Park City, Utah (PRWEB) November 05, 2013
Today, Zane Benefits, the number one online small business health benefits solution, published new information on questions when picking individual health insurance.
According to Zane Benefits’ website, most employees greatly value health insurance. After all, medical care in the US is expensive. Health insurance is a way to reduce those costs by sharing the risk with others, and health insurance gives access to in-network pricing discounts.
Here are three important questions to ask when picking a health insurance plan.
1. What Does the Plan Cover?
As of 2014, all insurance plans sold to individuals and small businesses must now cover these ten “essential health benefits." The rules for insurance provided by larger employers are a little different but most of them will cover the same set of benefits.
- Emergency services
- Laboratory tests
- Maternity and newborn care
- Mental health and substance-abuse treatment
- Outpatient care (doctors and other services you receive outside of a hospital)
- Pediatric services including dental and vision care
- Prescription drugs
- Preventive services (such as immunizations and mammograms) and management of chronic diseases such as diabetes
- Rehabilitation services
2. How Much Does the Plan Cost?
Consider two main factors:
The amount paid to the insurance company for the plan, usually monthly. This is called the premium.
The amount paid when medical care is received. These amounts will be reflected as a combination of deductibles, coinsurance, and copays.
3. Can I Keep My Same Doctor?
Every health insurance plan has a network of providers—doctors, hospitals, laboratories, imaging centers, pharmacies, etc. Each insurance company has contracts with these types of medical providers agreeing to provide services to plan members at a specific cost.
Review the plan's provider directory before you purchase the plan. If a doctor is not in your plan's network, the insurance company may not cover the bill, or may require you to pay a higher share of the cost
About Zane Benefits
Zane Benefits was founded in 2006 to provide a revolutionized SaaS (Software-as-a-Service) administration platform ("ZaneHealth") for defined contribution health care. The flagship software provides a 100% paperless administration experience to small businesses and insurance professionals that want to offer better health benefits without a traditional group health insurance plan at lower costs. For more information about Zane Benefits, visit http://www.zanebenefits.com.