What is the best
health plan for me?
Choosing a health plan can be a confusing experience. Although
there is no one "best" plan, there are some plans
that will be better than others for you and your family's health
needs. We will try to guide you in simple terms. However, rather
than just giving you answers, the best thing we can do is to
make sure you are equipped with the right questions.
There are three major things
to consider, each with their own unique set of questions. By
considering the questions thoroughly, you will arrive at the
right plan for you and your family.
How affordable is the cost of health care?
How much will it cost me on a monthly basis?
Should I try to insure just major medical expenses or
most of my medical expenses?
Can I afford a policy that at least covers my children?
Are there deductibles I must pay before the insurance
begins to help cover my costs?
After I have met the deductible, what part of my costs
are paid by the plan?
If I use doctors outside a plan's network, how much more
will I pay to get care?
How often do I visit the doctor and how much do I have
to pay at each visit?
Do the included services
match my needs (access of care)?
What doctors, hospitals, and other medical providers
are part of the plan?
Are there enough of the kinds of doctors I want to see?
Where will I go for care? Are these places near where
I work or live?
Do I need to get permission before I see a medical specialist?
Are there any limits to how much I must pay in case of
a major illness?
Is the prescription medication which I need covered by
the plan?
Does the plan cover the expenses of delivering a baby?
Have people had good
results when covered by a specific plan (quality of care)?
How do independent government organizations rate the
different plans?
What do my friends say about their experience with a
specific plan?
What does my doctor say about their experience with a
specific plan?
Your Guide to Choosing Quality
Health Care * shows how you can use information about quality
to improve the quality of health care services you and your
family receive. It describes quality measures including consumer
ratings, clinical performance measures, and accreditation-what
they are, where to find them, and how to use them. The Guide
has checklists, questions, charts, and other tools to help you
make the health care decisions that are right for you.
The major ways you can check
for quality in health care are also summarized in: Quick Checks
for Quality*
The above documents are
provided with permission from the Agency for Health Care Policy
and Research. The above guides are for informational purposes
only and should not be considered advice or counsel as to any
particular individual or family's situation for health insurance
needs.