For example, most insurance policies in the English language today have been carefully drafted in plain English; the industry learned the hard way that many courts will not enforce policies against insureds when the judges themselves cannot understand what the policies are saying. Typically, courts construe ambiguities in insurance policies against the insurance company and in favor of coverage under the policy.
Some communities prefer to create virtual insurance amongst themselves by other means than contractual risk transfer, which assigns explicit numerical values to risk. A number of religious groups, including the Amish and some Muslim groups, depend on support provided by their communities when disasters strike. The risk presented by any given person is assumed collectively by the community who all bear the cost of rebuilding lost property and supporting people whose needs are suddenly greater after a loss of some kind. In supportive communities where others can be trusted to follow community leaders, this tacit form of insurance can work. In this manner the community can even out the extreme differences in insurability that exist among its members. Some further justification is also provided by invoking the moral hazard of explicit insurance contracts.
It might be the most difficult thing you’ll ever do, but it’s important to advocate for yourself during an emergency room visit. If possible, ask all the questions you can think of and make sure to get answers before agreeing to have any procedures done. And just because you’re at an in-network facility doesn’t mean you’ll always be treated by an in-network doctor, so make sure to talk to whoever is providing the care if you can. Obviously this isn’t possible if you’re incapacitated, but if you can, you should make clear what your health insurance does and does not cover. This can help you avoid an unexpectedly large bill later. If you do end up with a huge emergency room bill even though you have insurance, contact your provider and ask if there are any programs available for bill reduction.
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