Tips for acquiring a health Insurance Plan


If you are not a participant of any health care plan and thinking to purchase a health insurance plan following tips will provide you necessary assistance to choose a suitable plan for you.

Basics of choosing a health insurance plan: Following basics may appear to be a commons sense. Still a large number of people lack information on how to find an appropriate insurance provider.

  • Study the prospectus of various insurance companies for comparing costs and coverage benefits.
  • Find out an insurance agent or company representative in your area.
  • Decide on mode of payment you wish that your insurance company should make.
  • Health insurance plans are available in two forms namely managed Care plans and Indemnity or reimbursement plans. Health insurance plans provided by HMOs, PPOs and Pos falls under this category. It is a type of arrangement between insurance companies and empanelled hospitals/doctors who agrees to provide the health care services to the clients of the insurance company at negotiated contract rates. In indemnity health insurance plans you get facility to select a doctor or hospitals to cater for your health care requirements. Payments of expenses on medical care availed by you are made by insurance company either full or in part, as laid down in your certificate of insurance.
  • Always pay annual premiums. You can save some money by doing this.
  • Never purchase a health insurance policy that do not provide for pre-existing conditions. Primarily you should avoid purchasing insurance policies with pre-existing conditions. If you are unable to secure one with nil waiting periods ensure that you get one with maximum waiting period of six months.
  • Give a second though before you purchase a supplemental medical insurance. Usually, these supplemental insurances cover the same aspects that are covered by your current health insurance and hence will of little use for you.
  • Enrolling in a group health insurance plan will be financially beneficial for you.
  • You will find number of health insurance providing companies offering you different plans. You should choose a plan that is most beneficial for you. The main criterion to assess the benefits is coverage and cost. The coverage is of:
  • If the plan provides hospital expense insurance it means insurance company will pay for your medical expenses incurred on hospitalization charges such as room charges, boarding charges and other services availed by you during hospitalization.
    • Surgical expense insurance plan covers expenses related to surgery such as surgeon’s fees and other surgery associated charges.
    • Major medical insurance provides you protection from losses caused by catastrophic injuries or sicknesses.
    • Physician’s expense insurance is limited to payment of visits to hospitals/doctors.
  • Check what benefits are offered by the plan. Apart from abovementioned coverage certain health insurance quotes offer some additional benefits like preventive care, maternity care, vision care, mental health benefits and prescription drugs.
  • You must give due consideration to the payments you have to made towards your health insurance. When you decide to purchase a particular health insurance quote check the following.
    • Whether you have to make any co-payment whenever you visit your physician.
    • Whether you have to make payments towards your medical service expenses (known as deductibles) before your insurance company starts paying claims.
    • Whether you have to pay certain percentage of your medical service expenses (known as co-insurance) after your reach applicable deductibles.
  • Apart from above, you must look for following things in a health insurance quote offered to you by an insurance company.
    • Check whether the insurance plan provides coverage for you and your family.
    • Check whether offered plan permits you to retain your present health care provider as primary health provider.
    • Check for coverage of pre-existing conditions and waiting period.
    • Check for the reputation of the insurance company. You can do it with the help of ratings provided by rating organizations.

    After you ensure all above points and decide on a particular health insurance quote, don’t relax. Your responsibility does not end there. You have to know more about your insurance policy to confirm that you’re get maximum benefit and your health insurance quote meets your health care requirements. Following guide lines will help you in understanding your health insurance policy in better ways.

  • Read your certificate of insurance carefully. Confirm that all coverage you have asked and paid for are incorporated in this certificate.
  • Discuss with insurance agents regarding any doubts you have. You may also like to obtain clarifications on the following:
    - What is not covered under your health insurance
    - Effective date of coverage
    - What is included in the coverage
  • Maintain record of all transactions between you and insurance company by preserving receipts.

How to choose a small business Health Insurance

Usually small business health insurance plans consists of plans that are fee-for-service, PPO or HMO, as these businesses can not other plans involving more expenditure. The small business health insurance plan is selected

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