Choosing the best health insurance plan involves the following:
- Finding the health insurance plan with the lowest cost (but only with respect to the other two criteria)
- Finding the health insurance plan with a network that meets your needs
- Finding the health insurance plan with coverage that meets your needs
Choosing the Health Insurance Plan with the Right Network
Most companies have websites that will list the doctors and hospitals that participate in their plan. All that I'm aware of will have a printed list that they can mail to you. The right plan will have your doctor on their list or at least doctors who serve your home area. If you travel it is important to find a plan that covers you well in other geographic areas as well.
Choosing the Health Insurance Plan with the best coverage
Health insurance contracts may be the most complex of the insurance policies purchased by the average family. Understanding how your health insurance policy will pay for your medical bills can be difficult. Fortunately most of the brochures and outlines of coverage that you may receive from a health insurance provider will have a similar structure.
They will have sections similar to the following: What is Covered? Health Plan Exclusions and Limitations What is Covered?
This section will detail what medical procedures your health insurance policy will cover. The policy should have a phrase like "reasonable and customary" or "usual, reasonable and customary" or something similar when describing how much they will cover.
Watch out for health insurance policies with:
Dollar amount limits for each procedure
A long list of procedures that the health insurance policy will cover Better health insurance policies will not list dollar amounts for each procedure. They will pay using a formula that is based on what other doctors or medical providers will charge you in the same geographic area. A phrase like "usual and customary" indicates that they use such a formula. The cost of medical care rises so quickly that a dollar amount that seems impressive today may not fully reimburse you even a year from now.
Solid health Insurance policies will not have a long list of procedures that they will cover listed on the policy. The long list seems impressive because the list takes up a lot of space. Look at the statements below. It should be easy to choose between one and two.
- "Our health insurance policy will cover you for everything except for expenses caused by self-inflicted injuries and substance abuse." ("I've been to every state in the union except Alaska.")
- "Our health insurance policy will cover your nose, your ears, your toes, your hands, your right lung, your calf and your knee" ("I've been to New York, Connecticut, Nebraska, Washington DC and Vermont")
* Determine what health insurance plans will cover you in your area
* Determine which health insurance plans offer adequate coverage
*Choose the plans that offers the best value based on price and coverage
This article was originally published on http://www.1800insurancect.com/articles/tips_for_finding_coverage.htm