Enrolling for health insurance both at the national and state levels is kind of like picking a bus seat in the morning; you are spoilt for choice but don’t know what window will take in the full glare of the sun a short time later. The good news is that there is a lot of publicly available data that you can work from in order to narrow down the choices when it comes to carriers. The companies that make up USHealth Group have a combined 50 years of experience in health insurance, which makes them uniquely qualified to talk about the health insurance industry.
Below is a quick, 3-step guide;
- Be sure of the kind of network you fit in with
Most of us go to the doctor’s from time to time, and that is as good a place to start as anywhere. Since you already have doctor, all you need is find out what type of insurance plans/carriers they support. If you find the plans you wanted to go with are not part of your doctor’s purview, then you will simply need to let said carriers go; it is way easier to find a willing insurance carrier than it is to find a good doctor.
Of course, there are those who never really get the chance to nail down one specific doctor for their health needs. In this case, you can choose a doctor depending on your own preferences. For example, some people simply want to be treated near their place of residences, while others will travel across state lines in order to get to that one famous doctor. Still, other people will pick doctors based off recommendations from friends and family. Whatever case may apply to you, go through your doctor’s brochures and find out what insurance plans they support.
- Keep your head on the math
Ultimately, USHealth Group makes the case that it all comes down to costs. You will need to calculate both you minimal and maximum premiums. Minimal costs are easy to compute. They just cover the minimum amount of money that comes from your pocket towards premiums every month. The figure arrived at is then multiplied by 12(the number of months in a year). Keep any subsidies, regardless of how significant, away from the equation.
Calculating the maximums on the other hand is a little more complex. You will take your yearly premiums and add them on to what you expect to spend out-of-pocket on treatment within that same year. Sure, there are no exact figures to work with because it is hard to predict what will come out of your pocket towards medical costs, but we do have a pretty solid cap. $6,850 is the limit for individuals and $13700 is the ceiling for families. Most people tend to get alarmed by the final figures arrived at, but there is usually very little chance that you are actually going to spend anything close to that amount-that is why we are looking at it as the maximum possibility, and not certainty.
For those in various stages of pregnancy, things are going to be a little different. Delivery costs and pre-natal care expenses will of course be part of the policy, but things tend to change when the child is born. The new child is added on to your insurance plan, and the automatic effect is that your premiums will rise quite a bit.
- Projected healthcare needs over time
As a general rule, the young and healthy tend to pay very few trips to the doctor’s a year. And when they do, there are no specialized treatments undertaken. In fact, most will only go for checkups and will only require treatment in cases of emergency. You generally expect this group to pay low premiums because their exposure is low. However, this will only apply to those who live safe, laid back lifestyles and are not in careers or sports that pose a risk to health.
The older and the aging are a different matter altogether. As we blow past the 40’s, we become less healthy and more susceptible to health issues and our bodies take longer to recover from illnesses. This explains why people in this age bracket tend to pay higher premiums and generally spend more on health insurance than younger folk.
Follow USHealth Group for more information about health, and selecting an insurance plan.