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Having the wrong expectations when shopping for health insurance can lead to one of two negative consequences: becoming over-insured or becoming under-insured. A good health insurance agent can help you find the perfect balance so you won't be disappointed with your policy's benefits or overwhelmed by its premiums.
Here are five things you should expect your health plan to do for you:
1. Lower Your Annual Healthcare Expenses
The bottom line is simple - buying health insurance should make it to where you will pay less for healthcare this year than you would have paid without a health policy. The only way to make this determination is to assess your likely annual healthcare needs for the year ahead based on previous usage and other known factors.
Plug in the most probable scenario as to your healthcare usage along with premiums, deductibles, copays, coinsurance, and all the rest, and it should come out you save money. Otherwise - why even have a policy? An insurance agent can help you make the calculation to bring clarity to your health insurance goals.
2. Guard Your Savings Account
One thing a good health plan does is it prevents you from seeing your hard-earned savings evaporate as soon as you have a health need. A low or no deductible plan and/or one with a relatively low out of pocket maximum will protect your savings since cost-sharing will begin soon or even immediately.
A high deductible plan is fine if you have enough money in the bank to meet your deductible without decimating your savings. Or, if you have a health savings account (HSA) through your employer, high deductibles need not be a problem.
3. Take The Fear Out Of Seeing The Doctor
Knowing you have good health insurance makes it a lot easier to see your PCP, go to the ER, or seek other medical care when needed. You know ahead of time you will have quick, uncomplicated access to care and that medically necessary procedures will be covered by your plan.
And you also will be confident that preventative care is covered by your policy. That's going to result in you going to see the doctor earlier rather than later, which helps to catch and treat health problems as early as possible.
4. Prescription Drugs Are Included
Although there are separate discount plans that can help with your prescription drugs, you really want them covered by your regular health policy as well.
If you need a rare or high-cost drug for even a short period of time, it can be a major expense to pay for it 100% out of pocket. And for those with ongoing prescription drug needs, it would be preposterous to choose a policy that didn't cover those particular drugs.
5. Local Care Is Covered
Your health plan should cover needful care at the places you are likely to go. Hospitals, clinics, ERs, and other health facilities in your area that you might actually use must be covered or the plan loses much of its value.
Finding your best health insurance plan can be challenging. You can't expect your plan to pay 100% of all healthcare expenses, for no insurance does that. But all reasonable needs must be met or the plan has failed in its mission.
Talk to an experienced health insurance broker at Summerlin Benefits Consulting for help in locating, customizing, and enrolling in the health plan that best meets your needs.