Buying Your Own Health Insurance
New laws will cause an influx of new shoppers for personal Health insurance. Along with the flood of new buyers will come an expanded range of insurance plans as companies compete for health insurance dollars. Fancy advertisements targeted at the new buyers will offer attractive policies with all the pretty adornments designed to reel in customers. Super-low prices and outrageous promises can separate the un-educated customer from his money while delivering no real value. No one wants to spend money without receiving something in return. This article attempts to expose some of the tricks used by insurance companies and make buying individual health insurance a successful endeavor.
In a supermarket, shoppers expect to see products in a range of prices. There will be nationally known brands and there will often be store brands or “generic” un-branded products at lower prices. The differences in the products are often subtle enough to make the lower priced store brands attractive to many shoppers. Health insurance, in spite of being priced higher than a can of corn, has similar options. Before a buyer decides on the lower priced policy he should know what the insurance company has done to bring the price down.
The most effective cost control was based on finding and avoiding those patients who were expensive to cover. The horror stories about insurance companies dropping people who were diagnosed with expensive-to-treat conditions are common. Persons who had pre-existing chronic conditions were regularly refused coverage. Smokers, overweight people and those diagnosed with depression were routinely denied. These practices vividly demonstrate the lack of compassion that most insurance companies operate with.
Another common and effective tool for insurance companies to manage costs is to use health maintenance or preferred provider organizations. These tools are actually effective at reducing costs and can benefit the consumer. The problems with HMOs and PPOs arise when the insurance company contracts with sub-standard providers or providers out of the patient’s area. Before choosing an insurer, the shopper should investigate the approved providers and the extra costs of using providers outside of the insurance company’s network.
Just as auto insurance companies offer many types of coverage with different deductibles and coverage limits so do health insurance companies. Health insurance has even more options and variations than auto insurance. If a standard coverage level is established to meet the government requirement, the insurance shopper must be sure the policy bough meets the standard. Deductibles, co-pays, coverage limits and several other factors are part of any health insurance contract. It is the buyer’s responsibility to know what he is paying for.
In theory, as healthier young people pay premiums for insurance they rarely use the premiums for all insured people will fall. On the other hand as insurance companies are forced to accept the clients they have been denying for years the benefit payout can increase costs and force premiums higher. The final result will depend on the amount of ruthlessness the insurance company applies to paying claims
As the new market opens up, new insurers are sure to pop up. These new insurers should be approached with caution until they have established a history. The way a company pays claims and applies the rules of the policies should be investigated. Unhappy clients will quickly spread the word when a new company proves to be unscrupulous. Older, established companies will be even easier to investigate and their reputations for customer service will let the buyer know the true value of the insurance they offer.
When buying individual health insurance, looking at price alone is sure to be a mistake. Some investigation and research will pay back the effort with a more acceptable product.
In the past few months, the discussion of where and how to obtain individual health insurance plans has been in the news. Buying individual health insurance is one way to get medical and drug insurance coverage.
September 7, 2010 | Posted by Mike Morgan
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