Major Medical Insurance: Definition, Coverage & More | eHealth

If you’re looking for health insurance, you need to make sure your insurance offers comprehensive coverage. this includes preventive care, emergency room visits, urgent care visits, surgical procedures, and hospital stays.

Fortunately, that is precisely what major medical insurance offers. When someone talks about typical health insurance coverage, they are usually referring to major medical insurance. But how does health insurance work and what does it cover?

Reading: What is major medical insurance definition

Keep reading to learn more about major medical insurance, including what this health insurance covers, benefits, drawbacks, and more, to make sure you select the right policy for your needs.

major health insurance covers all minimum essential benefits and meets Affordable Care Act (aca) standards for individual and family coverage. Many individuals and families select major medical coverage to ensure that all of their medical expenses are covered regardless of health problems that may arise during the year.


major medical expense insurance explained

Elderly medical insurance is a specific type of health insurance plan that will help you cover your medical expenses. It often covers preventive care services, urgent care visits, emergency room visits, prescription drugs, and other routine medical expenses. however, this type of plan will not cover cosmetic procedures. it also has a longer duration than a short-term insurance plan. the goal of this plan is to minimize out-of-pocket expenses for the policyholder.

When people talk about typical health insurance coverage, major medical plans are the type of insurance they’re thinking of. Major health insurance plans are comprehensive, comply with Affordable Care Act (ACA) regulations for qualifying health plans, and are designed to minimize out-of-pocket costs for individuals and families.

For example, your primary health insurance plan must cover your annual wellness exam. if you catch a cold and have to go to the emergency room due to complications, the plan will often cover that expense as well.

what do major medical plans cover?

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Major health insurance plans offer the 10 essential benefits:

  • hospitalization
  • outpatient procedures (also called ambulatory care)
  • preventive care like checkups and shots
  • prescription drugs
  • mental health and addiction counseling
  • laboratory services
  • emergency services
  • pediatric care
  • maternity and newborn care
  • These plans are not only sold through official state and federal marketplaces. they can be sold off-exchange through licensed private brokers. For example, ehealth is a private marketplace that sells major health plans along with other insurance options, small business health insurance, and alternative coverage options like short-term health insurance.

    Who is Major Medical Insurance suitable for?

    Major medical coverage is a good option for almost anyone who wants to minimize expenses for preventive care, emergency services, and management of chronic conditions. These comprehensive plans are the best way to cover a full range of your day-to-day health care, while ensuring that any unexpected medical needs do not cause significant financial concern. Although these plans will not cover all medical services, they will provide coverage for the widest range of services and care.

    How is major medical insurance different from other health plans?

    The insurance for major medical expenses differs from other health plans because it is more complete. The terms for this type of health insurance plan are typically longer than a short-term one and provide more extensive coverage than a catastrophic one. for example, a major health insurance plan will cover preventive care visits, but catastrophic health insurance will not. Plus, major health insurance plans provide better coverage for chronic health conditions like diabetes and heart disease.

    advantages and disadvantages of insurance for major medical expenses

    It is important to consider the benefits and drawbacks of major medical expense health insurance.

    pros of insurance for major medical expenses

    major medical expense insurance covers the most necessary care associated with serious illness and hospitalization, along with many additional benefits, including:


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