Learn More About Health Insurance For Our Future Family For Joining The Happiness

The Important of Health Insurance

We often read about the word "insurance" in the media, but we don't understand what the word "insurance" means.  This condition is caused by a lack of public understanding of insurance policies and the insurance policy process. Another reason also lies in the different types of insurance offered by insurance companies. Because of this, many people, especially those new to insurance, are confused about the benefits of each policy offer. 

According to Law Number 2 of 1992, insurance is an agreement made and agreed upon by two or more parties, in which the insured promises to receive the insurance premium. There are various purposes of insurance such as to indemnify the insured, to fulfill the responsibility of the insurer to third parties caused by unforeseen events and to get reimbursed in the event of death or life.

Therefore, in practice, there are two parties to an insurance contract. The first party is the insurer who is obliged to pay the premium. The counterparty to the transaction is an insurance company that is obligated to provide services and health care to the insured. 

The definition of health insurance, again in Law no. 3 of 1992, is the transfer of medical expenses from the insured to the insured, so that the responsibility transferred by the insured must cover the costs or benefits of treatment when the insured is sick. The large number of employees causes an increase in risks that threaten occupational safety and health. Therefore, guarantees or protection for employees must be increased.

According to the IRS website, insurance is an agreement between an insurance service provider (such as an insurance company) and the public (such as a policyholder). The conditions between the insurance producer and the policy service provider have been regulated. If the insured is entitled to compensation from the insurer for damage, injury or death.

However, rights arise when the insured fulfills insurance payment obligations to the insurance company, while rights arise when the insured fulfills insurance payment obligations to the insurance company.

Basically, insurance offers good benefits to minimize the risk of unexpected uncertainties.

Here are some guides that people can choose from:

1. Life insurance
2. Health Insurance
3. Investment insurance
4. Car insurance
5. Accident insurance
6. Business insurance
7. Old age insurance

You can get at least five insurance benefits, namely:

1. Protect income from sudden risks
2. Protect the money saved to implement future plans
3. Protect the future of the family when death comes
4. Protects physical and mental health in the event of an accident
5. Provide investment protection for the future

How does health insurance work?

Health insurance protects your finances from health risks that may arise during the insurance period. In other words, if you get sick, you're transferring the financial risk to the insurance company instead of covering it yourself. How it works in brief:

You take out health insurance with a monthly premium of IDR 100,000. So if you are sick and spend money on medical expenses, health insurance will cover these costs. The exchange can be direct (cash) or with a compensation system. The amount of payment reimbursed depends on the insurance you choose.

In the world of health insurance, there are several factors that must be considered by prospective policyholders. This is to ensure that the insurer can cover the costs incurred in the event of an unwanted condition such as illness, accident, disaster or even death at a later date. At least it can minimize the costs required in this disaster condition.

Why We Must Choose A Health Insurance?

Health insurance terms you need to know

For ordinary people, many terms in insurance are often confusing. Even though this is important, you know, so that you know very well the benefits of the insurance you choose.

So, here are some terms in health insurance that you need to understand for optimal insurance protection:

• Annuity: payments from insurance companies periodically for a specified time.

Bancassurance: insurance products offered and sold through banks. Offered to those who are customers of the bank.

• Cutoff limit: costs that must be incurred by the policyholder to cover the shortfall in costs paid by the insurer to the hospital.
• Acquisition costs: additional costs from the customer to the insurer incurred at the time of issuance of the policy
• Cash value (cash value): the total money issued by the insurance company to policyholders.
• Contestable period: the time given to the insurer to cancel the policy.
• Premium leave: an insurance feature that customers can use if they want to stop paying premiums for a while.
• Grace period: grace period given to policyholders after the due date of premium payment.
• Claims: claims made by insurance policy holders to obtain rights according to the list of benefits offered by insurance companies.
• Clause: the articles contained in the policy agreement that the policyholder and insurance company must comply with
• Lapse: premiums that are not paid beyond the grace period which can cause the policy to be canceled or the effective period of the policy to stop.
• Policy: an insurance agreement document between the insurer (insurance party) and the insured (customer) which includes general provisions and or additional provisions regarding the insurance product.

The following are seven things that prospective health insurance users must know in order to get outpatient services according to their wishes and not be deceived by the insurance agreement that has been signed.

1. ANOTHER PERIOD

Insurance companies prefer to register new customers if the customer is healthy and young. In case of illness, insurance companies usually demand higher premiums or even refuse to register for fear of harming the company.

2. SET BENEFIT

Some insurance companies offer superior and competitive benefits, many insurance policies with different benefits can confuse potential new customers. Therefore, before deciding on insurance, it is advisable to first compare the several available insurances and see which services we need the most. For example, outpatient insurance payments or not, dependents on family members or not, whether it is pure insurance or whether it is an investment business, such as mutual funds. Check with what you need

3. MODERATE HEALTHY PARTNERS

Not all policies can be used in hospitals or other health facilities. Some insurance may only be required at certain hospitals. Therefore, choose insurance that has many health partners and is quite easy for us to conclude.

4. OBSERVE THE CONDITION HOSPITALITY

We not only have to pay attention to whether the insurance is outpatient insurance, but also what are the requirements for hospital treatment in the event of a subsequent illness. This point is important enough for us to check which processing is covered by insurance and which is covered by our own insurance. Insurance does not cover all health services. So be sure to ask your insurance agent for a more detailed explanation.

