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Seven things to consider before zeroing in on a health plan

Believe it or not, life is very unpredictable; you never know what happens the very next moment. It exposes you to diverse situations, and medical emergencies are one of them. These days, people are already struggling to make ends meet, and increasing health costs are raising concerns. Thus, buying a health insurance policy seems like a wise decision.

Health insurance provides you with a cover for medical expenses, eliminating concerns about being solely responsible for all health bills. Similarly, it gives you access to emergency services whenever there is a need. However, it is essential to do a little homework before calling the shots. You have to find your way to the best plans and companies.

So, to help you with it, here are seven things to consider before zeroing in on a health plan:

1. Prescription Drug Coverage

Insurance plans and policies can be tricky for people outside the medical or insurance field. If you notice, such documents are pages long, and there is a reason behind it. It consists of all details your plan covers and things which it doesn’t. In case you need a medical prescription, you have to dig deeper into the policy to see which drugs it covers.

They have a list of prescriptions that are categorized into tiers, depending upon the costs of drugs. Usually, plans only cover low-cost generic medicines, while others force copay costs. Of course, you can always pay some money out of your pocket, but is this why you are getting health insurance?

2. Check Deductibles And Premiums

Insurance plans with numerous benefits come with hefty price tags. You have to splurge on monthly premiums to take advantage of these benefits, which should align with your income. Therefore, you need to pick an affordable private health plan for which you can quickly pay for without stressing over its cost. People need to see whether they really need those insurance plan benefits or not.

At times, healthy people end up choosing a high deductible with low premiums, considering they would never need it. You have to pay deductibles before the insurance company pays you the claim, and setting a high amount can leave you into a loss. You have to maintain a balance between deductibles and premiums to ensure you are taking the right deal.

3. Look Over the Claim Process

Unfortunately, unprofessional companies create a lot of trouble at the time of filing claims. They make you do loads of paperwork, ask for additional evidence, and take days to process the request. Hence, you need to look over the claim process before buying a health plan. Reputable companies make sure the claim process is fast and straightforward, accommodating people at the earliest possible. So, ask the insurance agents regarding the paperwork and time for processing claims to have an idea about things beforehand.

4. Renewal Options

Honestly, finding the perfect insurance plan is quite challenging. Still, when you do, you have to make sure it is renewable. You have to pick insurance policies that offer lifetime renewability. After all, there is a higher chance of suffering from diseases and illnesses once you start to age. It would save you the effort of undergoing the entire procedure of choosing an insurance plan all over again.

5. Network Hospitals and Doctors

Previously, health insurance policies worked differently. You could go to any hospital or doctor you preferred, but things are different in the 21st century. Now, most of the insurance companies have networks of participating hospitals and doctors. If you end up using an out-of-the-network doctor, you will have to pay all or most of the cost out-of-pocket.

Therefore, you have to ensure whether the insurance plan is covering your preferred doctors and hospitals. Also, if you like to be very sure, confirm it with your practitioner. Moreover, consider your situation before selecting the right policy because if you travel a lot, then your insurance policy has to cover a significantly vast network.

6. Health Saving Account Eligibility

Don’t you like stashing cash into your health account? Health saving account is like your personal account that is specifically for your medical expenses. You can deposit as much money you like and withdraw whenever you want. However, it is only for those people who are opting for high-deductible insurance plans. Therefore, you need to check with your insurance company whether they are offering the savings account option or not.

7. Maximum Out-of-Pocket Cost

You might not know this, but many health insurance plans have a Max limit on out-of-pocket expenses. For instance, an insurance plan might only partially cover dental or chiropractor costs.

Generally, if you have to opt for a root canal, you would be paying some percentage of the amount on your own. Insurance companies refer this to as coinsurance since patients have to bear a part of the expense too. However, the percentage of the cost that you pay is limited to a maximum out-of-pocket limit. Insurance companies will share the cost with you until reaching it. After that point, they bear a hundred percent of the cost. Thus, you have to make yourself familiar with all these terminologies to understand the insurance policy correctly.


Health insurance works as a savior during emergencies since everyone doesn’t have heaps of savings to pay huge bills. At the same time, picking the best plan is quite challenging. There are many things that one has to consider from insurance coverage, premiums, networks, to types of procedures. If you want to get your hands on the most excellent plan, look above for seven things to consider before zeroing in on a health plan.