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Exploring the Benefits of Health Insurance: Why Being Covered Matters

If you're in good health, you might believe that health insurance isn't necessary. However, it's important to reconsider this perspective for several reasons.

Exploring the Benefits of Health Insurance: Why Being Covered Matters


One of the main reasons health insurance is crucial is to protect against high medical costs. Serious injuries or illnesses can lead to substantial expenses. For example, fixing a broken leg can cost around $7,500, and a three-day hospital stay can run up to $30,000. For more severe conditions like cancer, the total cost of care can reach hundreds of thousands of dollars.


Medical bills are a leading cause of financial hardship in America, with many individuals having to tap into their retirement savings or file for bankruptcy. Avoiding such risks is a compelling reason to ensure you have adequate health coverage, but it's not the only factor to consider.


Health insurance makes treatment more affordable. Even if your plan has a deductible, you will still pay significantly less for office visits compared to being uninsured, assuming you choose healthcare providers within your network. Some plans even offer discounted prices for generic drugs and provide free disease management programs. Additionally, having health coverage puts you in a better position to detect or prevent serious illnesses early, potentially saving you from costly treatments down the line.


Preventive care is another crucial aspect of health insurance. All plans purchased through Covered California, for instance, include free preventive services such as annual check-ups, immunizations, and screenings for various conditions like blood pressure, diabetes, cancer, and depression. Even if you currently maintain a healthy lifestyle, the risk of accidents or illnesses is always present. Having health insurance can be the difference between receiving timely treatment for a health issue and allowing it to cause long-term damage.


Consider the story of Kim from Atwater, California, who lost her husband to colon cancer. Motivated by her loss, she sought a screening, but being uninsured made it unaffordable. However, after enrolling in a health plan through Covered California, she was able to undergo a colonoscopy and discovered an aggressive form of cancer. Thanks to this early screening, Kim received the necessary surgery before the cancer spread. She considers herself fortunate to be a cancer survivor.


Another important aspect to consider is that you may qualify for financial assistance and avoid penalties. Since 2020, California has mandated that residents have health insurance. Failure to comply with this mandate, without qualifying for an exemption, can result in minimum charges of $850 per adult and $425 per dependent under 18 years old, in addition to other potential penalties. The good news is that financial assistance is available to help reduce the costs of health insurance, making it more accessible to a larger number of people. You can check out Covered California's interactive calculator to see if you qualify.


Lastly, having health insurance provides peace of mind. By purchasing a health plan through Covered California, you can be confident in your coverage. These plans cover essential health benefits, including laboratory services, prescription drugs, hospitalization, maternity and newborn care, mental and behavioral health services, emergency services, and more. Accidents can happen to anyone, regardless of age or health, and being covered allows you to enjoy your favorite activities without the constant worry of potential injuries and the associated costs.


Considering the penalties for not having health insurance, combined with the risk of high unexpected medical expenses, going without coverage puts you and your family at a greater financial disadvantage than enrolling in health insurance. Protect your health and secure your financial future by ensuring you have adequate coverage. 

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