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10 Very Important Questions That You Must Ask When You Are Purchasing Health Insurance

By: Don Saunders Home | Finance


If you are considering requesting a health insurance quote the specific details of the plan are very important and there various questions that you must ask. Just considering the premium that you are being asked to pay is not enough and you have to look at several different things including any limitations, exclusions, restrictions on where treatment can be sought, additional payments and fee requirements and several other things.

Below are a number of important things that you should always consider when you are purchasing a health insurance plan:

1. What deductibles and out-of-pocket expenses will I have to pay? Your premiums are just the beginning and the vast majority of plans require you to cover your bills up to a certain figure before your insurance plan kicks in. After that, you will usually also need to make a payment towards the cost of each medical bill.

2. Does the plan include cover for medical exams and health screenings? Examine the plan to ascertain whether or not the plan includes cover for routine medical exams including things like breast exams, mammograms and pap smears for women.

3. How are specialist care treatments and referrals dealt with? Examine the procedures to be followed if you require referral for specialist care and whether or not there are any special rules for meeting the cost of specialist treatment.

4. What cover is given for emergency care and hospitalization? {Take a close look to see whether or not you will need pre-approval for emergency or hospital treatment. It may seem crazy but some policies will not allow you to ask for emergency care without the pre-approval of a specified physician.

5. What cover is given for prescription drugs? Many plans limit the medications that can be prescribed frequently specifying that listed generic drugs rather than brand name drugs must be prescribed. You also need to look carefully at the proportion of any cost that you will need to meet for drugs.

6. Is dental and vision care provided? Many plans do not cover dental and vision care at all while some limit care to only routine annual dental and eye checkups.

7. Is psychotherapy, psychiatry and other mental health care provided? Not all plans will provide cover for mental health care and when cover is given you have to look carefully at exactly what level of cover is being offered.

8. Is hospital, home and nursing home care covered? It is important to examine the extent to which cover is given for care in hospital, in a nursing home or at home and whether or not there is a limit on any cover.

9. Is rehabilitation and physical therapy covered? Illness or accident frequently leads to a need for rehabilitation or physical therapy and so it is important to see the extent to which these are covered.

10. Is alternative treatment covered? As an increasing number of people are choosing alternative therapy such as the use of acupuncture or holistic treatments you need to check to see whether these are covered if this is an area that you wish to make use of.

The premium that you will be asked to pay for your health insurance plan is certainly important but it is only one part of the overall package that you are purchasing.



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