When you are considering health insurance it is essential that you ask a number of specific questions about a health insurance plan quote to ensure that you get the right cover at the right price. Here we look at 10 questions that you need to ask:
Question 1. What out-of-pocket expenses and deductibles will you have to pay? No medical insurance plan is going to meet all of your medical bills and you will usually have to meet a deductible before your insurer will payout at all and will also ask you to meet certain other expenses.
Question 2. What health screenings and examinations does the plan include? Health plans vary considerably when it comes to preventative care and you will have to look to see what screening tests are covered. For example, does the plan cover all family members including babies, children, and adults, and provide such things as breast examinations, mammograms, and pap smears?
Question 3. Our specialist care and referrals covered? When you require a referral to a specialist this might or might not be covered and, if it is covered, might have restrictions placed upon that cover.
Question 4. How are emergency care and hospitalization treated? Sometimes you will find that emergency care and hospitalization are only be covered if pre-approved and you must fully understand the circumstances under which such treatment is covered.
Question 5. What prescriptions costs does the plan cover? You will have to examine any accompanying prescription plan with care to determine what drugs are permitted and the extent to which you may have to meet part of the cost of any prescription drugs.
Question 6. Are both dental and vision care covered? In many cases, medical plans will not cover dental and vision care and these then have to be covered under a separate plan.
Question 7. Does the plan cover psychotherapy, psychiatric services, or mental health services? Although many health plans will cover mental illness in various different forms such cover is frequently limited and you will normally find that there is a cap on the amount of cover provided.
Question 8. Are hospital, home health, and nursing home care covered? While most plans will offer fairly good hospital cover you will have to look at just what cover is provided for home health and nursing home care.
Question 9. Our physiotherapy and rehabilitative care covered? Plans will frequently separate out initial treatment and follow-up rehabilitative care and physiotherapy and so it is vital to discover exactly what is and what is not covered.
Question 10. Does the plan cover alternative care? As an increasing number of people are turning to alternative treatments like acupuncture or holistic treatments health insurance companies are increasing including cover for such treatments. It is however still early days for alternative treatment and, if this is something that you want to take advantage of, you will need to look to see to what extent it is covered.
The ten questions here should form the basis on which you consider any medical insurance quote but you may want to include other items to your own lists like how much paperwork is required when it comes to making a claim under the plan and how wide is your choice when it comes to hospitals, doctors and other treatment facilities. The main thing however is to make sure that you completely understand exactly what cover you are being provided with and how much it will cost before committing yourself to a plan.