Health insurance Company’s contract with the policy holder a win-win-synergy(PART II)

In other to achieve synergy between the health insurance company's profit and the policy holder's claim, the health insurance company employ efficient financial management to:

• Reduce total pay outs by eliminating controversial claims without concrete legal evidence
• Reducing total running expenses.

Now, how do the insurance company reduce total pay outs?

1. By excluding health risk( like pregnancy coverage) on which the policy holder has the greatest chance of collecting

2. By the use of the process of deductibles which readily drowns small claims

3. By using limiting periods in which the policy does not become effective, some may stretch from 2-4 years

4. By looking for every possible loop holes to reduce or decline claim payment.

It seems as if the insurance company are only friendly when they sell you their policy but become hostile when it comes to paying claims, they may argue that they are only employing normal procedures. It is your responsibility to buy a good health insurance plan that covers your health risk not the health insurance company, take your destiny in your hand, make the right choice.