Recent legislation means there will likely be an increase in the number of people shopping for health insurance. Insurance companies are sure to compete fiercely for their share of this new market by offering some very attractive packages. Health insurance is a complex contract put together by company lawyers focused upon maximizing profits. Many insurance companies do have compassion and respect for patients and operate with positive customer service attitudes. On the other hand, there are some companies that make claims of service or promises they have no intention of keeping. This article will try to expose some of the pitfalls the shopper might encounter when buying individual health insurance.
Low prices are always attractive in any purchase but consumers have learned that the lowest price does not always indicate the best value. Extreme low rate health insurance plans sometimes use hidden rules to keep costs low or simply offer very limited coverage. People who expect to get something in return for the premiums they pay must be careful when basing their decisions on low price alone. Even before legislation brought new customers into the market, insurance companies used innovative and often unscrupulous ways to limit benefit payouts.
The most effective method of cost control used by insurance companies was to insure only those people who were least likely to require expensive medical treatment. People with pre-existing conditions or admitted unhealthy habits were routinely denied coverage. If they were not denied coverage the cost of the coverage was very high. The new laws will not allow denial of coverage for pre-existing conditions but there are no restrictions on rates, deductibles, co-pays or payout amounts. The practice of dropping a patient’s coverage after learning about a diagnosis may be illegal under the new laws.
Another common and effective tool for insurance companies to manage costs is to use health maintenance or preferred provider organizations. These tools are actually effective at reducing costs and can benefit the consumer. The problems with HMOs and PPOs arise when the insurance company contracts with sub-standard providers or providers out of the patient’s area. Before choosing an insurer, the shopper should investigate the approved providers and the extra costs of using providers outside of the insurance company’s network.
Health insurance plans are available with a very wide range of deductibles, coverage limits, payment plans, and many other options. There is sure to be some standard coverage level established to meet the government requirement. If the buyer’s intention is primarily to meet the legal requirement he must make sure the policy he chooses actually qualifies.
In theory, as healthier young people pay premiums for insurance they rarely use the premiums for all insured people will fall. On the other hand as insurance companies are forced to accept the clients they have been denying for years the benefit payout can increase costs and force premiums higher. The final result will depend on the amount of ruthlessness the insurance company applies to paying claims
The growing health insurance market is certain to bring out new insurance companies with varying degrees of integrity. Buyers must be cautious and suspicious of new companies making outrageous claims or having super-low rates. Aggressive companies can find hundreds of obscure ways to deny payments and a buyer might find himself paying for an essentially worthless policy.
Try to get a written copy of the policy and read it before making a commitment. Do some online research into a company’s reputation for paying claims or denying coverage. Research will help the shopper make informed decisions before buying individual health insurance.
In recent months, the discussion of how and where to buy individual health insurance plans has been in the news. Buying individual health insurance is one way to get medical and drug insurance coverage.