Health insurance is a type of coverage that caters to any type of medical expenses incurred by the insured. The individual set to benefit from it is required to pay some amount of money on a monthly basis in exchange for a premium. During instances where an insured member has paid for their medical cover, the insurance is supposed to reimburse.
Why Health Insurance is Considered a Misnomer
The main aim of having such kind of cover is that one is guaranteed for their security in times of health crisis. It is no longer the case because you find that a company will offer that benefit to its employees but will be subject to scrutiny. It means that they are not able to enjoy the full package (Bhat & Babu, 2003). They will have to go back to their pockets again to settle some bills. So, you wonder if it was essential for them to offer it. Most of these insurance firms have their specific hospitals where one has to go to in case of any health issue (Jonas, Goldsteen, & Goldsteen, 2007). The problem comes when that medical facility does not offer the kind of service that the individual needed; he/she will have to cater to their bills without any reimbursement, yet they are servicing a monthly cover, quite unfortunate.
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Hospital management has also become greedy due to health insurance. When they realize that a patient has a cover, they take full advantage of it. There have been instances where an expectant mother was supposed to have a standard delivery, but when they realized she has a medical cover, the case changed to delivery through caesarian section (Ho et al., 2019). Some firms do not cater to the surgery bills fully, leaving the patient with an unexpected bill to take care of.
Health Insurance is essential because sickness never knocks on anyone’s door when it wants to attack. Besides, hospital bills can drag one down, considering how we are never prepared for it. This, however, should not be a reason why firms, companies, and hospitals take advantage of their clientele. Before a company agrees to offer any cover, they should sit down with its employees and the supposed firm and come to a mutual agreement on how they will benefit. Insurance firms, on the other hand, should educate their clients on what they are entitled to and what they will be offering. It will ensure one plan well and saves for what they are not entitled to.
References
Bhat, R., & Babu, S. K. (2003). Health insurance and third party administrators: Issues and challenges . Ahmedabad, India: Indian Institute of Management.
Ho, M. T., La, V. P., Nguyen, M. H., Vuong, T. T., Nghiem, K. C. P., Tran, T., & Vuong, Q. H. (2019). Health care, medical insurance, and economic destitution: A dataset of 1042 stories. Data , 4 (2), 57.
Jonas, S., Goldsteen, R. L., & Goldsteen, K. (2007). An introduction to the US health care system . Springer Publishing Company.
