About 1 in 6 men in the United States suffer from prostate cancer. Battling with cancer require more than just fighting the disease itself. Cancer survivors often have to bear the expensive treatments apart from the usual bills. To make the case even worse, the price for treatment aren’t coming down. According to an estimate, the annual cost of a cancer drug will increase from 7 to 10.5% by 2020. Having said, choosing the right insurance plan is a worthy option for cancer survivors.
Opting an insurance plan can help in covering most of the treatment costs. However, patients often end up in choosing an ineffective insurance plan due to lack of knowledge. In this article, we will help you understand different insurance plans for cancer survivors that could reduce their stress of hefty medical treatment costs.
Choosing from Different Types of Medical Insurances
Insurance plans are imperative for can survivors. There are various policies targeting cancer survivors, but not all offer comprehensive protection. Thus, it has become essential to choose only the best health insurance policy that offers full-fledged health coverage, paying for the mandatory health care needs. A medical insurance should offer coverage of doctor assessment, lab tests, equipment, and medicines.
A patient should look for specific factors when choosing an insurance plan. These factors includes the number of services covered by insurance, amount paid by patient for services, from where would a patient receive treatment? A cancer survivor should consider the specified factors before settling on an insurance plan.
Federal and state laws provide citizens with right to seek help for buying and keeping up with medical coverage. These laws vary greatly as per state to state. To discover more about individual rights, a patient should seek for the authority that regulates a specific health insurance plan.
Many times, states regulate various insurance plans offered by small businesses, but some health coverage is managed by the Federal Government. These health plans include those offered by big organizations. Health protection also varies as per group and individual coverage plans.
Public Medical Coverage
Cancer survivors can choose from government plans rather than private employers or insurance providers. Below are the programs offered by public medical coverage:
Medicaid / CHIP
Medicaid serves as the shared program by Federal-State Government. It aims to serve people and families belonging to low-income group. States must follow the specific rules to receive federal funds. Every state holds right to build a different Medicaid program. Apart from age group, some states have different eligibility criteria for Medicaid program such as being child, adult, parent, or a disabled individual.
Besides, some states offer children’s health insurance program also known as CHIP. The CHIP offers free-of-cost coverage for low-income young people. In some states, CHIP comes as a part of Medicaid program, but it comes as a separate program in other states. To qualify for Medicaid program, the family income of child should be twice as high as the Federal poverty level. However, some states allow this amount to be as high as 3 to 4 time of the poverty level.
The Federal government offers Medicare program that requires patients to be of more than 65 years of age, eligible for Social Security benefits, disabled, or be kidney dialysis. Many patients choose private supplemental insurance for paying costs that Medicare doesn’t cover.
Such coverage is often called Medigap. In addition, various people become a part of privately run care plans that provide patients with Medicare health services. Also, there are some private firms that offer care plans for prescription medicines. Medicare program can often become quite confusing.
Therefore, it’s suggested that patients should discuss with an expert before choosing a Medicare insurance. In case, patients face problems in claiming insurance, they can refer to insurance claiming companies. They can help in getting out of the mess of difficult process and explain the details that how they can proceed without issues while claiming insurance.
Various states offer help to cancer survivors who cannot afford medical insurance services. Apart from Medicaid program, some states offer health insurance programs at discounted rates to low-income people.
Patient’s Right under Insurance Coverage
In many states, employers aren’t required to offer medical benefits. In case, a patient is provided with a group medical coverage, he/she has legal rights including:
Existing Health Conditions
Group health plans often don’t cover medical condition that were present at time when a patient had joined. Health plans don’t impose pre-ex more than twelve months. In some states, this requirement of pre-ex is even less. When a group plan comes with a pre-ex, it provides a patient with credit for previous health medical coverage.
It doesn’t matter how healthy a patient is or was in past. His/her eligibility for coverage under a group health program is independent of this factor. This means a patient won’t be refused for health benefits if he/she is a cancer survivor.
There are various insurance plans out there. However, each differs in term of offering. It is essential to learn about insurance plans before choosing one. In this article, we have disclosed everything that you should know when looking for a insurance plan for cancer survivor.