Medical insurance is insurance against health risks that an individual may be exposed to and supports him in facing them by covering the examination, diagnosis and treatment of diseases that occur to the insured individual and is an effective system that helps reduce the burdens of health care costs for one individual by distributing and sharing risks With a large number of people so that the persons involved in insurance share in covering the costs of treating any of them exposed to the disease.
And the principle of insurance is based on the individual obtaining insurance coverage in return for an annual subscription paid to the insurance company, which in turn collects contributions from large sectors of individuals and provides coverage for the treatment of sick cases to which any of the insured is exposed and who if the individual bears the cost by himself and without Possible insurance that leads to him being forced to spend from his savings, which are likely to be discarded or significantly reduced in the event of exposure to diseases whose treatment is costly to God forbid.
The biggest advantage of insurance is the peace of mind that the insured acquires upon obtaining coverage from a company with a good reputation, and that one will be assured of himself and his family in the event of the need for various therapeutic services because if God forbid a need occurs, the person will be able to obtain appropriate medical care and It saves for himself the costs of treatment without worrying about his inability to bear the expenses of treatment, which may be more than his capabilities or lead to the consumption of a large part of his savings.
Health insurance coverage varies according to the insurance program , and insurance companies usually offer various levels of coverage and benefits that suit different needs and budgets, and there is a ceiling for annual consumption specified for each policy and it can range between 10,000 pounds per year for an individual to one million pounds or more, and of course The higher the maximum coverage in the policy increases, so the insurance price will be more expensive, and it is customary for the covers to include:
- Examinations, x-rays, analyses, and medicines
- Treatment and stay in hospitals
- Various surgeries
- Covering pregnancy and childbirth, but under specific waiting period conditions
- Dental coverage and optics can also be added at an additional cost
But insurance coverage in general does not include cosmetic or slimming operations, and to understand the conditions of coverage, the following points must be clarified:
It is the percentage that the customer bears from the cost of the medical service, for example if you buy a medicine and the deductible is 20%. This means that you pay 20% of the drug’s value and the insurance company pays the rest, which is 80%. In most cases, the company bears 100% of the internal treatment and one-day surgeries in contracted hospitals within the network, but in other services the percentage varies .
Previous diseases for contracting:
They are the diseases that the insured complains about before subscribing to the insurance, and they are excluded from the insurance coverage completely or in some cases (in corporate employee insurance only), they are covered by a specific maximum of the total maximum limit of the policy
Corporate insurance covers previous contracting illnesses, with a certain annual limit for each employee
The difference between insurance companies and health care companies:
One of the terms that we need to know is good, what is the difference between the medical insurance program and the health care program, which makes us ask about the company providing the program as only insurance companies are allowed to provide health insurance programs
They are companies registered in the Financial Supervision Authority (the authority responsible for controlling insurance). This registration requires a capital of large sums. Details of the various programs and subscriptions are reviewed by the Financial Supervision Authority constantly. The authority guarantees to insurance subscribers that their rights fully reach them and can submit a complaint to it in the event of failure The insurance company fulfills its promises to the insured.
They are companies whose primary role is to contract with hospitals, centers and pharmacies to form a medical network and present it to customers of insurance companies while managing the clients’ medical file according to the terms of the documents. Sometimes these companies provide medical care services to clients directly without an insurance company, and this is considered a management of the medical file only and not insurance.In addition, there are also health insurance leads live transfer companies working to produce leads for insurance companies.
Calculating the value of the annual health insurance contribution:
There are three main factors on the basis of which annual subscription price is decided.
- The age of the insured person, so that all his age is older, he enters a higher price bracket due to the correlation of the general health level of individuals in society with age and the fact that the older the age is more likely to use health insurance
- The level of coverage and the maximum annual coverage, so that the higher the level of coverage and the annual maximum limit, the greater the annual subscription price.
- Additional benefits that are optional, such as dental coverage and optics, for example, affect the increase in the price of the policy if one is added.
How to subscribe and conditions:
Individual medical insurance can be subscribed to as a policy holder starting from 16 to 64 years old. Some companies provide coverage up to the age of 75, provided that participation is before the age of 65, with the policy value and exclusions reviewed annually from 65 to 75 years. With regard to families, children can be insured, but on the basis of their father or mother, from birth to 21 years, but it is not safe for a single child who is less than 16 years old without the participation of at least one of his parents.
Obtaining insurance does not require a medical examination before subscribing, but it is sufficient for the subscriber to answer a set of questions in a questionnaire regarding the medical condition and his health history and clarify any chronic diseases he suffers from. Of course, the subscriber must answer with transparency and honesty to avoid discovering any false information During the coverage period.
Upon settling on the appropriate insurance offer for you from AIG, one of our representatives will contact you to confirm and review the details of the program and begin the procedures for extracting the insurance.
Steps to obtain insurance:
- Fill out the insurance application and the health condition questionnaire
- Pay the annual subscription fee
- Extracting and sending subscription cards, user manual and the network to you.
- The advantages of subscribing through AIG include obtaining additional customer service to assist in using the insurance throughout the subscription period.