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Friday, January 02, 2009

Guidelines to find Efficient Health Insurance Plans

Our objective must be to do the necessary research and select an efficient health plan that fully meets our needs. But avoiding insurance coverage altogether will be imprudent as the repercussions will be far-reaching. Medical bills from even a casual illness or a minor car accident can ruin one's savings and a major illness and prolonged treatment can push one into bankruptcy.

Group coverage health insurance, particularly those subsidized by employers is indeed the most efficient and cheap form of health insurance one can aspire for. It is by far the best than any plan you can get on your own.

When it comes to health insurance plans, there is nothing like standard coverage. Each plan is unique and the benefits and costs also differ widely from plan to plan. This makes the selection of the most efficient health plan somewhat daunting as you will have to scrupulously study each scheme to arrive at the best deal.

One has to be guarded as even the seemingly best coverage plans have loopholes. You can rely on your health insurance to cover you for a hospital stay as a priority. Most policies do cover doctor visits, but benefits for mental health, prescription drugs and dental care are strictly optional.

The unfortunate aspect is even health plans with the best and most comprehensive coverage with the lowest out-of-pocket cost restricts you to use a specified network of hospitals, doctors, labs, and other healthcare providers. The more flexibility you demand, the more you will be called up on to pay - either towards premiums or as co-payments.

It is necessary that you check out the network of doctors, hospitals and labs before signing up. The fact is a growing number of public and private sources compile information on the track records of individual doctors, hospitals, and health plans.

Although it is relieving to know that both state and federal regulations protect you from losing your health coverage even in the event you lose your job, they seldom offer protection from the high premium costs.

The piquant situation arises when both you and your spouse have employer health insurance, then you will have to make the hard choice whether it makes better sense to continue with two policies or opt for one of them to cover the other. If you have kids, again you need to decide who's going to cover them.

As per present tax laws, the standard medical expenses including insurance premiums, are not tax deductible unless they expenses exceed 7.5 percent of your income. However, if you happen to be self-employed or your employer offers a flexible spending account, you can get a tax break whatever the threshold limits.

As regards efficiency, here is an interesting observation made by somebody - "In the doctor"office, you are not the customer, you are the patient and the insurer (and therefore the employer) is the one paying the bill. The one to be respected is the one that pays the bill and not the poor patient. It is also the fault of the society that, over the years, we have got accustomed to being treated callously at all healthcare centers. It is only in a hospital or at a doctor's office does one have to wait for long hours after the appointment time? Until healthcare becomes consumer driven and consumer pays for the service, there is no possibility for receiving any real quality medical care.

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