5. DOUBLE RAIL SUPPORT

Currently, the government also offers insurance services such as BPJS, Jamkesda, and others. If you want to personally insure your health risks, make sure the insurance you choose can cover multiple indemnities. Don't let us have to pay premiums every month but when we file a claim we are always rejected just because the state/other party's insurance has covered the costs. 6. MONEY / REFUND

Several insurance companies offer cash insurance to their customers, thanks to cash insurance, users do not need to pay for hospital treatment in advance. In the compensation system, the client is reimbursed for costs incurred after treatment at the hospital, but compensation requires a separate request from the client by showing a receipt for hospital payments.

6. TERMINATION OF INSURANCE CONTRACT

Insurance is a long-term solution, but sometimes the customer wants to cancel the contract with the insurance company in the middle of the contract period because, for example, they do not get the maximum service or want to use another party's insurance. Before you sign an insurance contract, find out in advance whether the company will make it easy to cancel or will make it difficult and to the detriment of the customer to cancel.

7. TERMINATION OF INSURANCE CONTRACT

Insurance is a long-term solution, but sometimes the customer wants to cancel the contract with the insurance company in the middle of the contract period because, for example, they do not get the maximum service or want to use another party's insurance. Before you sign an insurance contract, find out in advance whether the company will make it easy to cancel or will make it difficult and to the detriment of the customer to cancel.

Health insurance offers the following benefits:

1. Minimize financial losses
2. Provide more protection for you and your family
3. Improved financial management
4. Don't be afraid of hospital fees
5. Better preparation for future risks

For health insurance, we also have home care insurance options. In general, there are two types of outpatient insurance in Indonesia, namely outpatient insurance only and additional outpatient insurance (Rider).

Pure outpatient insurance is outpatient insurance that can be taken without life insurance, life insurance plus capital investment (unit bond) or health insurance.

1. Driver outpatient insurance is outpatient insurance as an additional service. To use this product, policyholders must take basic health insurance whose main benefit is hospitalization
2. Apart from the outpatient insurance mentioned above, there is also outpatient insurance which depends on the number of insureds. The following is:
3. Individual home care insurance is home care insurance given to the insured. This type of insurance can be taken as outpatient insurance or as additional insurance (passenger).
4. Family outpatient insurance is outpatient insurance for families. In general, the maximum number of family members covered by this insurance product is 5 people. In addition, the benefits of this outpatient family insurance are quite comprehensive and cover health care without hospitalization.
5. Group insurance, namely outpatient insurance for employees. These insurance benefits usually cover dental care, maternity insurance, glasses and non-hospital health care

Regarding the compensation payment itself, outpatient insurance is also divided into two types, namely cash insurance and compensation insurance. Here's an explanation of both:

1. Cashless patient care insurance, e.g. dependents without staying overnight without collateral from the hospital without cash. The insured only needs to show the insurance card at the Puskesmas
2. Home care compensation insurance, namely home care insurance that guarantees reimbursement of health care costs after the insured pays hospital bills in advance.

FYI, the best non-cash outpatient insurance can usually be obtained from health facilities that partner with insurance companies. Also in some countries, it depends on the cooperation of the company that issued the insurance product.

Compensation insurance is usually taken for compensation claims that are not made at a cooperating hospital or health facility abroad.

Health Insurance For Our Family

DIFFERENCES IN CARS AND HEALTH INSURANCE

Once you understand the importance of outpatient insurance and its types, it's time to know the difference between outpatient insurance and institutional insurance.

Simply put, the difference between road and hospital insurance lies in the scope or benefits of each of these insurance products. The benefits of ambulance insurance, for example, only cover doctor's examination fees, laboratory costs, and medical expenses. At the same time, institutional insurance benefits cover all costs of hospitalization. One of them is the price of the room while staying at the hospital.

The following are the differences between ambulance insurance and hospital insurance:

1. Place of treatment

Hospital insurance only covers treatment costs for a certain period of time in the hospital. Meanwhile, outpatient care is a health center that does not only focus on hospitals, but also on other health services, such as clinics, laboratories and optics.

2. Type of disease

Hospital insurance covers some of the more serious medical conditions that require the patient to be hospitalized. While the types of diseases covered by outpatient insurance are minor ailments, such as tooth extraction or dental treatment and eye examination by a specialist.

3. Benefits and liabilities from the policy

With this type of institutional insurance, the insured can choose a treatment room class after entering the hospital. Flexibility in choosing the benefits or coverage of home care depending on the type of disease risk borne by the company. 4. Payment

The benefits of hospital insurance are greater because it covers outpatient before and after hospitalization. Therefore the cost of insurance is more expensive than open insurance. Premiums for outpatient insurance are based on the specified maximum limit and the service selected. Therefore, outpatient health insurance premiums are usually cheaper than hospital insurance. Outpatient insurance premiums

The amount of cheap premiums for ambulance insurance certainly varies depending on the insurance company. However, looking at the recommendations for the best outpatient insurance products that have been discussed by the Lifepal team in the previous tab, it can be concluded that outpatient insurance policies range from IDR 25,000 to IDR 300,000 per month.

But there are also those who can reach up to millions of rupiah per month with more lucrative insurance benefits. Several factors affect the calculation of the best high patient outpatient price. The determining factors for calculating the outpatient price are:

1. Age
2. Sex
3. Work
4. Medical history
5. Types and benefits of the policy

Unfortunately, the downside of health insurance is that if the customer has already paid, he was already insured a year ago. And if his condition is healthy, there are no claims, the premiums paid are gone.