When considering health insurance, it’s essential that you ask some specific questions about a health insurance quote to make sure you’re getting the right coverage at the right price. Here we look at 10 questions to ask:
Question 1. What deductible costs and deductible do you have to pay? No medical insurance plan will cover all of your medical bills and you will usually have to pay a deductible before your insurer will pay you in full and will also ask you to cover certain other costs.
Question 2. What health screenings and examinations does the plan include? Health plans vary widely when it comes to preventive care and you will need to look into which screening tests are covered. For example, does the plan cover all family members, including infants, children, and adults, and include things like breast exams, mammograms, and Pap tests?
Question 3. Are specialist care and referrals reimbursed? When you need a referral to a specialist, it may or may not be covered and, if it is covered, there may be limitations to that coverage.
Question 4. How is emergency care and hospitalization treated? Sometimes you will find that emergency care and hospitalization are only covered if they are pre-approved and you need to fully understand the circumstances under which such treatment is covered.
Question 5. What prescription costs does the plan cover? You will need to carefully examine any associated prescribing plan to determine which medications are allowed and how much you may have to pay for some of the cost of prescription drugs.
Question 6. Are both dental care and eye care reimbursed? In many cases, medical insurance does not cover dental and eye care and must be covered in a separate plan.
Question 7. Does the plan cover psychotherapy, psychiatric services or mental health care? While many health insurance plans cover mental illness in various forms, such coverage is often limited and you will normally find that there is a limit to the amount of coverage.
Question 8. Is hospital, home care and nursing home care covered? While most insurance plans offer fairly good hospital coverage, you should check out what coverage is provided for home care and nursing home care.
Question 9. Are physiotherapy and rehabilitation reimbursed? Plans will often separate initial treatment and follow-up treatment and physical therapy, which is why it is vital to find out exactly what is and what is not covered.
Question 10. Does the insurance cover alternative care? As an increasing number of people turn to alternative treatments such as acupuncture or holistic treatments, health insurance companies are increasingly offering coverage for such treatments. However, it is still too early for alternative treatments and if you want to take advantage of this, you should see how far it is covered.
The ten questions here should form the basis on which you consider a medical insurance quote, but you may want to add other items to your own list, such as how much paperwork is required when it comes to filing a claim under the plan and how wide your choice is when it comes to hospitals, doctors and other treatment facilities. The most important thing, though, is to make sure you fully understand exactly what coverage you’re getting and how much it will cost before committing to a plan.
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