How much do you know
about your health insurance policy? If your company provides your
health insurance then you probably know just about as much as most
people. You know the doctors to use and how much you have to pay
before the insurance begins. For those that purchase their own
health insurance policy, then you have very different
situation.
The cost is the first difference that most people
notice if they switch from a group plan. When your employer offers
health insurance, the cost is usually a lot lower if the group is
large. One for the reasons is that they spread the risk the risk
among a large group of people. The second includes the fact the cost
of billing is lower because the company does the collection of
premiums. The biggest reason for the price difference is that the
employer pays part of the premium or all of it in very rare
instances.
Frequently the coverage is broader in a group
plan. The individual health plan seldom contains dental,
prescription and eye care. The deductibles are often higher in an
individual health insurance plan and coverage more limited. Often
well baby care, wellness care, including physicals and smoking
cessation and maternity are not part of the policy. Many employers
discovered long ago how to keep costs down and increase coverage and
you can do the same thing when you buy your health insurance policy.
Health insurance policies vary widely so you have to make
some decisions about the type of coverage that you want. Do you want
one that just covers major medical, the services of a hospital and
outpatient surgery, or do you wand coverage that picks up the
expense of doctors and routine physicals covered? When you include
additional options and get a more comprehensive health insurance
policy, the price goes up. Insurance company calculates the premium
by presumed expense. They expect to pay more, because more people
use the doctor and wellness care, so they increase the price
accordingly.
Another way that companies keep the cost of the
health insurance policy low is to use Health Maintenance
Organizations, HMO’s. The doctors and hospitals in the group agree
to a discounted charge, so the insurance company reduces the amount
they charge the company. These types of plans are also available to
the individual and create a cost savings without cutting corners.
Often there is a co-pay for doctor’s visits and hospitalization and
a few extra perks are in the package.
A final way to reduce
the cost of a health insurance policy is to increase the deductible.
The higher the deductible, the lower the cost. Many companies use a
partial self-insure to reduce the cost. The insurance plan covers
everything but has a huge deductible, about $5000 per individual.
The company then starts a side fund that covers those smaller claims
so the employee only pays a small deductible. This type of plan is
also available for the individual. It is a combination plan where
some of the monthly payment goes into a savings account used for
upfront expenses. This account belongs to the individual and
receives tax-free growth as long as you use it for medical expenses.
The payment for up-front bills comes from the savings. Once you
reach the chosen limit, a much lower cost health insurance policy
takes over. These plans are great for healthy individuals.
When you compare health coverage, look for a plan that suits
your needs and budget. Check
the reduction of premium as you increase the deductible and, even if you don’t have
a MSA, set the savings aside to cover the additional
out of pocket. Study your health insurance policy as the corporations do
and you save on one of your biggest monthly expenses.
About the Author
For more insights and
additional information about your
Health Insurance
Policy as well as getting a free quote on your custom health
insurance policy, please visit our web site at
http://www.healthinsurancetipsguide.com