HomePlanHow To Choose Right Health Insurance Plan

How To Choose Right Health Insurance Plan

Ways To Get A Health Plan

Health Insurance Basics: How Do I Choose the Right Plan?

There are many different ways that you can buy a health plan in Massachusetts. Many people get their health plan through their place of employment. For people that can’t do this, there are several other ways to get a health plan.

Through Your Employer or Union

In Massachusetts over 70% of all employers offer health insurance as a benefit to their employees. Most of these employers pay part of the premium and also offer a choice of several health plans. You can choose the health plan that is best for you from the choices offered.

Qualified Student Health Insurance Plan

If you are enrolled as a student in a Massachusetts college or university, you can buy a health plan through your school. This SHIP id designed for students and is only available while you are enrolled.

Directly from an Insurance Company

Massachusetts residents can buy health plans directly from an insurance company. And the company can’t turn you down if you have a health condition. Sometimes the company will direct you to purchase their health plan through an intermediary. An intermediary is a company that takes care of the enrollment and premiums.


If you meet certain income requirements, you may be eligible for MassHealth. This is a Medicaid program paid for by the state and federal taxes for eligible persons. You can learn more at or call 1-800-841-2900

Through the Connector


Other Government Health Plans

Consider Your Familys Needs

If youâre married and/or have children, think about what your family needs from a healthcare plan. Because coverage can change from year to year, itâs helpful to know what plan work better for your circumstances. For example, if you and your spouse have significantly different healthcare needs, it may be beneficial to keep separate plans with differing levels of coverage or different pricing.

Tips To Choose A Health Insurance Plan In India

Undeniably, health insurance is one of the most essential insurance policies to have considering the spike in the occurrence of health problems at an early age, in the current climate. Further, the astronomical medical treatment costs place clear stress on the necessity of having a health insurance policy.

But unfortunately, health insurance in India is the most neglected type of insurance as it doesnt provide any benefits unless you get sick. While nobody wants to get sick, you must understand that health problems are an undeniable part of our lives. Therefore, it is very important to stay prepared for the financial consequences of a health problem. You cannot plan and get sick, but you can certainly stay financially prepared for the worst.

There are a variety of health plans available in India, from individual plans to family floater and senior citizen health insurance. So, you need to assess your requirements first and then purchase a health plan.

You May Like: How Much Is Health Insurance A Month In New York

Decide How You Prefer To Manage Your Costs

You can make choices about how you pay for your care too. Check to see if the plan you’re considering works with the way you like to manage your budget. Some people prefer to keep their monthly premium payments low. Others may choose to pay higher monthly premiums so they may pay less for copays when they need care.

What Is This Health Insurance Plans Prescription Drug Coverage Like

Choosing a health insurance plan: The full breakdown

According to Georgetown University, two-thirds of all adults in the United States use prescription drugs, so theres a fair chance you will, too .

Its not unusual for people to get so focused on the medical details of their health insurance plan they forget to look at the prescription drug coverage. These costs can add up, so be sure to review the plans formulary .

The formulary will tell you which drugs are covered and how much theyll cost. That way, you can better plan your budget for any current drugs youre taking .

Related questions to ask:

  • How much will I pay for my regular prescriptions? Are they affordable?
  • Do I need my health plans approval for any prescriptions before I fill then?
  • Which pharmacies are in-network? Are their hours and locations convenient?
  • What are my options if my prescriptions arent covered?

Read Also: Can I Still Apply For Health Insurance

Find Out The Premium Discounts

Health insurance plans offer attractive discounts on premium so as to reduce your premium outgo. Discounts are commonly offered for the following

  • No claim discount for not making a claim in the previous policy year
  • Discount for adding two or more members to the coverage
  • Discount for buying a long-term policy
  • Discount for buying the policy online
  • Discount for maintaining a healthy lifestyle and practicing healthy habits

Tip: Look for the discounts offered under the plan that you are considering to buy. Choose a plan which offers the maximum possible discounts so that you can save on the premium cost.

If Your Employer Offers Health Insurance

Most people with health insurance get it through an employer. If your employer offers health insurance, you wont need to use the government insurance exchanges or marketplaces, unless you want to look for an alternative plan. But plans in the marketplace are likely to cost more than plans offered by employers. This is because most employers pay a portion of workers insurance premiums.

You May Like: Can A Child Have 2 Health Insurance Plans

Tip #: Take Advantage Of Medicare If You Qualify

To be eligible for Medicare, you must be 65 years of age or older, or you must be under 65 years of age and have a qualifying disability. You may also be eligible for Medicare if you have End-Stage Renal Disease , which is permanent kidney failure that requires dialysis or a kidney transplant.

There are a few things to consider when choosing the right Medicare plan. First, you need to decide if you want Original Medicare or a Medicare Advantage plan. If you choose Original Medicare, youll need to purchase a separate Part D prescription drug plan. If you choose a Medicare Advantage plan, your prescription drug coverage will be included.

