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NICOL Insurance Services > Blog > How to pick the best health insurance plan

How to pick the best health insurance plan

How to pick the best health insurance plan

If we have learned anything from the COVID-19 pandemic, we can’t take our or our family members’ health for granted. We have to take the necessary steps so that we don’t have to feel helpless when someone in our homes falls sick. One of the best ways to ensure that is to pick a health insurance plan. The knowledge of how to pick the best health insurance plan comes in really handy in this situation. 

The first thing you need to consider while picking a health insurance plan is where you will get it from. You also have to consider what type of insurance you want to get in terms of coverage, check out the plan’s network, be acquainted with the terms associated with insurance, etc. 

Let’s take a look at the details of picking out the best health insurance plan.

Tips for picking the best health insurance

Health insurance has become extremely important over the years, especially during the post-pandemic period. Everyone wants themselves and their families to be as financially backed up as possible in case something happens.

But the process of picking the best health insurance plans requires some planning and research. Here are a few tips that might help you:

1. Decide where are you getting the plan from

If you are employed, chances are you will be provided a health insurance plan by your employers. If that is the case, then you won’t have to actively look for a medical insurance plan. You can sign whatever plan your employer is offering and relax.

medical insurance plan

But what should you do if you are not employed, and hence not covered by any insurance provided by employers? You can look for private health insurance plans. You can also see if there are any state-provided health insurance plan that suits you. Once you have decided which insurance you will get, move on to the next step. 

2. Decide how much coverage you will need

If you are generally healthy, you won’t need extensive health insurance coverage. All you need to do is get a regular plan which provides moderate coverage.

But if you have some ongoing health issues, you will need to choose a health plan that covers your condition. That’s when you have to carefully go through the details of an insurance plan to see if you are covered by it.

3. Compare the benefits of the plans

It is never wise to decide upon an insurance plan without doing extensive research on other alternatives. Once you have done your research and have narrowed down your choices to a few plans, compare what kind of benefits these plans offer. Go for the ones that suit you the best. 

benefits of medical insurance plans

If you want any particular benefit, then choose the plan that provides it. On the other hand, if you don’t have any preferences, go for the one that has a wide range of benefits, so that you are better covered.

4. Get acquainted with insurance-related terms

To properly reap the reward of any insurance plan, you have to know what various terms mean. This has two reasons. First, you won’t get confused by which term means what and end up choosing the wrong health insurance plan. 

Second, there are a lot of fraudulent insurance companies out there who try to take advantage of people’s ignorance. If you know what each term means, then they won’t be able to fool you and take advantage of you. Some of the most important insurance-related terms are:

  • Coinsurance: This is a percentage of the medical bill which you need to pay. The insurance plan takes over after that.
  • Copay: Unlike coinsurance, a copay is a lump-sum amount of the medical bill that you have to pay. 
  • Deductible: Your insurance will not start covering your medical bill right off the bat. You will need to pay a certain amount of the medical bill before your insurance plan picks up the rest. This amount is called a deductible. 
  • Premium: The monthly amount your pay for your insurance plan is called a premium. 
  • Out-of-pocket maximum: This is the maximum amount you have to pay out of your pocket other than the premium.

Once you know what these terms mean, compare these to the ones offered by the other insurance plans. Then choose the plan that is the most compatible with your needs.

5. Compare the networks

The network of an insurance plan means the doctors or other healthcare facilities that are contracted to that particular plan. If you have a health issue, you need to look for a plan that covers the treatment of that ailment. If you have a doctor that you would like to continue visiting, contact them to see if they are contracted by that insurance company

If you don’t have any particular health problem, then you should choose a plan that has a wider network. This way you will be better covered if something happens to you.

6. Consider your costs

If you are looking for long-term care insurance, you need to think about your out-of-pocket costs. If you set your premium high, then your out-of-pocket costs will be lower and vice versa.

But if you are generally healthy, you should also think about the feasibility of setting a high premium only to never claim the insurance.

7. Compare insurance types

Before deciding on an insurance plan, you need to consider the variety of health insurance plans. The most common types of health insurance policies are HMO, PPO, POS, and EPO. All of these have some basic differences, which you should learn about before choosing an insurance plan.

8. Seek professional help

If you are still confused about which affordable health insurance plan to choose, you can always take help from a professional. There are plenty of experts out there who provide guidelines and advice to people about which plan suits them the best and what should they look out for.

9. Beware of frauds

As most people look for cheap health insurance to get more benefits in exchange for a small fee, they sometimes fall victim to frauds posing as insurance companies. They provide terms that are too good to be true, luring unaware people in.

They keep receiving the premiums, but when the time comes to cover the expenses, they back out of the deal and leave you with no choice but to pay a fortune.

Final words

Since insurance plans involve dealing with a lot of money, knowing how to pick the best health insurance plan is a must. It not only ensures you are best covered and well protected, but it also makes sure you don’t have to fall victim to scams.

FAQ

1. What is most important to you in choosing a health insurance plan?

What is most important when you choose a health insurance plan depends on what you are looking for in the plan. It can range from coverage, premium, out-of-pocket costs, etc.

2. Is HMO or PPO better?

There are benefits to both HMOs and PPOs. If you want the costs of the plan to be lower and don’t have any preferred doctor, you can choose the HMO. On the other hand, if you have a preferred doctor, but they aren’t covered by the network of your insurance plan, then you should choose the PPO.

3. What are 5 important insurances you should have?

Among all the insurances out there, the 5 most important insurances are

  • Health insurance
  • Property Insurance
  • Life insurance
  • Automobile Insurance
  • Disability insurance