Let's face it--in
today's world, health insurance is a requisite. With medical expenses
soaring higher than a hang glider, paying for them could have you
digging deep into the pockets of your jeans.
What types of health insurance are available?
Health insurance plans more often than not fall
into one of two categories: indemnity plans (also known as
reimbursement plans) and managed care plans such as health maintenance
organizations (HMOs), preferred provider organizations (PPOs), and
point of service (POS) plans.
An indemnity project allows you to choose your
own doctors and pays for your medical expenses--totally, in part, or
up to a specified amount per day for a specified number of days.
Managed care plans generally provide broader
coverage, but they all involve an arrangement between the insurer and
a selected network of health-care providers (doctors, hospitals,
etc.). For example, an HMO will command that a primary care physician
in the network coordinate all of your care and refer you to
specialists in the network.
No matter which type of health insurance you
bargain, you'll need to make sure it offers the right kinds of
reportage.
What should be covered?
A soundly health insurance policy contains
several types of coverage.
Major medical insurance offers extremely broad
coverage with a very high maximum benefit that's designed to protect
you against losses from catastrophic illness or injury.
What power be covered?
When comparing health insurance plans, check to
see if they offer additional benefits that you may need, including:
Prescription drugs
Preventive care
Mental health benefits
Maternity care
Vision care
What will it cost?
In addition to the monthly premium expense, you
may have other out-of-pocket costs. These costs can really add up,
especially if you have children or other family members who visit the
doctor frequently. Check to see if the health insurance plan you're
considering requires you to pay any or all of the following:
Co-payment: The amount you'll have to pay each
time you visit a health insurance provider (generally required by
HMOs).
Deductible: The amount you'll have to pay toward
your medical expenses (usually annually) before the insurance company
begins to pay claims (generally required by indemnity plans).
Coinsurance: The percentage of your medical
costs you'll have to pay after you reach any deductibles that apply.
Where can I get health insurance?
You may get health insurance through a group
plan at work or through another group affiliation (a school, a club,
etc.) or by purchasing an individual plan on your own. By purchasing
an individual plan on your own, you may even be able to customize the
health plan.
A good way to comparison rates, plans, and
options for your individual needs is to shop online. Complete online
health insurance quote comparisons help to insure you get your best
rate.
How do I decide which plan is best?
The best health insurance plan for you is the
one that gives you the greatest flexibility and the most benefits for
the lowest cost. Unfortunately, there's no such thing as a standard
health insurance plan. As you would when making any major purchase,
you'll need to shop around and get several quotes before choosing a
plan. Here are a few points to consider:
What co-pays, deductibles, and coinsurance
requirements apply?
How a great deal freedom do you have to choose
your own health-care providers?
Does the plan cover the health services that you
need?
Does the plan cover the health-care providers
you're currently using?
Does the plan offer family, as well as
individual, coverage?
Does the plan cover pre-existing conditions? If
so, is there a waiting period? (The average waiting period is three
months to one year.)
Does the insurance company have a good
reputation in the industry and a positive rating from a major ratings
organization? (Contact your state's department of insurance for more
information.)