Individual Health Insurance Plan


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In the U. S. , those who are not covered under health insurance depend on improperly organized health care lattices for access to health care. However, the increasing percentage of the population that is uninsured, the gradually declining financial support for sponsored care providers, and the enhanced competition for Medicaid are posed to upset this safety lattice. Hence obtaining a health insurance policy has become an absolute necessity.

However, selecting the appropriate health insurance plan can be a daunting task. The key element behind choosing the right plan is to make an informed decision.

The first step should be to locate a professional insurance agent. You should ensure that the agent specializes in the type of insurance for which you are searching. Also find out about the credentials and expertise of the agent. The right agent can be easily located if you get referrals from family and friends. The ideal agent should make you aware of all the plans and options and take the time to make you understand all of them.

The next step would be to seek the answers to some vital questions:

The Cost of the Plan?

- The amount of premium to be paid every month

- The out-of-pocket deductibles to be paid before the reimbursement begins

- The percentage that the insurance will pay after the deductibles are met

- Whether doctors outside the company network can be consulted

The Individual Needs that are to be Covered under the Plan?

- Pregnancy related services

- Mental health benefits

- Regular checkups and preventive care

- Services of any particular doctor or specialist medical practitioner

- Health care coverage away from home

- Covering pre-existing conditions or chronic conditions like Cancer, AIDS, asthma, or alcoholism

- Cover of treatment under alternative medicine

- Coverage of Prescription medicines

Quality of the Insurance Plan?

- Experience of family and friends, already covered under the plan

- Member-drop-out rate of this plan

- Number of complaints that were filed by claimants in the previous year

- Accreditation of the plan by JCAHO or NCQA

- Rating by the government

Thirdly, you should thoroughly review your insurance policy. Examine you’re application to make certain that no vital information is left out. Scrutinize the whole policy meticulously to ensure whether every benefit that the agent offered is actually covered under the plan. Also find out the time period within which the policy can be cancelled and when it will have to be renewed.

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