Key Considerations You Might Be Overlooking When Comparing Health Plans

With the rising costs of medical care and hospital bills, affordable health care is always on our minds. The National Patient Advocate Foundation (NPAF) emphasizes the importance of shopping around for health insurance rather than settling for the first policy you find. Comparing different health insurance quotes is essential to find a policy that meets your needs and helps you save money.

With so many options available, it can be overwhelming to decide which health plan is right for you. Here’s a straightforward guide to the key factors you should consider when comparing health plans:

**Your Doctor**
Some health plans require you to use their network of doctors. If you have a preferred doctor you want to continue seeing, check if they are included in the plan’s network. If you have to choose a new doctor, review their qualifications and check reviews through the American Medical Association.

**Waiting Periods and Pre-Existing Conditions**
People often overlook waiting periods and coverage for pre-existing conditions when choosing a health plan. Make sure to check if the plan covers any pre-existing conditions you might have and find out about any waiting periods before you sign up.

**Specialists**
If you are seeing or might need to see a specialist for a particular medical condition, ensure that the specialist is included in the network. Check the process for seeing specialists and whether you need a referral from your primary care doctor.

**Hospital Care and Emergencies**
Identify which hospitals and emergency rooms are covered by your plan. Understand what the plan defines as an emergency, as this might differ from your own definition. Also, determine if you need to contact your primary care physician before going to an emergency room.

**Exclusions**
Review the plan’s list of exclusions thoroughly. Knowing what is not covered by the plan is just as important as knowing what is covered.

By keeping these key factors in mind, you can make an informed decision and select the health care plan that best fits your needs.