Health insurance 101（2）

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medical insurance

Medical insurance refers to insurance which uses agreed medical costs as a condition for payment of insurance money, i.e. insurance which provides protection for medical costs, and c is one of the main contents of health insurance. Medical expenses are various expenses incurred by patients to treat illnesses, which include not only medical expenses and doctors' surgery costs, but also hospital, nursing and hospital equipment costs.

Medical insurance is the abbreviation for medical expense insurance.

1. The main types of medical insurance

(1) General medical insurance

(2) Hospitalization insurance

(3) Surgical insurance

(4) Full medical insurance

2. General conditions of medical insurance

(1) Franchise clause

There are three general calculations for deductibles: one is the single deductible, for the amount of each compensation; the second is the annual deductible, which is calculated based on the total annual deductible, and only after a certain amount is exceeded; the third is the group deductible The amount is for group insurance.

(2) Proportionate payment terms

Or called the co-insurance ratio clause. In most health insurance contracts there is a provision for the proportional payment of the insurer's medical insurance premiums, i.e. for medical costs which exceed the deductible, the proportional method of payment of the insurer and the insured is shared.

Proportional payments can be paid at a fixed rate or gradually.

(3) Payment limit clause

As a general rule, the maximum payment of the insurer's medical insurance premium is limited to checking the total level of expenditure.

Health insurance

Health insurance refers to insurance that uses illness as a condition for paying insurance premiums. Usually, the insurance amount for such a policy is relatively large and the method of payment is usually to pay the insurance amount all at once immediately after the diagnosis of a particular illness.

1. Basic features of health insurance

(1) Individuals can choose to provide health insurance as an independent type of insurance, it is not necessary to combine it with another type of insurance.

(2) Health insurance clauses generally provide for a waiting or observation period, and the insurance policy does not take effect until after the end of the observation period.

(3) Provide insured persons with effective protection against illness, and to a higher degree.

(4) The insurance period is longer.

(5) Insurance premiums can be paid in several installments or paid in one installment.

2. Critical illness insurance

Illnesses covered by critical illness insurance generally include myocardial infarction, bypass surgery, cancer, stroke, uremia, severe burns, fulminant hepatitis, paralysis and transplanted vital organs, aortic surgery, etc.

(1) Divided by insurance period

① Periodic critical illness insurance

② Critical illness insurance for life

(2) Divided by payment model

Depending on the payment form, there are five types of critical illness insurance: the type of advance payment, the type of additional payment, the type of independent principal insurance, the type of proportional payment and the selection of the type of surrender. .

Income insurance

Income security insurance refers to insurance that requires interruption or reduction of income due to accidental injury or illness as a condition of payment of insurance premiums, especially when the insured person becomes disabled due to illness or accidental injury, loses ability to work, loses income or reduces income, A type of health insurance in which the insurer pays the insurance premiums in installments in a certain deadline.

1. The meaning of income protection insurance

Insurance that provides compensation for loss of income that occurs when the insured cannot continue working after being disabled, ill or accidentally injured is income security insurance.

Income security insurance can generally be divided into two types, one to compensate for loss of income due to disability due to injury, and the other to compensate for loss of income due to disability due to a sickness.

(1) Method of payment

Income protection insurance payment is usually cleared monthly or weekly, and monthly or weekly income compensation can be provided with an amount