Monday, March 2, 2009

Important considerations when selecting a health insurance plan

By Elliot Bigman

Due to the economic downturn, individuals and families are now shopping for private health insurance in increasing numbers. The following information will provide individuals and families shopping for insurance with basic considerations to assist them with getting the best health insurance policy for their health care needs.

What are your overall expenses for medical needs during a year? If you and your family are spending less than 5% of your income on health care expenses then buying a high deductible policy with lower premiums may save money during the year and offset the cost of co-pays and doctor visits.

What premiums can you afford on your budget? For those who can't pay the higher monthly premiums, choose a high deductible plan that will cover the important health care expenses in case of emergencies. Many policies have $1000, $2500 or even $5000 deductibles that can save your family from financial crisis when a medical emergency arises.

Do you need temporary or long term health insurance coverage? If you are a student or unemployed, you may consider an inexpensive temporary policy that covers 1-6 month period while waiting for employer insurance. When looking for long term coverage, make sure you understand what the policy covers.

Check the pre-existing conditions clause and read the policy exclusion details to make sure you and your family are covered and your medical claims will not be denied. This is a top priority with all types of health insurance policies whether student, temporary, or a individual health insurance plan.

Find out about the network of doctors and hospitals that the insurance policy covers. Many policies require you to visit a network doctor or hospital in your area. Make sure to check access to specialized doctors and medical treatment when traveling. Does the insurance policy allow out of network medical treatment? Check the network of doctors and hospitals and ability to choose your own doctor before deciding on an insurance company.

What happens if you seek treatment outside of the preferred network? Make sure you are covered outside of the network. Many insurance policies do cover this situation, but read the information about deductibles, out of network claims, and maximum out of pocket expenses for these claims.

Does the health plan cover the important medical procedures? Choose a health plan that covers the basics like doctor visits, routine physicals, outpatient testing, and blood work. Also choose an insurance policy that covers infectious diseases, cancer treatments, transplants, critical illness, and traumatic accidents. Make sure to find out the lifetime maximum payout amount as well as if the policy has limitations or exclusions for coverage.

Looking for a Health Savings Account to decrease your taxable income? Find out about high deductible health plans and Health Savings Accounts. HSA plans can pay for certain medical expenses, reduces taxable income and save money for your retirement. Ask an insurance professional about HSA options.

Ask the insurance company about their professional experience and track record in the field. Most agents specialize in health insurance and are willing to answer any questions and concerns. Dealing with a professional agent can greatly simplify the entire process of choosing the right health insurance policy for you. - 15275

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