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Don't Buy Medical Insurance Unless You Understand These Five Things

Guest post by: Alston Balkcom

Article Overview: You should be sure that your medical care insurance company is in point of fact a health-care insurance company and meets the minimum standards for your state.

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Don't Buy Medical Insurance Unless You Understand These Five Things

Does the medical insurance plan meet the minimum standards?

Do you know what is covered?

How good is their network of hospitals?

How well is it priced?

Are you getting the best deductible?

You should be sure that your medical care insurance company is in point of fact a health-care insurance company and meets the minimum standards for your state.

Some companies selling what appears to be health care insurance are selling discount plans. These plans can lower your expenses in some scenarios, but do not provide substantial coverage. They will often use company names that are sound very similar to the names of well known medical care insurance carriers.

The best way to make sure that you are dealing with an actual healthcare insurance company is to check with your state's department of insurance. They will have a list of approved health care insurance companies.

You should know what a given medical insurance carrier covers and does not cover.

You should read the outline of coverage or brochure for any medical care insurance plan you are considering. There will be a section that mentions the "exclusions and limitations." Read this section carefully. Most of the items in this section will be the same from plan to plan. However, this won't be one hundred percent true. Make sure that you are comfortable with the things the contract doesn't cover.

You should know how good their network is in your area.

Is your doctor in the company's network? If not, are there other doctors in the network who are a short drive from home? Is your local hospital in their network? Will you be able to get emergency coverage when you are on vacation in another state?

If you are a spend a lot of time in a second home, it is important to know if you can get your non-emergency care in taken care of in the area surrounding that other location. Most plans will cover emergency care well whether or not you use network providers. However, many will not cover routine care well if at all if the services are performed outside of the network.

You should know if a policy is well priced. Make sure that it is competitively priced when compared to other similar health insurance policies from other medical care insurance carriers. You may be surprised to know how much of a price variance there is between similar policies.

You should know whether or not a contract is priced well when the deductible and other cost shares are concerned.

This involves doing a little math. When comparing two similar medical insurance contracts with different deductibles, be sure to annualize the deductible and the premiums when judging policies. Often when we do this we are able to pick out bargains. Although it is true that when you pay more for a contract you can expect to have a lower deductible and vice versa, you may find that the cost drops faster than the deductible rises.

Look at your net medical expenses in different situations. This will help you determine whether a carrier is charging too much for a low deductible plan. Calculate your total costs for your health care expenses when you include not just your annualized premium and your annualized deductible and other cost shares. You will probably find that a medium or even a high deductible plan will be your best option.

The more information you have, the better choices you will make regarding your healthcare insurance contract. Knowing whether or not a contract meets your state's minimum standards, knowing the limitations of the plan, making sure that the network is adequate and being able to judge prices and deductibles are all important when it comes to finding the best health-care insurance contract for your family.

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Home > Insurance > Alston Balkcom > Dont Buy Medical Insurance Unless You Understand These Five Things
Article Tags: brochure, care insurance plan, company names, contract doesn, department of insurance, emergency c, emergency coverage, exclusions, health care insurance, healthcare insurance, insurance carrier, insurance carriers, insurance companies, insurance company, local hospital, medical care insurance, medical insurance plan, nbsp, scenarios, substantial coverage
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About the Author: Alston Balkcom
RSS for Alston's articles - Visit Alston's website

Alston J. Balkcom has been a licensed insurance agent since December of 1985. His health insurance agency services Connecticut residents who do not qualify for health insurance through an employer

Click here to visit Alston's website
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