Wilda Laci October 11, 2018

The idea of health insurance is important because it will allow you to pay for policy and to get various benefits such as going to doctor and protecting yourself against any health risk.

However, choosing the appropriate policy is challenging and it could be tricky if it is your first time. However, there are several providers for insurance strategy that can assist you decide which policy to choose.

That is the main reason why we created a comprehensive guide that will help you choose the best plan for yourself, your family or employee:

First You Have To Find Your Marketplace

Most people tend to get health insurance policy through employer, and if you are one of them, you do not have to use government marketplaces and insurance exchanges. The idea is that your work represents a marketplace by itself.

In case that your employer provides you health insurance, and you wish to search for additional plan that will fill all gaps that you do not have in real policy, you can do it. However, it will cost you more and you will have to spare a significant expense.

Most employers will provide you insurance pay when it comes to portions of premium, but they will choose the least expensive solution, which will not fit, to all people and employees. On the other hand, if your job will not provide you health insurance benefit, you should check Affordable Care Act in your state if it is available.

That way, you will be able to get the lowest premiums that will protect you along the way. Apart from federal marketplaces, you can get health insurance through private insurance company and directly from insurer. In case that you choose this particular option, you should have in mind that you will be eligible for premium subsides, which are discounts on your monthly premiums.

Check this link: https://www.healthcare.gov/glossary/affordable-care-act/ to learn more information on Affordable Care Act health insurance.

Compare Various Types of Health Insurance Plans

When you search for various health plans, you will notice that there are numerous types and plans that will match your needs. The most common ones are PPOs, HMOs, POS, and EPOs plans. The type you choose will determine how much you will pay and what you will get for it.

Have in mind that when you compare plans, you should look for summary of all benefits. Some online marketplaces will provide you link that will help you determine summary and cost of your plan’s title.

At the same time, you should check provider directory, which are clinics and doctors’ that will participate this particular network. If you are doing it through your employer, the workplace has to provide you summary of all benefits.

  • HMO (Health Maintenance Organization) – You will be able to use it for emergencies, but the procedure requires a referral. The idea is that you will get lower costs and you will get primary doctor that will coordinate care for you based on the policy. You can also work with specialists and conduct various expensive tests.
  • PPO (Preferred Provider Organization) – The best thing about it is that you do not have to stay in network to get the coverage but have in mind that network will be less expensive for your needs. It does not require referral to specialists when you have this particular policy. You will get wide array of provider options without referrals and everything that go with it.
  • POS (Point Of Service Plan) – It does not require to stay within the network, but you will need a referral to get outside of it. On the other hand, if you choose to use it within the network, you will get lower prices. It requires referrals and they are mandatory for your specific needs. You will get primary doctor that will coordinate tests, referrals that will allow you to go to specialists and to enjoy in healthy life all the time.

As you compare different plans, you should put your medical needs under the strict supervision and analysis. You should check the amount of treatment that you received in the past, but have in mind that it is impossible to predict what will happen and how much you will have to pay for expenses.

That is why you should choose per your convenience and medical record.