6 Facts You should Know about South Carolina Health
Insurance
1. Are all Health
Insurance companies the same? Before purchasing your health insurance policy ask your agent to show
you a current copy of A.M. Best Company. A.M. Best Company reports on the financial condition of insurance
companies and is the oldest and most reliable rating agency available.
2. Do all health insurance companies
pay claims according to the same standard? Make sure you choose an insurance company that pays
benefits based on studies from independent third parties who determine the Usual and Customary
Charges.
3. Do all health insurance plans cover all medically necessary hospital care? Be
cautious of those plans that only cover certain hospital procedures. Some plans are limited, and cover only one
doctor during an operation…there needs to be a provision that covers an assistant during surgery. Look for the
phrase “and all other medically necessary hospital expenses”. If this phrase is absent from your policy, any
procedure that is not outlined and is performed you will be financially responsible for. Make sure you are covered
for all other medically necessary hospital expenses. Ask your agent to fully reveal all the ‘small print’
details
4. Do all insurance companies treat pre-existing conditions the same? It is
normal for plans to have a waiting period of at least 12-24 months before your pre-existing condition is covered.
During this waiting period, credit is sometimes given based on your previous policy and in some states this is
required.
5. Do all health insurance companies perform rate increases the same way? Some
companies perform rate increases that can single you out. Instances of this practice may include higher rates each
year on your birthday or because you have collected too much money from the plan. Although all insurance companies
are subject to periodic rate increases to offset claims loss and inflationary increases, a policy holder should not
be ‘singled out’ based on the above reasons.
6. Do all health insurance plans provide the
same dollar limits? Health insurance companies now provide $1,000,000 to $2,000,000 for each injury
and sickness and a $3 million to $10 million lifetime maximum for the entire family. It is very important to make
sure you are sufficiently covered. Call me: (800) 418-7442
| 
