What is Comprehensive Medical Insurance

Comprehensive medical insurance is a type of comprehensive medical expense coverage provided by the insurer to the insured. Its cost coverage includes everything from medical expenses, hospitalization expenses and surgical expenses. This type of policy has higher premium rates. This type of policy usually requires the establishment of a low deductible and an appropriate sharing percentage (e.g., 85%, etc.).

Characteristics of Comprehensive Medical Insurance

Compared to general medical insurance, comprehensive medical insurance is characterized by:

(1) Wide coverage. Comprehensive medical insurance provides extensive coverage for all kinds of inpatient and outpatient expenses, and its insurance responsibilities generally include: inpatient bed fees, inspection and test fees, surgical fees, and diagnostic and treatment fees. In addition, the insurance liability of comprehensive medical insurance also includes compensation for outpatient medical expenses, costs of certain rehabilitation treatments, such as prosthetic limbs, artificial joints and wheelchairs, and ambulance fees. For the above medical expense items, the benefit limit of comprehensive medical insurance is relatively high, or even only one total insurance amount benefit limit, which is different from the basic medical insurance. The exclusions of comprehensive medical care are also much less than those of basic medical insurance.

(2) High premiums. Because of the broad coverage, the premiums for comprehensive medical insurance are higher than those for general medical insurance.

(3) Risk **** sharing. The comprehensive medical insurance contract will determine a relatively low deductible, and stipulate the proportion of costs shared by the insurance company and the insured, and implement the practice of cost risk borne by the insurance company and the insured ****, in order to realize the control of costs and prevent the occurrence of moral hazard.

(4) Complementary role. Comprehensive medical insurance from the form of the main comprehensive high-cost medical insurance for serious illnesses, and general medical insurance connected with the supplementary high-cost medical insurance for serious illnesses two; from the content, some comprehensive medical insurance insurance liability also includes the cost of preventive health services. It can be seen that the main role of comprehensive medical insurance is to provide more adequate medical protection for those individuals or groups who do not have social security, therefore, this type of product generally does not exist in the cost of medical services of a single limit, there is only a total limit of benefits.