It is important to get health insurance for yourself and family members as well. Insurance helps to protect you from high health care costs, especially those related to chronic medical conditions or the need for hospitalization.
You should get health insurance for the same reason that you have auto insurance or homeowners insurance – to protect your savings and income. Depending on your age, job status, and financial condition, there are many ways that you can get health insurance.
However, there are also some factors you should consider when purchasing health insurance and here are they:
Find out the health benefits you need including prescriptions, vision care, dental, or alternative medicine, and consider plans that include those benefits. To keep your health insurance costs down, opt a plan that covers only what you need. For example, if you do not want dental coverage, then do not include it on the plan or buy the plan with it. If you have special needs, make sure the plan you choose meets those needs.
Co-payments for physician office visits and prescriptions
Co-payments for medical visits differ by provider. Review co-payment costs for visits to your primary care physician, specialists and emergency rooms. Frequent doctor visits such as OB visits for pregnancy can increase out-of-pocket insurance costs if you choose a plan with high co-payments. Additionally, compare plan prescription co-payments, and check to see if you can receive prescriptions at reduced rates if you use generic prescription drugs.
Exclusions and limitations
Just as health plans offer certain benefits, they also have exclusions and limitations. Exclusions are services not covered by your health plan while limitations may be covered but are limited in coverage. Carefully read the terms of potential health care plans before purchasing because you may find out later that a medical need you have is not covered and will ultimately cost you out-of-pocket.
Your health insurance premium is the price you pay, typically on a monthly basis, for your coverage. Determine how much you can afford to spend on your policy so you can narrow down your choices. This consideration is a no-brainer, but it’s often the first and only thing people look at when choosing a plan. However, a lower premium does not always equate to lower medical costs overall.
The higher your deductible is, the lower your premium. If your family has a good health history and is not involved in any potentially risky activities, you might want to consider a higher deductible. In some health plans, preventive care appointments, like your annual physical, are covered exclusive of your deductible.
Doctors in plan
Confirm to your insurance adviser whether you can continue to receive medical care from your current primary physician or another physician of your choice. Health insurance provided through HMOs and PPOs might require you to receive all of your medical care from member physicians associated with their plans. If your physician is not a member of their plans, you might have to pay for medical care you receive from your physician out-of-pocket. Also, verify that the offices of physicians in plans are open on days and hours that are convenient for you and your family.
Check with health insurance providers to see if they offer preventive care at no additional cost to you. For example, some providers might let you receive blood pressure screenings, immunization vaccines, an obesity screening and counselling, mammogram and cholesterol screenings at no additional cost. If you have children between the ages of 18 and 24 months, your provider might also let your child receive an autism screening at no cost to you.