Health insurance is a contract between you and an insurance company. When you buy a plan, the company agrees to pay part of your medical costs when you get sick or hurt.
Most health plans must cover a set of preventive services, like shots and screenings tests, at no cost to you. This is true even if you haven’t met your yearly deductible. Preventive services prevent or detect illness at an early stage when treatment is likely to work best. These services are free only when you get them from a doctor or other provider in your plan’s network.
Here are some common services for all adults:
HELPS YOU PAY FOR CARE
Did you know the average cost of a three-day hospital stay is $30,000? Or that fixing a broken leg can cost up to $7,500? Having health insurance can help protect you from high, unexpected costs like these.
Your insurance policy or summary of benefits and coverage will show you what types of care, treatments, and services your plan covers, including how much the insurance company will pay for different treatments in different situations.
WHAT YOU PAY
You’ll usually pay a premium every month for health coverage, and you may also have to meet a deductible each year. A deductible is the amount you owe for covered health care services before your health insurance or plan begins to pay. The deductible may not apply to all services.
How much you pay for your premium and deductible is based on the type of coverage you have. The policy with the cheapest premium may not cover many services and treatments.
Just as important as the premium cost and deductible is how much you have to pay when you get services.