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How to Find Individual Health Insurance Plans

Member
By Shari L
User-Submitted Article
(16 Ratings)

High Deductible Major Medical Plans, Health Maintenance Organization (HMO's), Preferred Provider Organizations (PPO's), Health Savings Accounts (HSA's), co-payments, deductibles, out of pocket expenses, Long Term Care Insurance, Medicare Supplement (Medigap) Insurance, secondary insurance, Medicare Prescription Plans (Part D) Insurance... have I lost you yet? Are your eyes glazing over and your mind wandering to another place, another time?

You're not alone. Whether you are a recent graduate looking for employment that will also provide for your health insurance coverage, a victim of the recession trying to replace your expensive coverage provided through COBRA, or a retiree who has been duped into accepting the less than valuable coverage provided by the pension plan you thought was going to take care of you the rest of your life, we're all in the same boat!

The maze of coverage options woven through the haze of acronyms makes it a challenge for anyone to feel confident in choosing medical health coverage that will take care of all your medical needs while at the same time not totally draining your bank account.

Difficulty: Challenging
Instructions

Things You'll Need:

  • Health Insurance Broker
  1. Step 1

    The first thing you need to do is really understand the medical health insurance plan you currently have, determine if it meets all your needs medically, and decide if it is a plan you can live with financially.

    All insurance providers offer written details of what the plan offers. Read this carefully and if you don't understand, call them and ask questions. You have a right to know what your coverage is and what you will be financially responsible for.

    Make a list of all the doctors you see on a regular basis. Make a list of all the medications you take on a regular basis.

    Based upon the average number of office visits per year, the cost of your medications and the cost of your medical insurance, you can determine the total cost of your current medical coverage.

  2. Step 2

    If you are responsible for the payment of your private health insurance, don't just assume that whatever plan you are in is the only plan you can get.

    You need to shop around!

    It could mean hundreds or even thousands of dollars to you if you just accept an expensive plan or stay with a plan that does not meet your financial or health needs.

    You may even be over-insured!

  3. Step 3

    You should be aware that every type of insurance premium (medical, auto, homeowers, etc.) may be based in part upon your physical location which is frequently determined by your zip code.

  4. Step 4

    Insurance, whether it is health, life, car or disability insurance is a huge financial investment and should be treated like one. The most valuable tool the average person can have in selecting an appropriate health insurance plan is a trained, professional insurance broker.

    If you can provide the information detailed in step one to an experienced insurance broker he or she will be able to present you with several options and an easy to understand explanation of how the plan works. This will include understanding deductibles vs. co-pays, cost share or percentage, and donut holes that have nothing to do with donuts!

    There are insurance brokers who specialize in different types of insurance and if you are a retiree with limited knowledge of Medicare and all its amazing parts, finding a trained professional who specializes in Medicare supplemental coverage is a wonderful thing!

  5. Step 5

    Another huge advantage to using an insurance broker pertains to meeting underwriting guidelines. Most people have to go through this process for health and life insurance and using a live broker (as opposed to going direct or an online broker) familiar with all the different companies and plans can help save a tremendous amount of time an energy.

    If someone is not in perfect health, using a live broker can help steer you away from the companies that will not accept you and often know how to work with medical insurance underwriters to help get you approved when you may not otherwise.

    Live brokers are also the only people that can run your situation by an underwriter prior to applying. This not only saves time, but can keep you from having a DENIAL on your record. Many applications ask if you've ever been denied health and/or life insurance and companies share this information!

Tips & Warnings
  • Don't wait until the last minute! Ask family and friends to recommend a trained professional to help you select the right coverage for you
  • Be prepared to provide all the information detailed in Step One
  • If you're not comfortable with one broker, call another!
  • Keep shopping until you find a plan that fits your medical and financial needs
  • Don't hesitate to compare health insurance plans - there are many more than you may know about
  • Health Insurance for the self employed is also available through an insurance broker
  • Health Insurance for small businesses is also available through an insurance broker
  • Health Insurance quotes are easily obtained - don't hesitate to look around!
  • Check the Resources below for a link to the company that found an awesome plan for my 82 year old mother - Thank you, James Long for your dedication and patience!
  • An insurance broker will not charge you for their services; they work on a commission provided directly to them from the insurance company

Comments  

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PBreech said

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on 12/17/2009 great source of information.

franeah said

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on 11/13/2009 THis was a well planed article with great detail! Thanks for sharing! 5* and a rec

Magentaslb said

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on 11/2/2009 Really great info to have, thank you for sharing! 5*s and rec

schmammel said

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on 10/30/2009 This was a great story with lots of detail. Thanks for the input!

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on 10/14/2009 Very well wriiten as their are so many details to the health insurance industry and every detail counts to stay healthy and save money. 5* recmnd

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