Finding the Best Low Cost Health Insurance

How to find the best, low cost health insurance plan? I can't tell you how important it is to do your homework, and in this article I'll try to help you with some of that homework. You might think health insurance is all the same, but the devil is in the details and understanding the details may save you hundreds of dollars.

Health insurance, just as with any other sort of insurance, is basically risk management. When you pay an insurance company their monthly fee–called an insurance premium–you are paying them to assume the risk of paying for you health care. The policy that you buy determines the benefits they will pay for should you become ill or injured. When you purchase health insurance, you purchase what is called a policy, which is generally a package of benefits, and the policy spells out the terms and conditions under which the company will pay.

When you shop for health insurance, you discover that there are many different kinds and packages. For many people, health insurance means a coverage that pays the bills for doctor visits, outpatient hospital care, and inpatient stays. However, there are other kinds as well, such catastrophic health coverage, maternity coverage, and dismemberment insurance to name just a few examples. When you search for health coverage, you find an assortment of plans each offering its own package of benefits with its own rate of payment. The insurance plan is the "package" of benefits, and the benefits describe exactly what the insurer will pay for. For this reason, it is important that you understand the package so that you know what to expect when you receive health care.

Some of the kinds of insurance plans most commonly sold are health maintenance organizations (HMOs), preferred provider organizations (PPOs), and private fee for service plans (PFFSs). The HMO, PPO, and PFFS are different ways of packaging benefits. That means that each kind of plan will pay for different kinds of services and each plan will have different payment rates. A payment rate is how much they will pay health care providers for their services. HMOs are usually less expensive but generally require you to get all of your care only from providers in the plan's pre-determined network of doctors and hospitals. In an HMO you would be assigned a Primary Care physician, and a referral from that doctor would be required in order to see a specialist. Quite often, HMOs work better for individuals who in relatively good health and whose medical needs are not terribly demanding.

PPOs generally offer greater flexibility of coverage than HMOs. Whereas HMOs require that you receive care only from network providers, PPOs allow you to go out-of-network and do not require referrals. PPOs also include network providers (doctors and hospitals who have a contract to provide care to plan members), and care within the network will always be less expensive than going out-of-network. PPOs are often more expensive than HMOs but are generally considered to offer more coverage. You can see that if you understand you and your family's needs, you can determine whether a less expensive HMO or the more expensive PPO would be appropriate. Even though a PPO may be more expensive, if it more adequately meets your needs, it may less expensive in the long run. Some examples of the big health insurance names you may encounter include United Health Care, Humana, Blue Cross, Blue Shield, Aetna, Cigna, Anthem, Tonik, Wellmark, and John Deere.

Another common sort of managed care plan is the private fee for service plan (PFFS). The PFFS has no pre-established network of doctors and hospitals and leaves your choice of provider up to you. It is important, therefore, that your doctors agree to accept the plan's payment terms, and that you find out before you receive services if you doctors submit claims to the insurance company. Rather than offering you a fixed package of benefits, as is the case in an HMO or PPO, your providers bill the PFFS a fee for each service you receive, and the PFFS pays for each service according to its fee schedule, or payment rate.

An important question you want to ask before buying a health insurance policy is how much your costs will be. Much of the cost of a plan will include the monthly payments (premiums) along with any deductibles, co-pays, and co-insurance. However, there is another cost to take into consideration, and that is the reliability of the company. It is important that the company live up to its promise of coverage. This is a fairly controversial issue right now and another reason to taking the time to understand the policy before you buy. A plan that looks cheap could end up costing a lot more than a more expensive plan or a different plan from a different insurance company.

Low cost health insurance is attainable, but real secret is determining the benefits you need the most and then stripping everything else out of the policy. In other words, pay for as few services as possible and then add to that the highest deductible you think you could afford to pay if the need arose. Earlier, I mentioned the reliability factor. Do not buy a policy from a company until you get some idea of its customer service record. know before you go. Should a time of need arise, you want the security of knowing that the company will live up to its agreements.

Finding individual health insurance doesn't have to be expensive. Get more information and free tips, today!

Filed under Health Insurance by

Leave a Comment

Fields marked by an asterisk (*) are required.