Health insurance can prove to be confusing to many consumers. Understanding the basics is key to maintaining individual health insurance that meets your needs and expectations as well as your budget. By educating yourself with the basics you can accomplish that. Here are 7 basics to get you started.
When going down the list of basics naturally the total amount the insurance carrier will pay is a huge factor. This is what they call the Lifetime Maximum. It simply means that they will never exceed that amount if you should reach it. On average they are $3-$5million. When thinking in terms of a major critical illness that can easily cost millions, this amount could be your deciding factor.
Deductible is important basic knowledge when it comes to health insurance. The lower your deductible amount the more you can expect to pay in premium. The deductible must be met by the consumer before the insurance company agrees to share the cost.
The next factor is the co insurance. Co insurance is when you have met your deductible and you only pay a percentage for an additional amount. An example is you pay 25% while the insurer pays 75% up to $3000. Once this amount is met the insurer would then pay 100% of any allowed medical cost within that year.
Another often misunderstood part of insurance is Co Pays. If your plan has built in Co pays for Office Visits you pay only the co pay amount even if you have not met your deductible or co insurance. There are some exceptions, if not noted in the plan as included in office visit you would still have to pay lab and x-rays.
A good understanding of the Preventative benefit is also key to comparing and understanding your benefits. Not all plans include Preventative visits. A Preventative exam is a screening and non diagnostic exam meant to maintain good health and foresee any problems with health. Sometimes the benefit will cover many different test and labs, while some will only cover a certain amount.
One basic that is detailed in clear is the limitations. These are sometimes overwhelming to consumers and overlooked. But you need to take the time to know the limitations. They may restrict how much the pay for certain illnesses or treatments. They may only pay for 2 office visits a year.
Some catastrophic plans do not cover prescriptions. It is crucial that you understand this. On the more benefit rich plans you can expect to pay a co pay for you prescription. But take notice if you have a maximum the carrier will pay, some prescriptions can be very costly.
When going down the list of basics naturally the total amount the insurance carrier will pay is a huge factor. This is what they call the Lifetime Maximum. It simply means that they will never exceed that amount if you should reach it. On average they are $3-$5million. When thinking in terms of a major critical illness that can easily cost millions, this amount could be your deciding factor.
Deductible is important basic knowledge when it comes to health insurance. The lower your deductible amount the more you can expect to pay in premium. The deductible must be met by the consumer before the insurance company agrees to share the cost.
The next factor is the co insurance. Co insurance is when you have met your deductible and you only pay a percentage for an additional amount. An example is you pay 25% while the insurer pays 75% up to $3000. Once this amount is met the insurer would then pay 100% of any allowed medical cost within that year.
Another often misunderstood part of insurance is Co Pays. If your plan has built in Co pays for Office Visits you pay only the co pay amount even if you have not met your deductible or co insurance. There are some exceptions, if not noted in the plan as included in office visit you would still have to pay lab and x-rays.
A good understanding of the Preventative benefit is also key to comparing and understanding your benefits. Not all plans include Preventative visits. A Preventative exam is a screening and non diagnostic exam meant to maintain good health and foresee any problems with health. Sometimes the benefit will cover many different test and labs, while some will only cover a certain amount.
One basic that is detailed in clear is the limitations. These are sometimes overwhelming to consumers and overlooked. But you need to take the time to know the limitations. They may restrict how much the pay for certain illnesses or treatments. They may only pay for 2 office visits a year.
Some catastrophic plans do not cover prescriptions. It is crucial that you understand this. On the more benefit rich plans you can expect to pay a co pay for you prescription. But take notice if you have a maximum the carrier will pay, some prescriptions can be very costly.
About the Author:
For fantastic service Agent Jeff Cline is ready to assist you with your individual health insurance needs. Broker Jeff Cline will assist you with all health insurance needs, even travel medical insurance for your exciting trips you have planned. Call us 7 days a week. Our toll free number is 866-526-9669
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