Insurance Basics: Home
Many insurers offer different types of plans. The costs, coverage and rules differ for each
Most health plans cover medically necessary visits to an eye doctor. Sometimes they cover routine eye exams too, but to get complete vision coverage you may have to go to other sources. This article will tell you about those sources.
Your plan may contract with doctors, dentists and other healthcare practitioners; hospitals; labs; radiology facilities; pharmacies and other types of providers. These are the providers in your “network”.
Suppose your insurer won´t pay for a healthcare service, or pays less than you had expected. You have the right to “appeal”, or ask for your case to be formally reconsidered.
Since providers are able to decide how much to charge for out-of-network care, sometimes that charge might be higher than you expected.
If you´re a woman, you have different healthcare needs than men. Women may need access to birth control, or prenatal and maternity care.