Health insurance is an instrument through which an insurance company undertakes to reimburse the health expenses of the insured or their beneficiaries in exchange for a premium payment. The costs it covers appear in each policy. They can be medical, clinical, pharmaceutical, or hospitalization.
Health insurance is a complement to the Fonasa or Isapre plan. It is perfect for those seeking the maximum possible support in the event of an accident or illness. Knowing how it works, what it covers, and the limitations is the best way to choose the right one at the time of hiring.
Why have health insurance?
The main objective of contracting health insurance is to cover all the medical expenses that the Fonasa or Isapre system cannot hide in the event of accidents or serious illnesses.
What types of health insurance are there?
From major expenses (GM)
Better known as catastrophic. It refers to an economic catastrophe since it is not required that the illness be serious about activating it, but a significant expense is incurred. Examples of diseases in which catastrophic insurance would be needed are Cancer and major surgeries.
petty expense (GM)
They are also known as supplemental health insurance. It provides coverage when there is a difference in health spending between what the pension institution (Isapre or Fonasa) contributes and the insured’s copayment. This insurance covers the difference in a certain percentage or its entirety.
What is Isapre and Fonasa Catastrophic Insurance?
Both Fonasa and the Isapres offer catastrophic insurance. In the case of Fonasa, the Catastrophic Insurance covers specific illnesses, and in the case of the Isapres, the insurance covers situations of high cost, regardless of the disease. In the Isapres, this insurance is called CAEC.
Fonda’s Catastrophic Insurance covers the following: Hemodialysis and Peritoneodialysis; Cardiosurgical Benefits; Neurosurgical Benefits; Scoliosis; kidney transplant; Liver transplant; Comprehensive Care for the Cracked Patient; Emergency Care for the Burned Patient; Emergency Care for Patients with Complex Trauma; Benefits of the Chemotherapy Group; Benefits of the Radiotherapy Group and Pharmacological Treatment of HIV. The bonus is 100% coverage as long as they are attended by the Institutional Care Modality of the Public Network and enter through Primary Care. It does NOT operate if you follow the private network or Fonasa’s free choice.
What is the health insurance deductible?
The deductible in health insurance is the value that must be paid before operating. In this way, health insurance takes care of the expenses that exceed the value of the deductible. It is only required to pay it when necessary to activate the insurance.
The deductible is annual; it is paid only once a year. For example: if coverage is needed in March, the deductible is spent in that month, and then the insurance covers the rest of the months without extra payment. The following year it is necessary to pay the deductible again to activate the insurance. It is important to remember that the year does not always run from January to December.
The deductible is closely related to the value of the monthly fee and the insurance coverage limit. Therefore, when reviewing the deductible amount of each company, it is necessary to analyze a parallel with the coverage or reimbursement cap.