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Health Insurance
General Health Insurance Questions
FAQs
What is health insurance?
What is private indemnity insurance?
What are health care maintenance organizations?
What about employer sponsored plans?
Are there government sponsored programs?
What is a health insurance policy?
What is a health insurance plan?
How does an insurance policy "protect" me?
How does a health insurance policy or health plan protect me?
How do I determine what my health care coverage or benefits are?
Suppose the contract or booklet is ambiguous or unclear?
What are "definitions," "benefits," "limitations," and "exclusions?"
If I think certain words in my policy mean something different from what my insurance company says they mean, how do we resolve it?
Are there any government agencies that regulate how health insurance companies or plans operate?
Will one of these many agencies be able to help me?
How do I obtain health insurance?
Are there any limitations on what an insurance company can charge for insurance?
Can a health insurance company or health service plan cancel my policy for membership for any reason?
Can the insurer or plan cancel or rescind at any time?
Can I cancel my health insurance, and will there be a penalty or adverse consequence?
If I cancel my health insurance coverage, do I get my unused premium back?
Are there dangers in cancelling health insurance?
What are typical problems that arise in getting health care benefits provided or paid?
What if the insured lied about a heart attack?
What can, or must, I do when a health insurance company or plan refuses to pay a claim or provide a benefit or service?
What is the appeals and grievance process like?
What are my legal remedies if a health insurance company or plan refuses to pay a claim for a benefit or service?
Would I need an insurance lawyer to handle my case?
I currently am on worker's compensation. Can my employer make me pay for my own health insurance while I'm off?
What will happen to our health insurance for my dependent children and I after the divorce from their father?
How long will my medical insurance allow my new baby and myself to remain in the hospital following childbirth?
My father who has conjestive heart failure and type 2 diabetes recently underwent a quintuple heart bypass. His medical bills are staggering and he has no health insurance. Short of filing bankruptcy. What are his options in getting these amounts reduced?
Health Insurance Articles
Articles
What to Ask Insurance Salespeople When Buying a Medical Insurance Policy
How to Get Your Healthcare Insurer to Say Yes When They’ve Already Said No
FAQs
What Does Waiver and Estoppel Mean to You on Your Life, Disability and Health Insurance Claim?
Michael Moore’s Sicko: Is It Really Accurate?
Will Sicko Prompt Changes In US Healthcare?
Sicko Becoming More Than Just a Movie
Cancellation
FAQs
Can a health insurance company or health service plan cancel my policy for membership for any reason?
Can I cancel my health insurance, and will there be a penalty or adverse consequence?
If I cancel my health insurance coverage, do I get my unused premium back?
Are there dangers in cancelling health insurance?
I currently am on worker's compensation. Can my employer make me pay for my own health insurance while I'm off?
Benefits And Claim Procedures
Articles
Health Ins Claims: When Your CSR Isn't Helping, Should You Take It Straight To The Top?
FAQs
Health Insurance Policy Benefits and Claim Procedures: Introduction
Treatment of Teeth and Surrounding Tissue and Structure; Acts of War; When There Is Government Coverage Available; and Experimental Drugs
Benefits and Claim Procedures: Pre-Existing Condition Limitation on Your Health Insurance Policy
Continuation of Coverage When Premium is Not Paid by Premium Due Date
Miscellaneous Benefits -- Mental and Emotional Disorders, Alcoholism and Drug Abuse, and Childhood Immunizations
Experimental Procedures, Eye and Eat Treatments, Alcohol and Drug Intoxication, Intentionally Self-inflicted Injury, Suicide
Services Subject to a Deductible----Outpatient Therapy and Home Health Care
Medicare Eligible Insureds and Increases in the Lifetime Policy Maximum Per Insured
Prescription Medicines
Investigative/Experimental Drugs, Immunosuppressants, and Psychotherapeutic Drugs
Services Subject to a Deductible-- Hospice Care, Medical Equipment, Skilled Nursing Home, and Diabetes Supplies and Services
Allergy Kits, Abortificants, and Prescription Drugs Produced from Blood or Blood Products
Services Subject to a Deductible----Inherited Metabolic Disorders, Adult Wellness and Preventive Care, Prostate Cancer Screening and Pap Smear Screening
TMJ and CMD, Contraceptives, and Sexual Dysfunction
Services Subject to a Deductible--Osteoporosis Screening, Childhood Wellness and Preventive Care, General Anesthesia for Dental Procedures, Outpatient Prescription Drug Benefit
Obesity, Behavioral or Learning Disorders, ADD and ADHD, Land or Water Vehicle Racing, Mental and Emotional Disorders, Alcoholism and Drug Addiction/Abuse, Maternity Benefits
Incurred Expenses Not Regarded As Covered Expenses and Medical Necessity Defined Under Health Insurance Policy
Non-Waiver
Benefits and Claim Procedures: Emergency Room Services
Aviation, Cosmetic Surgery, Sterilization Fertility Treatment, and Sex Change
Benefits and Claim Procedures: Health Coinsurance
International Service, Voluntary Abortion, Services Provided by a Family Member; Excluded Conditions, Illegal Occupation or Activity
Health Insurance Co-Pays, Deductibles and Pre-Certifications
Accidental Injuries, Ambulance Transportation, Office Visits, and Outpatient Lab and Diagnostic Tests
Miscellaneous Benefits--Mammography Screening
Outpatient Surgery
Pre-certification of Treatment by Health Insurance Company
Coverage
FAQs
Do I automatically lose my health insurance when I lose my job?
