Health Insurance Information

The rising cost of medical care and the resulting pressure on health insurance premiums makes health insurance top priority if you want to have your health expenses covered at a reasonable cost.

The current health insurance system is quite complex and constantly changing.

What types of health insurance are available?

Health insurance plans generally fall into one of two categories:

1. Indemnity health insurance plans (also known as reimbursement plans).

2. Managed care health insurance plans such as health maintenance organizations (HMOs), preferred provider organizations (PPOs), and point of service (POS) plans.

An indemnity insurance plan 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 insurance 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 require 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 buy, you'll need to make sure it offers the right kinds of coverage.

A good health insurance policy contains several types of coverage.

Hospital expense insurance pays your room, board, and incidental services costs if you're hospitalized.

Surgical expense insurance covers surgeons' fees and related costs associated with surgery.

Physicians' expense insurance pays for visits to a doctor's office or for a doctor's hospital visits.

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 might be covered?

When comparing health insurance plans, check to see if they provide additional benefits that you may need, including:

* Prescription drugs

* Preventive care

* Mental health benefits

* Maternity care

* Vision care

What will health insurance 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 can get health insurance through a group health insurance policy at work or through another group affiliation (a school, a club, etc.) or by purchasing an individual health insurance plan on your own.

By purchasing an individual health insurance plan on your own, you may even be able to customize the health plan. One of the easiest ways to locate private health insurance companies and to get health insurance quotes is to shop online.

There are many online private health insurance companies that will provide you with free health insurance quotes. This will allow you to compare health insurance rates and to compare health insurance companies so you can find low cost health insurance.

In addition to getting health insurance quotes online, you can also buy health insurance online. Make sure that you spend the time visiting many different online insurance companies to make sure they are well known reputable insurance companies.

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 health insurance quotes before choosing a plan.

Here are a few points to consider:

* What co-pays, deductibles, and coinsurance requirements apply?

* How much freedom do you have to choose your own health-care providers?

* Does the health insurance plan cover the health services that you need?

* Does the health insurance policy cover the health-care providers you're currently using?

* Does the health insurance plan offer family health insurance, as well as individual health insurance coverage?

* Does the health insurance plan cover pre-existing conditions? If so, is there a waiting period? (The average waiting period is three months to one year.)

* Does the health insurance company have a good reputation in the industry and a positive rating from a major ratings organization?