please define: Comprehensive Major Medical Insurance
#1
Either I or my co-worker are confused about our insurance at work. Can someone who works (worked) in insurance or in the benefits department of HR please explain what Comprehensive Major Medical is?
Thanks so much!
Thanks so much!
#4
Every carrier is different but generally it means that you have some catastrophic coverage for things like cancer, transplants and HIV/Aids etc. Usually there are exclusions which your employer sets in place and usually your policy is limited to a specific dollar amount of coverage at which time you are no longer able to be covered (policy limit). Read your benefit package or check with your HR department for specific clarification. I used to work for Blue Cross and Blue Shield and later I became a Certified Professional Medical Coder. That was back in the good days before I became disabled. Hope this helps.
#6
Originally Posted by Rose L
Every carrier is different but generally it means that you have some catastrophic coverage for things like cancer, transplants and HIV/Aids etc. Usually there are exclusions which your employer sets in place and usually your policy is limited to a specific dollar amount of coverage at which time you are no longer able to be covered (policy limit). Read your benefit package or check with your HR department for specific clarification. I used to work for Blue Cross and Blue Shield and later I became a Certified Professional Medical Coder. That was back in the good days before I became disabled. Hope this helps.
#7
Comprehensive Major Medical is generally as follows:
A plan of insurance with a low deductible, high maximum benefits and a coinsurance feature. It is a combination of basic coverage and major medical coverage which has virtually replaced separate hospital, surgical and medical policies with each having its own deductible requirements.
It does include basic doctor visits (or it should)
Hope this helps
Hugs
April
A plan of insurance with a low deductible, high maximum benefits and a coinsurance feature. It is a combination of basic coverage and major medical coverage which has virtually replaced separate hospital, surgical and medical policies with each having its own deductible requirements.
It does include basic doctor visits (or it should)
Hope this helps
Hugs
April
#10
Super Member
Join Date: May 2011
Location: Florida - formerly Montana
Posts: 3,504
COMPREHENSIVE MAJOR MEDICAL: A type of medical insurance developed to meet the need for protection against a broad range of catastrophic medical expenses, whether incurred in or out of the hospital. The major medical expense benefit usually is subject to a deductible.
HOWEVER, that being said, each insurance carrier has a different explanation for what exactly is covered under Major medical. (Full disclosure: I am a benefits consultant and work with various insurance carriers.) As I mentioned, each carrier's definition is different. So the best place to find out exactly what is covered under your plan is to go to your benefits booklet or contract.
Hope this helps.
HOWEVER, that being said, each insurance carrier has a different explanation for what exactly is covered under Major medical. (Full disclosure: I am a benefits consultant and work with various insurance carriers.) As I mentioned, each carrier's definition is different. So the best place to find out exactly what is covered under your plan is to go to your benefits booklet or contract.
Hope this helps.
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