How will insurance companies use my medical information?

Aside from contributing to the determination of annual premiums, insurance companies may look at your medical information from a disease management standpoint. For example, if you have been diagnosed with diabetes or asthma, many insurers have programs that help subscribers track and proactively manage their disease.  The insurance company may employ nurse case managers or specially trained educators to assist patients through disease specific programs. If you do have a chronic condition, find out if you qualify for special programs through your insurer.  

In addition to the chronic disease management programs, there are programs designed for patients who are going through high-cost, acute care treatments as well.  Insurance companies often have registered nurses working as case managers who monitor systems that when the medical claims reach a certain amount (say $50,000), an alert is produced.  The case manager at the insurance company will reach out by phone to the patient and/or family to offer their help and support.  This is a voluntary program so families can refuse the offer. It will not affect your care or your insurance eligibility.

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Important: This content reflects information from various individuals and organizations and may offer alternative or opposing points of view. It should not be used for medical advice, diagnosis or treatment. As always, you should consult with your healthcare provider about your specific health needs.