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Critical Illness Health Insurance: Should I Have It?

by | Sep 23, 2024 | Health Insurance

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A Critical Illness Could Be Financially Devastating

Most of us know someone who has been affected by a critical illness and understands the financial toll that it can take on a household. However, few of us have considered how we would keep our own ships afloat if we were to face a serious illness. Fortunately, critical illness insurance is available to help you financially through difficult times.

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Nevada Insurance Enrollment logo - Nevada State outline divided into four colors of dark blue, light blue, orange and yellow

What Is Critical Illness Insurance?

Critical illness insurance, which may also be called critical care insurance or critical illness coverage, pays out a lump-sum, tax-free cash benefit, that can help you take care of any expenses that are associated with a qualifying illness. In addition to helping you pay for health insurance deductibles and copays, this coverage can help you keep your mortgage payments current, pay for groceries, cover utilities, and pay for car payments, etc. Which illnesses qualify for coverage depend widely on the policy, qualifying illnesses generally includes:​

  • Coma
  • Stroke
  • Cancer
  • Paralysis
  • Heart attack
  • Angioplasty
  • Loss of sight
  • Kidney failure
  • Loss of hearing
  • Loss of speech
  • Coronary bypass surgery
  • Major organ or heart transplant
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Who Needs Critical Illness Insurance?

Different people may choose to purchase critical illness insurance for a variety of reasons. If you’re single or you are the primary breadwinner in a single-income household, you may choose to purchase this type of coverage to ensure that you don’t lose your home or are unable to keep up with bills and household expenses in the event of a major illness. Even if you have a two-income household, you may discover that there are unexpected costs associated with recovering from a major illness, such as necessary alterations to your home or vehicle. Critical illness coverage provides peace of mind that the stress of your major illness won’t be coupled with the stress of financial hardships.

Critical illness policies are not available through the “Marketplace” (Nevada Health Link). They must be purchase outside of Nevada Health link. Your broker can assist you with a Critical Illness policy. You may also be able to get critical illness insurance through your employer. This coverage is not subsidized by your employer, meaning that you’ll pay the full amount, and it is usually offered on a voluntary basis. You may also have the option of adding critical illness coverage as a rider to your existing health insurance policy. Generally speaking, critical illness policies are “stand alone” policies, meaning, they are purchased separately. So, they aren’t attached to any other policy. They are independent of any other coverages you may have. There is great value in these relatively inexpensive plans.​

Wondering How Much A Critical Illness Insurance Plan Costs?

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As with all insurance, the cost of critical illness insurance is largely based on your unique personal factors and how much of a financial risk you are to the insurer. Your health insurance agent can guide you in the process of choosing a plan that is right for you.

What is a Major Medical Health Insurance Plan?

What is a Major Medical Health Insurance Plan?

A major medical health insurance plan is a comprehensive medical plan that can help you pay for doctor’s visits, hospitalization, and prescription drugs if you should become sick or injured.

Stating Your Income For Health Insurance Subsidy

Stating Your Income For Health Insurance Subsidy

When you claim you make a certain amount of money in a year (and receive a subsidy), you must try to be as accurate as possible and notify them of any changes that may occur throughout the year. Be honest in stating your income. There are very serious consequences to playing games with your income.

Health Insurance, Vision Insurance or Both?

Health Insurance, Vision Insurance or Both?

Vision insurance pays for a portion of expenses such as basic preventative care, including vision tests and eye exams. It also covers eyeglasses, including the lenses and the frames, and/or contacts. Depending on your plan, there may be additional benefits, such as coverage for daily disposable contacts.

 

By page visits (this month)

#1) Health Insurance Subsidy Chart

#2) Health Insurance

#3) Health Insurance WITH a Subsidy

#4) Insurance Blog

#5) Request a Quote

By page visits (this month)

 

#1) Health Insurance Subsidy Chart

#2) Health Insurance

#3) Health Insurance WITH a Subsidy

#4) Insurance Blog Posts

#5) Request a Quote

Are Fertility Services Covered by Health Insurance?

Even if you live in a state that requires health insurance coverage for fertility treatments, there may be certain requirements that you have to meet to have services covered. For example, if you have unexplained infertility, you might only qualify for in vitro fertilization after a period of time or a specified number of in-vitro cycles.

Things Potentially NOT Covered By Your Health Insurance

To be fair, in recent years, health insurance companies have made strides towards transparency. If you have an ACA-compliant plan, there are many services that your health insurance is legally required to cover, taking some of the guesswork out of budgeting for health expenses.

Out of Pocket Maximum

Your out-of-pocket maximum is the most you’ll have to pay for covered services in a policy period (one year), each January 1st it starts over again, and that includes cost of medications too. After you reach this amount, your health insurance plan will pay 100%.

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