19 April 2010 3 Comments

Major Medical Health Insurance Rates

Major medical health insurance rates are affordable and available from most big health insurance companies. Rates are typically less than standard comprehensive or group health plans. The most affordable rates are generally provided by Aetna, UnitedHealthOne, Cigna, Blue Cross and Humana. Policies include catastrophic coverages and are popular options with individuals, families, the self employed and those without health care coverage. At majormedicalhealth.com, the rates you view are  the lowest allowed by each company. And there are never any fees associated with this service. Quotes are “real time” and based on the information you provide.

Deductibles on  policies are usually between $2,500 and $10,000 and lifetime maximum limits used to be between $3 million and $7 million per person. However, national health care reform changes eliminated  lifetime maximum limits. It is possible that challenges to national health care reform may impact some coverages by 2014. If this happens, we will post the changes in writing. A Supreme Court ruling challenging Obamacare will take place in 2012.

What Is Major Medical Health Insurance?

Major medical health insurance is a catastrophic health care policy that covers large claims as opposed to smaller office visit charges. Typically, this type of policy covers hospital and facility charges such as semi-private room and board, intensive care, inpatient and outpatient care, and emergency room bills. Additional covered services include anesthesiology, surgery, post-operative care and other surgeries performed in a hospital as an inpatient or outpatient. Prescription coverage is sometimes covered and some companies offer these benefits for an extra premium.

Skilled nursing care, home health care and hospice care are often covered benefits subject to policy limitations. Chemotherapy, radiation, organ transplant drugs, Cat Scans, and MRIs are generally covered as well. Some of the most common health care expenses that are not covered include primary physician and specialist visits, weight loss and cosmetic surgery, and some outpatient expenses and child immunizations. HMOs are available in many areas, and often they will contain additional benefits such upgraded substance abuse coverage.

Maternity benefits are offered by selected carriers, subject to waiting periods of 9-12 months. Complications of delivery may sometimes be covered without adding an additional rider. In recent years, maternity coverage has become harder to secure. However, selected hospitals offer maternity packages. Although this benefit is not considered insurance, price and coverage are competitive.

Preventive benefits are generally included on high-deductible plans and are covered at 100% and not subject to a deductible. Some of these benefits include mammograms, pap tests, OBGYN visits, annual routine physicals and child preventive services. Also, no coinsurance or waiting period would be applicable. Keep in mind that non-preventive services may be subject to higher out of pocket expenses.

Should I Buy Major Medical Heath Insurance?

The typical person that purchases major medical health insurance coverage is usually dependent-free and between the ages of 21 and 35 or 50 and 64 (with exceptions, of course). Many purchasers are self-employed and do not qualify for group health coverage. They tend to be healthy, with no serious health concerns and willing to pay a lower premium in exchange for a higher deductible. With most major medical health insurance plans, after the deductible is met, a coinsurance of 0%-30% is usually required up to a specified limit. But once that limit has been met, there is no cap on the covered expenses that the insurer ultimately pays.

Depending on the state, most  plans are underwritten and subject to review. Although a physical is rarely required, medical questions must be answered and occasionally the insurer will order records to provide details about a specific condition. Most existing conditions will not cause a denial in coverage, However, certain conditions, such as AIDS, heart disease, BMI above 45 and multiple sclerosis will likely result in a declination of coverage. However, in 2014,  health insurance carriers will not be allowed to deny coverage. More Americans will be able to obtain coverage but rates are likely to substantially increase. Depending on your income, tax credits may help reduce the cost.

The “Get Free Quotes” section at the top of this page, allows you to simply provide your zip code and quickly compare your options. Your rate options may actually be a pleasant surprise!

3 Responses to “Major Medical Health Insurance Rates”

  1. Robert H. 2 July 2010 at 2:31 pm #

    I am a 61 yr old, who lost his job a couple of weeks ago. I’ve been looking for health ins to replace what I had at work. I’m interested in a Major Med. plan. Could someone please contact me.

    Thank You,

    Robert Hempker

  2. Easy Al 29 November 2010 at 7:03 am #

    Major medical health insurance is the same as catastrophic I assume. That’s what I want. Just basic coverage with a high deductible.


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  1. Edith Peeler - 07. Nov, 2010

    Major medical covers the big things, Is that right? If so, that’s what I want. No health problems and I can afford the deductible. I’m checking out the rates now.