01/03/2022
HOW DOES HEALTH INSURANCE WORK?
Let me illustrate an example.
John is a 30 year old male, non-smoker. He himself doesn’t have any existing medical conditions, but heart disease runs in their family (parents and his older sibling). Although he personally maintains a healthy weight, his diet doesn’t have restrictions – and he eats all kinds of food heartily (including all oily and fatty foods). He also has a very stressful working environment. After a discussion with his financial advisor, John decided to gift himself with health insurance, through a Sun Fit and Well Advantage policy.
The plan he got for himself is a 20 year paying policy, with P33,360/year premium (or P92 a day). 5 years later, John got the shock of his life as without warning - he suffered an acute heart attack. With God’s grace he survived, but he would need immediate treatment and hospitalization right away.
Where does his Sun Fit and Well Advantage policy enter into the picture?
Upon diagnosis of the acute heart attack, John immediately qualifies for his insurance coverage of P1,000,000. This means that upon his doctor’s conclusive diagnosis, he and his family can already file for this claim.
After 5 years of payment, John only paid P33,360 x 5 = a total of 166,800. With his critical illness coverage of P1M, the value for his money amounts to a difference of P833,200.
Apart from the P1M insurance claim, John gets additional:
- Hospitalization income of P1,250 per day (twice the amount if ICU), maximum of 90 day confinement
- Post-hospitalization benefit
- Home recovery daily benefit x length of hospital confinement
And probably the biggest benefit of it all, is that John wouldn’t have to touch his income, savings, credit card or his family or parents’ funds. The P1M insurance claim + all the other supporting benefits helped him get the best treatment possible, and made him recover fully and quickly.
Advantage of health insurance is even if John finished the 20 year payment without getting sick, that would still be P33,360 x 20 years = P667,200. With an insurance amount of P1M that covers him until age 100, the benefit is still way more than what he paid.
And that is what insurance is all about. So that we protect ourselves from the unexpected, and so we can focus on brighter things ahead.
If you wish to discuss health insurance, you can message me for details.
Proud Sun Life Advisor,
Elizabeth G. Estrella