Comprehensive health insurance provides individuals and families with the financial protection they need in order to receive quality medical care. According to an analysis by the Kaiser Family Foundation, it is estimated that between 2022 and 2023, approximately 285 million Americans will be insured with comprehensive health insurance. This increase of 18 million insured individuals is due to a projected rise in coverage resulting from the implementation of new healthcare reforms.
Understanding the basics of comprehensive health insurance is essential for anyone who wants to make sure that they are receiving the best coverage possible for their specific needs. In this article, we will discuss why comprehensive health insurance is important and what it entails, so that you can make an informed decision about your own health care coverage. It helps provide peace of mind that you and your family will be taken care of financially in event of a medical emergency, surgery, or other required health services. By understanding the basics of comprehensive health insurance, you can make sure that you are receiving the best coverage for your and your family’s needs.
What Is Comprehensive Health Insurance?
Comprehensive health insurance can provide individuals and families with financial protection against the cost of medical care. It is designed to cover the majority of healthcare costs and can include services such as doctor’s visits, hospital stays, surgeries, prescription drugs, and more. Coverage typically includes preventive care, wellness visits and immunizations. Additionally, comprehensive health insurance plans may also offer coverage for mental health services as well as vision and dental care. Comprehensive plans have higher premiums than other types of health insurance but may also have lower co-payments or coinsurance amounts at the time of service.
What Does Comprehensive Health Insurance Cover?
A comprehensive health insurance policy typically covers a broad range of medical services and treatments, including doctor’s visits, hospitalizations, and prescription drugs. The specifics of what is covered may vary depending on the plan chosen, but all comprehensive health insurance policies are required to cover essential services such as mental health care, preventive care (such as annual physicals), and emergency care. Additionally, some policies may also cover vision, dental, and other supplemental healthcare needs. Depending on the individual’s situation and budget, these benefits can either be provided at no additional cost or as an optional add-on.
What Does Comprehensive Health Insurance Not Cover?
A comprehensive health insurance policy typically does not cover services that are not considered medically necessary, such as elective procedures or cosmetic surgeries. It also does not generally cover experimental treatments, infertility treatments, and long-term care services. Additionally, some policies may have limits on certain types of coverage, such as prescription drugs or mental health treatment. Certain healthcare expenses may also be excluded from a comprehensive policy depending on the type of plan and provider. Be sure to read the fine print when selecting a comprehensive health insurance policy so you know exactly what is and isn’t covered.
Comprehensive Health Insurance vs Alternatives: Costs & Coverage
Many people are unaware of the benefits that come with comprehensive health insurance plans. Comprehensive health insurance offers a broader range of coverage for many types of medical care. The coverage can also provide access to preventive care services such as vaccinations and check-ups. This type of insurance often covers the costs of preventative care upfront, so you won’t have to worry about unexpected bills down the line. Additionally, some plans include coverage for additional benefits such as dental and vision services. All this adds up to a broader range of medical coverage than other types of insurance can provide. So if you’re looking for peace of mind when it comes to your healthcare needs, comprehensive health insurance might be the perfect option! In the chart below, we will compare the costs and coverage of comprehensive health insurance vs the various alternatives:
Comprehensive Health Insurance
Coverage: Wide Variety of Medical Expenses
High Deductible Health Plans (HDHPs)
Cost: Low to Medium
Coverage: Fewer Types of Medical Expenses Compared to Comprehensive Plans
Health Savings Accounts (HSAs)
Cost: Varies Based on Contributions and Withdrawals
Coverage: Partially Covered by Regular Health Insurance, or Used to Supplement Other Forms of Insurance
Short-Term Medical Plans
Cost: Lower than Comprehensive Plans but Higher than HDHPs & HSAs
Coverage: Limited Coverage for Short-Term Periods, Generally Three Months or Less
Catastrophic or Injury Only Plans
Cost: Lowest Premiums Out of All Options Listed Here
Coverage: Covers only Catastrophic Situations, No Assistance with Normal Healthcare Needs Such as preventative Care
Fixed Indemnity Plans
Cost: Depends on Provider
Coverage: Set Amount Paid Per Diagnosis with no Limit on Claim Number Over Policy Period, Generally Does Not Cover Preventative Care Services or Long Term Illnesses/Conditions
What types of health plans are considered comprehensive coverage?
Most large employers offer comprehensive health insurance plans that provide coverage for medical and surgical care, as well as preventive care services. These plans usually include an extensive network of providers and cover doctor visits, hospitalizations, prescription drugs, preventative care services like annual physicals and vaccinations, mental health coverage and emergency services. Additionally, some comprehensive policies may also provide coverage for vision care and dental services. Most comprehensive health plans have a variety of deductibles and out-of-pocket expenses associated with them and may be offered in the form of HMOs (health maintenance organizations), PPOs (preferred provider organizations) or other types of managed care plans.
