Health care insurance Flashcards

1
Q

What does health care insurance cover?

A

Loss of earnings from being sick

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2
Q

Why is health care insurance becoming more popular?

A
  • People are living longer and surviving illness and as a result, will be out of work
  • Social welfare is not enough to provide support to you when out of work
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3
Q

What type of payout does a critical illness policy have?

A

Lump-sum

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4
Q

When does a critical illness policy payout?

A

On diagnosis or a named condition or deterioration to a certain state as defined in the contract.

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5
Q

What is the goal of critical illness insurance?

A

To help an individual cope financially with the effects of a physical disability.

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6
Q

Why is critical illness insurance more expensive than life insurance?

A

Happens more often

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7
Q

What is excluded

A

Self-harm, alcohol and drug abuse

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8
Q

Why are certain things excluded from critical illness insurance

A

To reduce moral hazard

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9
Q

What is covered under perminant health insurance

A

You receive a monthly allowance if you are unable to work long term

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10
Q

Why do consumers buy permanent health insurance?

A

Because companies don’t provide enough cover

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11
Q

How long does permanent health insurance run for?

A

From inception to retirement

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12
Q

What are the only reasons an insurer can deny permanent health insurance?

A

Fraud or stop paying premiums

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13
Q

Explain premium increases for permanent health insurance?

A

Can increase premium because you had an accent, an insurer can only increase the premium of the entire pool

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14
Q

What prevents moral hazard in a permanent health policy

A
  • Only 75% of income to encourage you to get back to work
  • There is a deferred period before premiums are paid
  • If you can go back to work, the payment stops.
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15
Q

What is the largest cause of permanent health insurance in Ireland?

A

Mental health

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16
Q

What factors affect the premium of Healthcare insurance? (4)

A

Age, health lifestyle
Occupation
Sum insured
Attitudes and behaviours in society (increased mental health awareness)

17
Q

What are excluded from health care insurance? (5)

A
Pre-existing conditions (physical and mental) 
HIV/AIDS
War/riot
Pregnancy-related conditions
Self-harm
18
Q

Personal accident insurance

A

Provides benefits to the individual in the event of death or an accident

19
Q

Types of cover for accident insurance (when it happens) (3/4)

A

In the course of employment
24 hours
Travel to and from work
Geographic limits: eg. Only in the EU

20
Q

What is defined as an accident?

A

Violent, external and visible by means

21
Q

What benefits do you get from a personal accident policy?

A

Lump sum

22
Q

Long term care policy

A

Covers cost of nursing home care

.