Next, youll need to think about what kind of coverage you need. Do you need doctors visits, hospitalization, preventive care, and/or prescription drugs? Once you know what kind of coverage you need, you can start comparing plans.

Be sure to compare the costs of each plan, including premiums, deductibles, and co-pays. Youll also want to make sure the plan covers the doctors and hospitals you prefer.

You can enroll in a Medicare plan during your Initial Enrollment Period, which begins three months before your 65th birthday and ends three months after your 65th birthday. You may also be able to enroll during the Annual Election Period, which runs from October 15 to December 7 each year.

Health Insurance Basics: How Do I Choose The Right Plan

HEALTH INSURANCE 101: How to choose the right plan for you

shopping for health insurance is a big decision but asking the right questions can make it a lot easier when it comes to health coverage everyone has different needs and preferences understanding the features of a health plan can help you pick the right match for you lets start with the kind of plan you want is it important for you to see doctors out of network or without referrals if so you may want to look into PPO plans.

Read Also: Does State Farm Sell Health Insurance

Do You Take Medications

Whether youre taking regular prescriptions or specialty medications, what they cost varies based on each plan. Check to see if the plan covers generic and brand name versions of the medication. Also make sure you receive your medications from a pharmacy thats in network, otherwise they may not be covered or you may pay more.

Check The Hospital Network Of The Insurance Company

Health insurance plans allow cashless hospitalisation wherein you dont have to shoulder the hospital bills. The insurance company shoulders such bills on your behalf. Cashless hospitalisation is, thus, convenient and financially liberating. However, the benefit is allowed only if you get admitted in a hospital which is tied-up with the insurance company.

Insurance companies mention the number of networked hospitals that they are tied up with. You can also find the list of hospitals in your city on the insurance companys website.

Tip: When buying a family health plan, check the list of networked hospitals. Check if the local hospital which you prefer is tied-up with the insurer or not. Also check the pan-India network strength. The stronger the better because it means that you would be able to locate a networked hospital easily, wherever you are.

Read Also: What Do You Need To Get Health Insurance

Tip #: Change Or Renew Your Current Plan

Open enrollment is the only time of year to renew or change your current plan . Its the perfect time to consider what you like about your current health insurance benefits, and what if anything youd like to change.

If your income has changed, someone has changed jobs, youve added a new family member, or youre just not happy with your current plan, now is the time to view all your options and find the perfect health care plan for you. A plan that includes Advocate Health Care will give you convenient access to compassionate caregivers, cutting-edge medical technology, and world-class care thats built around you.

Happy with your plan and just want to renew? First, make sure your current health insurance plan is still available! If your current plan is no longer available, you can choose a different plan or shop outside the marketplace. But keep in mind that when you buy health insurance outside the marketplace, you wont be able to take advantage of government subsidies.

No matter which plan you choose or where you buy it, pick a plan thats designed with you in mind one that includes Advocate Health Care.

Why Choose Ghp Family

How to Choose the Right Health Insurance Plan

Our large provider network

  • More than 31,000 primary care physicians and specialists available to you
  • Hospitals across Pennsylvania

Customer service

  • Our expert staff are organized in teams and specially trained to handle questions about specific plans
  • Available by phone or online, six days a week

Health and wellness programs

  • Innovative wellness programs available online, in person and by phone
  • Personalized services support and educate you to cover all your healthcare needs
  • Need help scheduling or getting to your medical appointments
  • Take multiple prescription medications
  • Have a child with special needs

Read Also: What Is Oscar Health Insurance

Tip #: Choose A Health Care Plan That Fits Your Life

When choosing a health insurance plan, ask yourself:

  • What are my familys most important needs when it comes to health care?
  • Who is healthy and who may need more care in the coming year?
  • Is anyone planning a surgery or a pregnancy?
  • Am I happy with my current plan? If not, whats missing?
  • What did I spend on health insurance last year? Do I expect that amount to change in 2022?
  • How much do I want to spend on health insurance each month?

Discuss the answers to these questions with your family and dependents. Knowing what matters most will help you plan for a healthy future with a plan thats built around you.

Look For Plans Which Do Not Have Co

Co-payment is one of the major factors to look for opting for the best health insurance policy. The co-payment feature of a plan requires an individual to pay a part of the total claim amount out of their pocket. Sometimes, the co-payment part of a policy can range from 10% to 15% for health policies.

That is why it is best to avail a policy that does not mandate co-payment on your part. Further, if your plan demands co-payment, make sure that the percentage is minimal.

Read Also: What Is Family Health Insurance

All Of These Things Impact The Final Decision What Is The Right Health Insurance Plan And Is It Affordable

The health insurance market has several options that may be available to you. The vast majority of Americans have access to group insurance offered through employment. For those that are self employed, independent contractors or work for a company that is unable to provide coverage for their employees, other options exist.

