Who typically needs individual policies?

Individual policies are typically necessary for those who do not qualify for group policies and may face higher premiums as a result. Group coverage generally provides more affordable rates and broader access because it pools risk among a larger group of people; however, not everyone can enroll in such plans. Individuals who might work for employers that do not offer health benefits, those who are self-employed, or people with pre-existing conditions affecting their eligibility for group plans often find themselves needing individual coverage.

These individual policies allow for personalized coverage options that can be tailored to meet specific health needs or financial circumstances. Consequently, while these policies can come with higher premiums due to the lack of a risk-pooling mechanism that group plans provide, they serve as an essential safety net for individuals seeking health insurance in the absence of group coverage.