When outpatient clinic is included in the health insurance plan, the expected claim number goes up. Then the premium will go up too.
If you know how to calculate insurance premium, you will understand.
If you have more coverage, of course you pay more. I don't see a problem with this. If you just want a plan that covers hospital stays only, you could get some plan that has like a $20K deductible.
Your wsj articles have nothing to do with what I said. In addition, individual market is a pretty small segment.
Insurance companies can offer plans, for example, outpatient and critical illness, separately. What is eligible to claim is limited by different types of insurance policy. Simply look at the example in HK. You can see the health insurance premium is not high, way lower than that in the States.
I am pretty sure there are many other reasons why premiums in HK are lower, other than paying them "separately". Buying Inpatient and Outpatient coverage separately is like buying a monitor and computer hardware separately. If you *only* need one of them, then you can save money by buying just one of them. But that doesn't apply in the case of health insurance. It makes no sense to buy an "outpatient only" plan because then you are not really insured against anything. |