Types of health insurance and how to choose an individual health plan
One of the greatest advantages of having a health insurance policy is that it helps you to afford the right medical treatment even if it’s expensive. However, it is quite important to choose the right insurance plan for you and your family. Read this article to know about basic types of health care plans and what to look for in order to choose the right health insurance policy.
Types of health insurance policies
Health insurance plans can be broadly categorized into group health insurance and individual health coverage.
- Group health insurance: It is a type of policy that provides coverage to a group of people under the same contract. A common example is employer sponsored health coverage, wherein all the employees (and sometimes their dependents) are covered through the same policy. They are available at comparatively cheap rates.
- Individual health plan: A health insurance policy that is purchased by an individual from an insurance company. It is comparatively expensive as compared to group health policy.
2 Types of individual health plans are discussed below.
- Managed care plans – This health care plan actually helps you to minimize your medical treatment costs. Apart from receiving extensive health coverage, it offers incentives to the policyholders who choose medical providers that are listed in the policy.
- Indemnity plans – If you buy this plan, then you can get treated by your own doctor. It is also known as fee-for-service plan in which the doctor or the patient can make the insurance claim.
How to choose individual health insurance plan
You should consider the following 5 factors while purchasing an individual health insurance policy.
- Understand your household need – Before purchasing an individual health care plan, you should consider the coverage that you require on regular basis. As for example, if you have a chronic ailment, then you may have to visit a specialist once a month.
- Whether or not to keep your doctor – You need to decide whether to choose a PPO (Preferred Provider organization) or a HMO (Health Maintenance Organization) if you want to get treated by a particular doctor. A PPO helps to choose your own doctor whereas in a HMO, you need to choose from the network of doctors under your health plan.
- Check for limitations – It is advisable that you check for limitations while buying health insurance coverage. As for example, there may be limitations regarding mental health services and psychotherapy.
- Provisions for emergency care – Check out the emergency care coverage offered by your policy. Often insurance policies cover accident injury or broken leg injury but don’t provide coverage if the policyholder is treated for an illness in an emergency room.
- The coverage – It is better if you verify with your agent whether or not X-rays and prescriptions are covered under the health care plan you’re planning to purchase. You may include prescriptions and X-rays as they are essential part of certain treatments.
Apart from above, check out the amount of premium you need to pay every month for your health insurance policy. It is also advisable that you determine whether to increase the deductible for reducing the premium cost or to raise the out-of-pocket expenses in order to qualify for a comparatively low premium rate. Talk to your insurance agent and weigh the options to select one that suits you the best.
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