy choose. Indemnity, HMO, PPO and POS medical insurance plans all have different priorities when it comes to how your health care is viewed and, therefore, treated. Some important topics that differ from one type of plan to another include your:
  
  . Doctor Visits
  . Preventative care
  . Diagnostic tests
  . Hospital
  . Extended care
  . Emergency Treatment
  . Prescription drugs
  . Home health care

A really good medical insurance policy will include all these critical areas of coverage. However, a really good medical insurance policy is also really expensive. You will probably need to prioritize your health care to get what you need and want in a health insurance policy, without paying for coverage that is unnecessary for your needs. In most cases a mini-med plan could fit the bill. Click here for more info.

An example: A typical fee-for-service (indemnity) plan will be relatively comprehensive except for prescription drugs and preventative care coverage. This is ideal for someone who values the security of extensive coverage over the elimination of routine costs, like doctor visits.

If a plan makes up for its lack of coverage in one area by covering services you find essential to your health care, it may be wise to live with this particular deficiency in the policy.