When shopping for an individual health insurance plan for yourself or your family there are many plan and carrier options to choose from. In fact, the choices can seem overwhelming. However, if you know what to look for when comparing plans it can make the task of choosing a plan much simpler.
The first benefit feature to compare between plans is the annual deductible. This is the amount you will need to pay before some or all of the other plan benefits start. Deductible amounts can range anywhere between $400 and $10,000 and are usually broken down between individual deductible (one member on the plan) and family deductible amount (two or more members on the same plan). There can be differences between how charges are applied towards the plan deductible so read the fine print so you are not surprised. The general rule is the lower the annual deductible the higher the monthly premium.
The second benefit to compare is the coinsurance. Coinsurance is defined as the splitting of medical costs between two parties, in this case you and the insurance company. The coinsurance amount is usually listed as a percentage and can range anywhere between 90 and 50 percent with the insurance company paying the larger piece. Again, plans with the smaller percentage of coinsurance that the member is responsible for, the higher the monthly premium.
The third benefit, and arguably the most important plan benefit to compare when shopping for individual health insurance, is the maximum out-of-pocket amount. This is also sometimes referred to as the stop loss amount. In the event you incurred an extraordinarily large set of medical bills this is the maximum amount you would be responsible to pay out in unreimbursed medical expenses in a calendar year. The lower the maximum out of pocket amount, the higher the monthly premium.
The fourth benefit to compare is the prescription drug benefit. Now days many individual health insurance plans have limited or no prescription drug benefits. So if you need to fill a prescription and your plan doesn't cover drugs, you will be left to pay for the medication by yourself. Be aware that even though you might not be taking any prescriptions now, if you ever needed to in the future and your plan didn't cover drugs, you would not have coverage. Once you become ill it is very hard to upgrade your plan.
The fifth item to compare between plans is the monthly premium. If money were no object we all would have the best plan a dollar could purchase, however most people live on a budget and premium needs to be considered.
There are many other benefits that are important to examine before making a final decision on which plan is best for you. However, if you start with the five most important features listed above you will be able to narrow your search down to a limited number of plans that have the right balance of deductible, coinsurance, maximum out of pocket, drug benefit, and monthly premium to fit your needs.
If you have any questions about how to select an individual health insurance plan or if you would like to have a proposal emailed or faxed to you please contact us at 831.459.9140 or at info(at)drewmillerinsurance.com.

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