What is private indemnity insurance?
If I think certain words in my policy mean something different from what my insurance company says they mean, how do we resolve it?
What are typical problems that arise in getting health care benefits provided or paid?
I currently am on worker's compensation. Can my employer make me pay for my own health insurance while I'm off?
What will happen to our health insurance for my dependent children and I after the divorce from their father?
How long will my medical insurance allow my new baby and myself to remain in the hospital following childbirth?
My father who has conjestive heart failure and type 2 diabetes recently underwent a quintuple heart bypass. His medical bills are staggering and he has no health insurance. Short of filing bankruptcy. What are his options in getting these amounts reduced?
Denial
FAQs
What if the insured lied about a heart attack?
What can, or must, I do when a health insurance company or plan refuses to pay a claim or provide a benefit or service?
What is the appeals and grievance process like?
Divorce
FAQs
Can medical insurance be included in alimony?
What will happen to our health insurance for my dependent children and I after the divorce from their father?
Employer Sponsored Plans And Benefits
FAQs
Do I automatically lose my health insurance when I lose my job?
What is private indemnity insurance?
Does an employer have to offer the same employee benefits to all of its employees?
I currently am on worker's compensation. Can my employer make me pay for my own health insurance while I'm off?
Government Regulation
FAQs
Are there legal limitations on insurance company business practices?
Who regulates them?
Are there any government agencies that regulate how health insurance companies or plans operate?
Government Sponsored Plans
FAQs
Are there government sponsored programs?
Health Insurance Policy Review In Laymans Terms
FAQs
Health Insurance Policy Analysis Introduction
Health Insurance Policy Time Limit on Certain Defenses Provision or the Incontestable Provision
Renewal and Reinstatement Provisions in a Health Insurance Policy
“Notice of Claim” and “Claim Forms” Provisions in a Health Medical Insurance Policy
“Proof of Loss” and “Time for Payment of Claims” Provisions in Health Medical Insurance Policy
“Physical Examinations and Autopsy” and “Legal Actions” Wording in Health Medical a Insurance Policy
“Change of Occupation”, “Misstatement of Age”, “Unpaid Premium”, “Illegal Occupation”, Provisions in Health Medical Insurance Policy
“Initial Premium Provision” in a Health Medical Insurance Policy
“Renewal Premium” in a Health Medical Insurance Policy Explained
Continuation of Coverage When Premium is Not Paid by Premium Due Date
Insurance with Other Insurers: Duplication of Insurance Coverage
HMOs
FAQs
What are health care maintenance organizations?
Premiums
FAQs
Are there any limitations on what an insurance company can charge for coverage?
If I cancel my health insurance coverage, do I get my unused premium back?
Private Indemnity Policies
FAQs
What is private indemnity insurance?
How do I obtain health insurance?
Public Health Benefits
FAQs
Public Health Benefits for the Injured or Disabled
Purpose
FAQs
What is health insurance?
How does an insurance policy "protect" me?
Rates
FAQs
Are there any limitations on what an insurance company can charge for insurance?
Self-employed
FAQs
How do I obtain health insurance?
Social Security Recipients
FAQs
How do I obtain health insurance?
Spousal Support Payments
FAQs
Can medical insurance be included in alimony?
Kaiser Of Northern California Kidney Transplant
FAQs
Kaiser Permanente’s Kidney Transplant Program Leaves Many Still Waiting
Kaiser Permanente’s Kidney Transplant Program: Kaiser Mismanagement Under Investigation
Kaiser Permanente’s Kidney Transplant Program: Kaiser Mismanagement and Patient Injuries
MEGA Life And Health Insurance Co.
Articles
HealthMarkets & Mega Life Insurance Companies Accused Of Illegally Recording Calls
Will Your Insurance Policy Cover Your Hospital Costs?
Buyers Beware of Health Insurance Policies from Health Markets of Texas & Mid-West Life Insurance Company of TN
Insurers Taking Advantage of Rising Healthcare Cost
Medicare May Be a Dream Compared To MEGA Health Insurance
HealthMarkets Fined $20M for Bad Faith Insurance Practices
MEGA Life Insurance Ratings Downgraded
States Receive Shares of $20M HealthMarkets / MEGA Life Settlement
Interviews
MEGA Life and Health Insurance Company: Bad Faith Denial of Claims
USC Liver Transplant Program Under Review
FAQs
More Problems for California’s Transplant Programs: Is USC Next in Line for Transplant Lawsuits?
USC Liver Transplant Program under Investigation: Third California Hospital Faces Review
USC’s Liver Transplant Patients Show Low Survival Rate
Related Topics
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Insurers Bad Faith
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Life Insurance Law
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»
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