Individual medical coverage offers reimbursement for medical care. Prescription assistance programs are included in some programs. A number of plans may well provide for payment of medical charges incurred on a reimbursement basis by paying benefits to the plan owner, payment on a service basis by paying those who supply the services directly, or payment of an indemnity by paying a set sum regardless of the amount charged for medical bills. Health expense or hospitalization insurance may be written on an individual or group basis. Many of these programs will provide prescription help.

Even though there are various types of benefits available, individual medical expense insurance can generally be categorized as basic health expense insurance, major medical insurance, comprehensive medical insurance, and special plans. These policies should cover prescriptions because prescription drugs help so many people. Most of these programs have for the most part been replaced by managed care options and are no longer offered as stand-alone policies. These types of policies have been adapted and replaced in answer to changes in the health care field relative to cost control and market competition.

Basic medical insurance provided by a personal health expense policy includes hospital expense, surgical expense and medical expense. These three basics can be written together or separately. Normally this is written as “first dollar” coverage, which means it does not possess a deductible.

Like the name indicates, hospital expense medical insurance offers benefits for expenses incurred during hospitalization. Hospital indemnities are regularly classified into 2 broad categories:

• Room and board, including nursing care and special diets

• Miscellaneous health charges, including x-rays, laboratory fees, prescription medicine, medical supplies, and operating and treatment rooms

In some cases, surgical benefits could be included for a variety of types of surgery and related expenses. Hospital expense healthcare insurance provides benefits for daily hospital room and board and various hospital bills while the insured individual is confined to the hospital. The plan can provide for a particular dollar amount for the daily hospital room and board benefit, although the movement is toward insurance of not more than the semiprivate room rate unless a private room is medically needed. The room and board benefit may possibly be paid on either an indemnity basis or a reimbursement basis, depending on the particular policy.

Indemnity plans are every so often called dollar amount policies. Room and board rates vary by geographic location, but it is not uncommon to discover room and board rates ranging from $300  to $600  per day or more.

More often than not, the maximum number of days is from 60  to 500 . More frequently, room and board expenses are paid on a reimbursement basis. also referred to as an expenses-incurred basis~This is commonly called a expenses incurred basis~This is commonly called a expenses incurred basis}. Under this plan, the policy will reimburse in one of two ways.

• The actual expenses for a semiprivate room are covered.

• A percentage of the actual cost is paid, with no particular dollar limit.

Under the first reimbursement option, the insurance carrier will pay the full actual semiprivate room rate, regardless of what it is. Under the second reimbursement option, the medical insurance carrier pays a specific percentage, regardless of what the actual charges are. A familiar percentage is 80%.

To sum up, under the actual charges kind of reimbursement program, the health insurance will pay the actual amount billed for a semiprivate room with no regard to a specific dollar limit. With the percentage type of reimbursement policy, the plan will pay a certain percentage of the actual bill.

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