Private Health Insurance with No Annual Deductible
We all know that you get what you pay for. As a general rule this is true with insurance. The more you pay in premiums, the better your policy is likely to be.
Does this mean that you should always pay the highest rates for your medical insurance? No. That is not the case.
Although you do get what you pay for, there are two ways you can pay for your insurance policy. One is with your monthly or annual premiums. The other is with the information you gather and the thought you put into selecting the best plan for you and your family. Getting quotes from several companies, learning about the benefits, and reviewing the list of providers can help you save money and get better coverage. Before you apply, you should also know if your condition is covered and what if any maximum limit your policy is likely to have.
Medical insurance policies that have no deductibles tend to be better policies than policies with high deductible. However, they may not be so much better that the increase in premiums is justified.
There are several reasons for this. Understanding the reasons can help you make a better decision regarding whether or not enrollment in a private health insurance policy with no annual deductible is a wise idea.
One thing to keep in mind when looking at your options is that a medical insurance deductible is almost always based on a year’s worth of medical expenses. You may choose incorrectly if you compare the annual deductible with the monthly premiums. Be sure to look at a year’s worth of premiums when comparing.
People who have policies with low deductibles tend to overuse medical services. This raises the costs for the insurer who passes this added cost to the insured.
A cold or cold-like symptoms can turn into something worse if you wait too long to seek treatment, but it often goes away in a day or two without treatment. Those with zero deductible plans are more likely to go to the doctor right away. Others are more likely to wait an extra day to see if the symptoms get better.
Policies with no deductibles often have higher cost shares in other areas. Your annual deductible and the premiums that come out of your account aren’t the only way that you contribute towards the cost of your personal medical care. You are likely to have copays and/or coinsurance on zero deductible policies. Sometimes these cost shares are higher on zero deductible policies when compared to other healthcare plans. The bottom line is the total you pay for health care. This generally includes premiums, deductible, coinsurance and copayments.
When you get a quote from an insurer, be sure to ask for an outline of coverage so that you can see what preventive care they are required to cover, to see how doctors’ visits are covered, to see which services are covered fully and to see which are limited.
You may also want to ask if coverage for dental expenses is included in the quote or if it is available for an extra amount. Sometimes it isn’t offered at all.
Prescription drug coverage is included in most plans but not all. You will want to find out about this coverage as well.
If you are concerned about injectable prescriptions (like many with diabetes need) you should ask specifically about this. Many policies that cover prescriptions do not cover injectable drugs.
You will probably also want to get some information about the provider network. Are your family’s doctors in the network? Are local hospitals? Seeking care from of network physicians increases your costs with most insurance programs.
Be aware that companies that sell to both groups and individuals may have more than one network. If you are buying insurance as an employer for your employees you may have access to one network. An individual purchasing through a broker may have access to a different one.
Many experts advise that you consider high deductible HSA policies over their low and zero deductible cousins. These policies have low costs and can help you lower your taxes as well.
Before you part with your money, spend a little time to getting medical insurance quotes from this site. You can get free price quotes and get your questions answered from local brokers.
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