Private health insurance coverage: Avoiding traps

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A waste of money – that’s how people feel toward private health insurance. While this may not be totally true, one thing is certain when purchasing health insurance – people always have doubts about buying it. To make sure that insurance buyers buy the real thing, they have to understand what the insurance plan can do for them, and how some insurers trick their clients into buying unnecessary plans.

In reality, many insurance buyers are suckered into spending money on insurance policies they’re better off without. Among the strategies some insurance sellers employ are:

• Attracting people into buying certain categories of care that aren't covered by a given plan. These categories include cosmetic surgery, dental and eye exams, and weight-loss treatments.

• Charging insurance purchasers more than the stated premium. Although plans may approve policyholders, they still charge them more due to medical history and other reasons.

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• Not clearly defining the scope of benefits. Some plans have strict limitations that may leave policyholders at risk of more costs from catastrophe or ailments. Some don't even include the doctors and hospitals where policyholders get care.

Moral lesson: when choosing a private insurance plan, it doesn’t hurt to read the details in the contract. Some contracts contain unfavorable conditions that signers tend to overlook. Like the old adage says, it’s better to be safe than sorry.

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Atty. Evan Granowitz is one of the lawyers at Wolf Group LA who specializes in insurance coverage disputes, among others. Follow this Twitter page for more updates on the legal arena.