Do You Know What Your Health Insurance Really Covers?

Health insurance is a vital investment for everyone who wants to protect themselves against the high cost of medical care. Unfortunately, not everyone understands what their health insurance policy covers, leading to confusion and unexpected bills. Knowing what your health insurance really covers can help you make better decisions about your healthcare needs without any surprises.

Here are some things you should know about what is covered by your health insurance policy:

Preventive Care:

Many health insurance plans cover preventive care services such as annual physicals, mammograms, and flu shots. These services are aimed at identifying health problems early, and are provided at no out-of-pocket cost to the insured.

Diagnostic and Lab Tests:

Most health insurance plans cover diagnostic and laboratory testing services. These services include blood tests, x-rays, MRIs, and CT scans. The insurer may have a preferred provider list for diagnostic imaging centers, so it’s important to check to avoid extra costs.

Prescription Drugs:

Prescription coverage will vary according to your plan, but most cover some medications, especially those that treat chronic illnesses such as diabetes or high blood pressure. Insurers may have a formulary or a list of preferred drugs, and your doctor may need to prescribe drugs on this list to avoid extra costs.


Health insurance plans typically cover hospitalization expenses, including room and board, nursing care, and medications. Coverage may be limited to a specific number of days or may require approval from the insurer before admission to the hospital.


Most health insurance plans cover surgeries, but the amount of coverage for surgical procedures can vary widely. Understanding the terms of your policy is important so you know what will be covered when a surgical procedure is necessary.

Mental health:

Mental health conditions such as depression, anxiety, and bipolar disorders are covered by many health insurance plans. Mental health coverage often includes treatment, therapy, and medication, but check your policy’s terms to ensure your specific condition is covered.

Alternative Care:

Some health insurance plans offer coverage for alternative treatments such as acupuncture, chiropractic care, or naturopathic medicine. Check your policy for the specifics of this coverage.

Knowing what your health insurance covers – and what it doesn’t – is crucial to managing your healthcare needs effectively. Contacting your insurer or reviewing your policy documents can provide you with the answers you need. Don’t let the fear of unexpected costs and charges get in the way of taking care of your health. Be informed and take advantage of the services provided by your insurance plan.