Group insurance plans can be the best and most affordable way to carry health insurance coverage. There are situations where this may not be true. Some employer sponsored plans require large premium contributions to cover other family members. Under those circumstances, where employer coverage is unaffordable for dependents, it may be best to enroll in coverage outside of work.

Tips For Choosing Your Health Insurance Plan Through Work

How To Choose A Health Care Plan

Are you trying to choose a health insurance plan offered through your employer? Choosing a health plan for the year ahead is an important decision. And if it’s open enrollment time at your company, it’s your time to explore the available health plan options before you enroll.

You can use this checklist and watch our open enrollment video series to help you weigh the options and decide which health plan may be best for you. Let’s get started.

You May Like: What’s The Penalty For Not Having Health Insurance In California

Youre Our First Priorityevery Time

We believe everyone should be able to make financial decisions with confidence. And while our site doesnt feature every company or financial product available on the market, were proud that the guidance we offer, the information we provide and the tools we create are objective, independent, straightforward and free.

So how do we make money? Our partners compensate us. This may influence which products we review and write about , but it in no way affects our recommendations or advice, which are grounded in thousands of hours of research. Our partners cannot pay us to guarantee favorable reviews of their products or services.Here is a list of our partners.

Will This Health Insurance Plan Make It Easy To Get Care If Im Sick

Waking up with a sore throat or sinus infection is never fun. When it happens, you want to feel better and find care fast.

Everyone gets sick from time to time, so before it happens, consider how easy your plan makes it to find covered care. With this information in mind, youll know where to go and what to do as soon as you feel the first inklings of illness coming on.

Related questions to ask:

  • Do I have to pick one primary clinic or doctor I always go to first?
  • Are there covered urgent care clinics or emergency rooms nearby?
  • Does the plan cover virtual care options, like Virtuwell?

You May Like: Does Health Insurance Cover Birth Control Pills

How To Find The Health Insurance Plan That� � s Right For You

Choosing a health plan can be complicated. We can help you understand how to compare Marketplace plans and choose one thatâs right for you.

Here are some important things to consider when choosing a plan:

  • Plan category: There are 5 categories of Marketplace insurance plans: Bronze, Silver, Gold, Platinum, and Catastrophic. The health plan category you choose determines how you and your plan share the costs of care.

  • Monthly premiums: This is the amount you pay your insurance company for your plan whether you use medical services or not. Monthly premiums are important, but theyâre not all you need to think about.

  • Out-of-pocket costs: Itâs important to know how much you have to pay out of your pocket for services when you get care. You pay these out-of-pocket costs in addition to your monthly premiums.

  • Type of insurance plan and provider network: Different plan types provide different levels of coverage for care you get inside and outside of the planâs network of doctors, hospitals, pharmacies, and other medical service providers.

  • Benefits: All plans sold through the Marketplace provide the same essential health benefits, cover pre-existing conditions and offer free preventive services.

Now that you know what to look for you can preview plans and prices in your area and apply online. It takes most people 20 minutes or less to apply.

But remember that you only have a few days left to enroll in 2014 coverage â open enrollment ends March 31.

Be Precise With Your Calculations

Select a Right Plan: 7 Important Health Insurance Parameters

Always consider your age while choosing a health plan. For younger people, risk is less, and so is premium. Once you hit 40, though, your needs will evolve, and your health plan needs to reflect that. This also means that you need to focus on buying a plan that offers maximum age renewal or simply put, one that you can renew in your golden years.Also, once you are married, your health plan should take into consideration both you and your spouses age and health conditions.

Read Also: Which Health Insurance Company Is The Best For Medicaid

Best Employee Health Insurance Plans

Second, you need to consider the cost of the premiums and the deductibles. Third, you want to offer an affordable plan for your employees and provide adequate coverage.

Finally, it would help decide whether you want to offer additional benefits such as dental or vision coverage. By carefully evaluating your options, you can choose the best employee health insurance plan for your business.

S To Pick The Right Mediclaim Policy

First In-patient hospitalization coverage which is pretty much the reason for buying a health insurance plan which is the maximum amount up to which you can claim against hospital expenses Second Day care treatments are procedures that take less than 24 hours at a hospital like in the case of cataract, tonsils, chemotherapy, liver biopsy, kidney stone removal, etc. Here, look for a plan which covers all day-care treatments without restrictions or plans which cover a high number of day-care treatments. Third Room Rent is the cost or type of room that shall be allocated to you as per the plan chosen. Now, some plans have no capping on room rent,

some offer a single private room and some allow a limit of up to 1 or 2% of your sum assured. So on a 3 lac cover, a 1% allowance on room rent will give you maximum room eligibility of 3,000 rupees which might not be sufficient. It is important to know which type of room or what is the maximum allowance on a hospital room so that you can plan your insurance needs accordingly Fourth Pre and post-hospitalization refer to the reimbursement of any expenses prior to and post-discharge which are directly attributable to the illness or injury for.

Recommended Reading: Where To Go For Health Insurance

Popular Articles

explore more