In the era of skyrocketing medical costs, buying a health insurance plan is very important to ensure your safety as well as the safety of your family members. Unexpected illnesses and accidents can cause one to suffer not only physically but also financially. And, in such situations being financially prepared is very important. Therefore, buying affordable health insurance plans based on your budget and needs is very important.
Well, there are different types of health insurance plans available. This may include –
- Health Maintenance Organization (HMO)
- Preferred Provider Organization (PPO)
- Exclusive Provider Organization (EPO)
However, all these plans differ not on the health plan cost but also the size of the plan network. Furthermore, these plans differentiate in the ability to see specialists and coverage for out-of-network services.
So, with the rising medical costs, it is important for you to find the best health insurance plan for you and your loved ones. But, you need to ensure that you qualify for the subsidy and financial assistance to be able to buy the health insurance plan. In this case, it is always suggested to get in touch with a reputable health insurance provider who can guide you to choose the right insurance plan.
Getting the right information and finding a suitable health insurance plan can be a bit challenging task. But an expert insurance provider can answer all your questions and help you find the right plan that suits your needs and requirements.
Here are some of the things that you can consider before buying Oregon health insurance plans.
- Check for the waiting
Youneed to know that every health insurance plan comes with a waiting period clause for some specific conditions. The initial period clause states that any hospitalization claim will not be admissible in the first 30 days of the policy commencement. However, this does not cover accidental hospitalization. Apart from this, other pre-existing illnesses or diseases are also not covered immediately after you purchase the policy. The waiting period range may include from 2 years to 4 years. Surgeries like hernia, cataract, joint replacement and more can be treated after a waiting period clause of 1 or 2 years. So before you buy a health insurance plan, make sure to check the waiting period clause.
- Check for Sublimits
The health insurance plans come with sublimits which mean that there is specific kind of expenses that are paid by the insurance company. These expenses are paid to a specific limit and beyond that, the customer has to bear the expenses on its own. However, there are some health insurance plans that come with mandatory co-pay. This means some portion of the claim is borne by the insured and the remaining amount is paid by the insurance company. So, always check for the sublimits in your health insurance plans to avoid any last-minute surprises.
- Know about the network
Companies that offer health insurance plans usually have tie-ups with different hospitals in the area. So, any treatment taken in the network hospital is done cashless as per the policy conditions. So, before you buy the health insurance plans, check for the network hospitals and make sure they are near to your place so that it is convenient for you to reach in case of any emergency. Treatment in a non-network hospital may not offer a cashless treatment and you may have to bear a co-pay clause.
- Check for the claim
Every company has its own claim procedure. Some companies may settle the claims through Third Party Administrators (TPA’s) and come have their own in-house claim settlement process for the hassle-free claim processing. Apart from this, make sure to check the claim settlement ratio of the insurer you plan to buy the health insurance plan to get a good idea about the services of the insurer and how many claims he/she has settled in the past.
- Compare and buy
To buy the right health insurance plan, the best option is to compare the different available plans. Know about the price, features, policy benefits, eligibility, value-added benefits, exclusions and more to single out the best plan as per your needs and requirements. You can find online portals that will allow you to make easy comparisons of the different insurance policies available and assist you in choosing the right health insurance plans.
You can easily find reputable health insurance providers who provide the best insurance plans. You can take the help of the internet; go through the online reviews and testimonials posted by the former clients to get a good idea about the insurance agent. So, what are you waiting for? If you are really concerned about your safety and the safety of your family members, get in touch with a health insurance provider today! Make sure to look for a professional who has years of experience in dealing with different types of health insurance plans.