The reason why you need high-cost accident or illness insurance


Generally when we are contacted to offer insurance, we are told about the risk of losing the material and the need to protect it, so we think about taking care of the assets obtained throughout our lives when making the decision to take out insurance. .

However, people often forget that health is the most precious and insecure and that their economic future really depends on it.

It is not enough to have an Isapre or Fonasa plan to protect yourself, much less complementary insurance, since these have limitations when using them. For example, Supplemental Health Insurance with the employer offers benefits that are effective only for the duration of the employment contract.

An alternative is to take out complementary health insurance with a private institution. This financial product reimburses the insured and his charges the percentage of the contracted value of what his Isapre or Fonasa does not cover.

Why is it important to take out health insurance?

Not having an exclusive health policy risks all the assets, property and any savings of the affected party and their heirs.

Even if you have an Isapre plan and complementary insurance, if a serious illness or accident occurs, what will happen is that the person affected will be forced, given the costs of covering the incident, to spend part or all of their savings, leaving vulnerable.

Experience says that when a catastrophic illness or accident occurs, there is no salary or savings that can cover it. Therefore, it is possible to affirm that life or material loss insurance is as important as catastrophic insurance.

There are families who have had to take on debts so high that they can never again capitalize on their efforts.

What is health insurance?

This is a contract with an insurance company, a valid intermediary or a clinic, for which a monthly premium is paid for a policy, in exchange for the insurer covering medical expenses in the event of a serious or high-cost illness , according to the contracted plan.

The key word for health insurance is financial support .

Before choosing health insurance, you must know in depth its vital aspects, so that you do not generate unrealistic expectations.

Offer in the industry

It is important that the contraction is with an insurance company with a presence in the market or an intermediary such as your bank, in which you already have confidence, or directly in a clinic. This gives greater peace of mind due to the so-called financial back when faced with coverage.

Hiring age, coverage and personal health statement

Ideally, hiring as a young person, before hereditary conditions such as hypertension or insulin resistance arise, since these are causal for not being insured by any company or institution. The idea is to avoid any pre-existence.

Also, the younger you take out health insurance, the rate you pay is less, until you change your age range.

Normally, health insurance protects until the 99th birthday, changing the premium as the risk increases. So it is important to review the age range premium tables. In the event that the plan incorporates the children, they will be protected until they reach 24 years and 364 days. Children over 24 years of age can continue with coverage (without deficiency) paying individual adult rate.

Territorial coverage or open or closed insurance

Closed insurance refers to contracts for exclusive care services with an institution, which is typical of clinics. Therefore, if the care happens in another location, the insurance does not apply. Therefore, the recommendation is to look for open or free choice insurance.

Health insurance is so extensive that it covers accidents or illnesses abroad, with some limitations. But the expenses will be reimbursed once you are back in the national territory.

Refund and deductible

It is important to pay special attention to reimbursement, which should include hospital expenses, medical expenses and outpatient expenses, as well as hospital expenses at home and pharmacy. The insurance reimbursement and deductible table will indicate the maximum amount that will be covered per event, after applying the health plan in the public or private system, while the deductible will indicate the amount that the insured will have to finance.

Those amounts depend on the premium that can be paid. In case of not having a health plan in the private system, there are companies that reimburse a percentage of the expenses in affiliated institutions of Fonasa


Typically catastrophic insurance does not cover pregnancy expenses, only complications, as long as the insured, whether as a holder or cargo, has at least 12 months with the current policy. Regarding the children to be born, each company establishes its rules, so it is necessary to thoroughly read the conditions of the policy.

Girl print

Every insurance contract has a section with various information, such as details of the policy, illnesses not covered and reasons why no refunds will be made. Such are the cases of undeclared diseases at the time of the contract, psychiatric diseases, aesthetics, etc.


The policy number must always be required to review the general conditions and additional clauses in the Commission for the Financial Market, an institution that ensures compliance with the rules and regulations on insurance.

In summary

If you are evaluating contracting health insurance, the ideal is to delve into the relevant aspects of the service, for this you should ask the executive for transparent and detailed advice on the plan you are contracting.

Meanwhile, once you contract the product, consider it as a personal and / or family investment.

Don’t forget to inform your family members about contracting Health Insurance.


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