The Affordable Care Act’s New Comprehensive Coverage Standard
The Affordable Care Act (ACA) established a minimum set of standards that all new comprehensive health insurance plans must meet. This was done to ensure that individuals who purchase health insurance received quality coverage at an affordable price. The ACA requires that these plans cover 10 essential services, including doctor visits, hospital stays, mental health and substance use services, prescription drugs, and more. Additionally, the ACA seeks to ensure that no one is denied coverage because of a pre-existing condition or is charged significantly higher premiums due to age or gender. Comprehensive health insurance plans under the ACA are required to have no annual or lifetime limits on the dollar amount of essential services they must cover for each enrollee. These standards give individuals peace of mind knowing that their plan will be there when needed and can provide financial protection from unexpected medical costs.
The goal of the Affordable Care Act wasn’t just to provide affordable health insurance plans for Americans, there were already plenty of cheap plans available. What the Affordable Care Aimed to do was make affordable comprehensive health insurance available for everyone, ensuring that the coverage you have actually covers you.
According to the Biden-Harris Administration, a record-breaking 16.3 million people signed up for health care coverage in ACA marketplaces in 2022-2023. This number is an increase from the 15.8 million people who had enrolled in 2021. The American Rescue Plan Act (ARPA) also helped to ensure that more people could access comprehensive health insurance coverage. Additionally, the Affordable Care Act has made it easier for individuals to get the coverage they need by providing more standardized plans with improved pre-deductible coverage and uniform deductibles, and cost-sharing for various benefits.
Overall, there has been a significant increase in the number of people who are insured with comprehensive health insurance in America in 2022-2023 compared to previous years. This is due to a combination of factors such as increased enrollment through the ACA Marketplace and additional funding provided by ARPA.
Today, any health insurance plan that you purchase through the federal or state exchanges will meet a set of standards that make them qualified health plans, and most private health insurance plans outside the marketplace will meet those standards as well. Even though President Trump is loosening restrictions on what will be considered a qualified health plan, health policies cover more medical services today than they have in the past.
Who is Eligible For Comprehensive Health Coverage?
Generally, individuals who are employed and eligible to participate in an employer-sponsored health insurance plan are eligible for comprehensive health insurance. Individuals can also purchase comprehensive health insurance through the individual marketplace or with a private insurer outside of the ACA’s federally facilitated exchanges. In addition, some states offer Medicaid coverage which can include comprehensive benefits to those who meet income and other eligibility requirements. People who are 65 years or older may qualify for Medicare, a federal health insurance program that offers wide-ranging, comprehensive benefits.
Under the Affordable Care Act (ACA) it is illegal for health insurance companies to deny individuals coverage or charge more based on pre-existing conditions. Therefore, individuals with pre-existing conditions are eligible for comprehensive health insurance coverage under both employer-sponsored plans and the individual marketplace. In addition, Medicaid in some states may provide comprehensive benefits for people with pre-existing conditions who meet certain eligibility requirements.
How Much Is Comprehensive Health Insurance?
Comprehensive health insurance plans are not a one size fits all type of deal. Comprehensive coverage comes in all shapes and sizes, meaning that costs are going to vary. However, since all health insurance policies sold through the marketplace are considered comprehensive, here’s a breakdown of what you would pay for comprehensive health insurance according to eHealth:
- Catastrophic Plans: $153/month
- Bronze Plans: $315/month
- Silver Plans: $362/month
- Gold Plans: $420/month
- Platinum Plans: $498/month
Best Providers That Offer Comprehensive Health Insurance
Some of the providers that offer comprehensive health insurance include:
Finding Affordable Comprehensive Health Insurance
Comprehensive health insurance under the Affordable Care Act provides individuals with essential protection and coverage for medical services. The ACA’s minimum standards support access to quality care at an affordable price, regardless of pre-existing conditions or age. Individuals who are employed and eligible for employer-sponsored health insurance, Medicaid, Medicare or the individual marketplace can typically obtain comprehensive health insurance benefits. With these options available, individuals can rest assured that they have access to dependable health coverage when it is needed most.
FirstQuote Health makes shopping for and comparing affordable comprehensive health insurance quotes easy. Health insurance prices vary depending on a few different factors, including where you live. So, in order to get the most accurate quotes in your area, just enter your zip code here to get started.
It’s important to view health insurance as an investment because essentially that’s what it is. When you enroll in coverage you want to make sure that it does what it’s supposed to, keep you protected from high and unexpected medical bills. The best way to keep yourself protected is to enroll in a comprehensive health insurance policy that covers you under almost any circumstance.