What healthcare plan should I choose


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Go for a plan that covers what you need

You should also make sure your plan covers the services you need. Some plans cover only preventive care, while others cover only basic services. If you’re thinking of having a baby or getting pregnant, check to see whether your plan covers maternity care and childbirth.

If you regularly use prescription drugs, make sure your plan offers drug coverage in its network of doctors and hospitals. Check with your employer if there are any stipulations about when a specific prescription needs to be filled through the PPO network versus purchasing it directly from a pharmacy without using insurance benefits (e.g., paying copayments). You may also want to ask about co-insurance rates for prescriptions since these can vary widely depending on what type of medication is being taken (e.g., $20 versus $125 per month).

Opt for a plan with shorter wait times

A healthcare plan that has wait times under 30 minutes is the ideal option. The longer you have to wait, the more likely you are to get sicker and thus require more expensive treatment. This can lead to a downward spiral of progressively worse health and increasing costs.

Make sure it covers your prescriptions

The last thing you want to worry about when taking medication is whether or not your prescription plan will cover it. If you are on a plan that does not cover your prescriptions, consider switching to one that does.

In addition to covering the costs of medical procedures and doctor visits, many healthcare plans also cover prescription drugs. There are four basic types of prescription drug coverage in the United States:

  • Prescription Drug Coverage That Includes All Your Prescriptions—This type of coverage typically includes all medications needed by members (including those prescribed by specialists) within the deductible amount. Once members reach their deductible limit, they pay coinsurance until reaching their out-of-pocket maximum (OOPM), at which point they stop paying anything toward their prescriptions until their next year’s deductible comes around again (unless there are any circumstances where an exception can be made).

Avoid plans with huge deductibles

If your plan has a huge deductible, you’ll have to pay for most of your healthcare costs out of pocket until the deductible amount is met. The average deductible for an individual and family plan is $1,350 and $2,700 respectively. However, some plans have deductibles that are significantly higher than this average. For example:

  • A bronze plan may have a $5,000 or more deductible
  • Silver plans have about a $3,500 average deductible
  • Gold plans generally have about half the deductibles of silver plans (around $2,000)

Choose the right primary care physician

  • Choose a doctor who is familiar with your medical history. If you have a complicated medical history, find out whether the doctor has experience in treating similar conditions.
  • Choose a doctor who is in your network. If your insurance plan requires you to choose a primary care physician (PCP) and then select specialists from its network, it’s important to choose someone that can help you get the care needed from other providers in that network when necessary.
  • Choose a doctor who can help you get the care you need. If some specific treatments or procedures could benefit you but aren’t covered by your insurance, talk to the PCP about how they might work with other providers within their practice or another facility outside of it so everything gets covered without raising costs unnecessarily for either party involved.

And finally…

  • Choose a doctor who is available when needed! This one should be obvious but many people fail at this step because they don’t take into account how often they’ll need their help or when those times might occur during regular business hours versus after-hours emergencies.”

Don’t go for the cheapest option.

If you’re looking for the cheapest health insurance, don’t do it. These plans have high deductibles and they don’t cover many things. They also have long wait times and won’t help you if your doctor or hospital is not in their network.

You should also steer clear of all-inclusive plans that only cover an annual checkup but charge a monthly premium for the privilege of having coverage at all. This type of plan is meaningless when it comes to serious medical issues—and any kind of coverage from these companies can be canceled at any time if you miss a payment or fail to renew your contract before the end date specified on your contract documents.


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