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Insurance Can Be Complicated

Health insurance or some kind of health coverage is a key work benefit. Having it eases part of the worry that comes with a major medical problem. Everyone knows that hospitalization, surgery, radiation therapy, chemotherapy, medicines, state-of-the-art equipment and procedures, and a medical professional's time are all costly. But no health plan has benefits that cover all the costs of treatment. Very few families know exactly what their insurance or managed care plans provide. Many are surprised to find that, even for a major illness, not everything that is ordered or prescribed will be approved or reimbursed by the health insurance plan.

In the effort to control medical costs, there are rules and guidelines that require admissions, tests, treatment, and specialized care be approved ahead of time. And since health insurance is becoming more and more expensive for employers, they often limit benefits and pass along some of the extra costs to their employees. Families must be ready to deal with many phone calls, lots of paperwork, ongoing follow-up, and careful record keeping. This is a lot to add to your schedule. And they are even harder to do when you are worried about your sick child and all the other problems the illness can cause.

There are other new expenses that come with illness Transportation, a place to stay during treatment, food, and child care for the other children in your family are not part of your health plan. A parent may have to take unpaid time off work or give up a job because of treatment schedules. (See Family and Medical Leave Act for more about taking time off but still keeping your job. You can visit our web site or call us to get a copy.) Missed time at work for one or both parents may mean a serious loss of income.

Parents who do not have health insurance are even more concerned with how this might affect their child's treatment. Whether families have insurance or other sources of payment, most families become concerned about the out-of-pocket costs they will face and how family income may be affected by their child's illness.

Back to Children Diagnosed with Cancer: Financial and Insurance Issues

Last Medical Review: 04/01/2009
Last Revised: 04/01/2009

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Also in this area
Insurance Can Be Complicated  
Private Health Plans  
Where Can Families Get Answers to Questions about Insurance?  
What Records Should Be Kept for Insurance and Medical Costs?  
What Can Be Done if an Insurer Denies a Claim or Refuses to Cover a Prescribed Service?  
Federal Laws that Let You Keep Employer-Sponsored Health Insurance Coverage when You Leave Your Job  
What if My Child's Medical Care Is Covered by More than One Insurance Company?  
Government-Funded Health Plans  
Who Regulates Insurance Plans?  
Options for Uninsured Children  
State Coverage and Health Insurance Options for the Hard-to-Insure  
What Sources Are Available to Help with Treatment Costs if neither Insurance nor Public Assistance Is Available?  
Financial Issues: Getting Help with Living Expenses  
States that Have Health Insurance Risk Pools  
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References  
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