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Coverage

Browse our articles about coverage

When a Health Claim Is Denied: Appeals and External Review

A denial is not the end of the process. Federal rules give you an internal appeal and an independent external review whose decision binds the insurer.

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Cash Value, Policy Loans and Nonforfeiture Options

Permanent life insurance builds a value you can use while alive. Here is how loans, surrender and the three nonforfeiture options work, and what each one costs.

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COBRA and Your Options After Losing Job-Based Coverage

COBRA lets you keep an employer health plan after you leave, at your own cost. Here are the deadlines, the duration rules, and the alternatives worth weighing.

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The Ten Essential Health Benefits and Free Preventive Care

Every marketplace plan covers the same ten benefit categories, and most plans cover a list of preventive services with no cost sharing at all. Here is what that includes.

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Final Expense vs Pre-Need Insurance vs Burial Trusts

Three different ways to prepare for funeral costs, with different owners, different flexibility, and different consequences if you move or change your mind.

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Final Expense vs Term Life: Which One Fits

Term life covers a period; final expense covers a lifetime at a smaller amount. The right answer depends on whether the need you are covering has an end date.

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Group Life Through Work vs an Individual Policy

Employer life insurance is easy to get and easy to lose. Here is what group coverage does well, where it falls short, and how portability and conversion work.

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Deductible, Copay, Coinsurance and Out-of-Pocket Max

Health plans split costs four ways. Here is what each term means, the order the money moves in, and what actually counts toward your out-of-pocket maximum.

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Bronze, Silver, Gold and Platinum: What Metal Tiers Mean

Metal tiers describe how a marketplace plan splits costs with you, not how good the plan is. Here is what actuarial value means and why silver is different.

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HMO, PPO, EPO and POS: How Health Plan Networks Differ

The four letters on a health plan name describe two things: whether you need a referral, and whether out-of-network care is covered at all.

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How Much Life Insurance Do You Need?

A multiple of income is a shortcut, not an answer. Here is the needs-based method the Insurance Information Institute recommends and the resources that offset the total.

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HSAs, FSAs and High Deductible Health Plans

A health savings account requires a qualifying high deductible plan and the money is yours to keep. An FSA works differently. Here are the rules and the IRS limits.

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In-Network, Out-of-Network and the No Surprises Act

Balance billing is what happens when a provider has no contract with your plan. Federal law now bans it in specific situations. Here is where the protections start and stop.

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Life Insurance Riders Worth Understanding

Riders change what a life insurance policy does. Here are the common ones, what each adds, and the conditions attached to the two that pay while you are alive.

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Naming a Life Insurance Beneficiary

The beneficiary designation controls who gets the money, and it usually overrides a will. Here is how primary, contingent, per stirpes and minor designations work.

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This content is for general informational purposes only and is not insurance, legal, or financial advice. Coverage, exclusions, eligibility, and pricing vary by insurer, by policy, and by state, and only the policy documents control what is covered. Always confirm the details of any coverage with a licensed insurance agent or the issuing carrier before you buy.