HEALTH

INSURANCE
 MEANING-
 A health insurance policy is a contract between an
insurance company and an individual or his sponsor.

  It is a means by which people covers the risk of

incurring medical expenses.

 It may be purchased on a group basis (e.g., by a firm

to cover its employees) or purchased by an individual.
 In each case, the covered groups or individuals
pay a fee, premium, or tax---to help protect
themselves from unexpected healthcare
expenses.

 Health insurance can also be name as health

plans.
TYPES OF HEALTH INSURANCE

 Private Health Plans are the most common. These are

health plans offered by employers to their employees.
They can also be purchased by an individual.

 Medicaid is government funded health care, typically

provided for low-income individuals and families.
 SOME OF THE HEALTH INSURANCE
PLANS ARE-
 Individual Health Guard- Health Guard policy takes
care of your hospitalization expenses & also offers a
wide coverage of pre & post hospitalization expenses. 

 Health Ensure-A simple and affordable health

insurance plan that takes care of medical treatment
costs incurred during hospitalization due to serious
accident or illness.

 Extra Care-A unique health insurance plan that allows

you to extend your existing health insurance cover.
 Critical Illness- Insure yourself against the risk of serious
illness. This policy gives you the security of knowing that a
guaranteed cash sum will be paid if the unexpected happens
and you are diagnosed with a critical illness.

 Personal Guard- The accidental death or injury of a person,

can create serious financial problems for the family. Our
Personal Guard ensures total security and peace of mind.
 Sankat Mochan- Assures complete protection from Accidental
Injuries. Sankat Mochan policy covers Death, Permanent
disability, Temporary disability, Accidental Hospital cash and
Accidental hospitalization expenses.
CATASTROPHE
INSURANCE
 MEANING-
 Insurance to protect businesses and residences
against natural disasters such as earthquakes,
floods and riots, and against man-made disasters
such as terrorist attacks.
 Catastrophic coverage is a specific type of insurance
policy that is designed specifically with the intent to
cover a catastrophe.
 There are many types of catastrophic insurance
coverage and this coverage is used as a supplement to
the regular insurance coverage in instances; such as:
 Fire.
 Earthquake.
 Flood.
 Riots.
 Major accident.
 TYPES OF CATASTROPHE
INSURANCE
 A comprehensive plan offers coverage
comparable to more traditional health care
plans. 

 A supplemental plan is just that -- it acts as a

supplement to other insurance plans you might
have. Medical appliances, nursing care and
psychiatric care might be included in a
supplemental plan.
HOW HEALTH INSURANCE
WORKS
A health insurance policy is a contract between an insurance company
and an individual or his sponsor (e.g. an employer). The contract can
be renewable annually or monthly. The type and amount of health
care costs that will be covered by the health insurance company are
specified in advance, in the member contract or "Evidence of
Coverage" booklet. The individual insured person's obligations may
take several forms.
 * Premium: The amount the policy-holder
or his sponsor (e.g. an employer) pays to
the health plan each month to purchase
health coverage.
* Deductible: The amount that the
insured must pay out-of-pocket before the
health insurer pays its share. For
example, a policy-holder might have to
pay a $500 deductible per year, before
any of their health care is covered by the
health insurer. It may take several
doctor's visits or prescription refills before
the insured person reaches the deductible
and the insurance company starts to pay
for care.
* Co-payment: The amount that the
insured person must pay out of pocket
before the health insurer pays for a
particular visit or service. For example, an
insured person might pay a $45 co-
payment for a doctor's visit, or to obtain a
prescription. A co-payment must be paid
each time a particular service is obtained.
UTAH TO REMIND HEALTH INSURERS
OF OBLIGATION TO COVER KIDS

 Utah’s top insurance regulator could order health insurers to

resume selling policies to kids, arguing it’s illegal to reject
children while continuing to sell to adults.

 It’s a strategy adopted in states where, like Utah, the law

bars insurers from rejecting someone solely on the basis of
age.

 But Utah Insurance Commissioner Neal Gooch has devised a

different policy fix: funneling sick kids to the state’s high-risk
pool and requiring insurers to offer coverage to the rest.
 CONCLUSION
As the case says that the health insurance is very
necessary for the current trends because the people
is now much aware about the health insurance and
also the people want to protect there self .
WHY HEALTH INSURANCE
IMPORTANT
 Rising medical costs
 Expensive/quality health care services
 uncertain hospital bills
 Tax benefit
 Productivity of workforce
 Removes some of the burden
QUESTIONER ANALYSIS
To find the effective result I conduct online
survey from 20 different people.
 After the survey I find more people now
aware to the health insurance.
 The more people who take the health
insurance is between 26 to 50 age group.
 Most of them is graduate.
 And most of people take the health insurance
for secure his/her future.
CATASTROPHE INSURANCE
 In the current trends the catastrophe
insurance is also very necessary because day
to day the environment and the people to
people make lots of disturbance in our life
than we have to secure our self.
 Some of the example of catastrophe
insurance is are given below-
 Tsunami this is the natural disaster.
 Attack on Taj and oberoi hotel is the
example of man made disaster.