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What should you look for in a health insurance plan?

We have group and individual health insurance plan options. Let us know what works best for you or your company!

Group Health Insurance - Group health insurance plans provide coverage to a group of members, usually compromised of company employees or members of an organization. The group health insurance members usually receive insurance at a reduced cost because the insurer's risk is spread across the group of policyholders.

Individual Health & Family Insurance - Individual & Family health insurance plans are typically needed for individuals who are either: 1) self-employed (typically 1 person with no employees) or 2) persons who are employees whose employer doesn't offer health insurance as part of their benefits or do not qualify for employer based coverage. 

 

Discuss your individual or group insurance needs today with one of our licensed agents!

The first thing that most people look at when comparing health insurance plans is the premium. There’s more to comparing health insurance quotes than looking at premiums. Deductibles, copayments, and coinsurance might all be different. You’ll want to take a close look at those out-of-pocket costs while you compare.

Look at the plan’s deductible — How much you must pay out of pocket before the plan starts to pay a portion of the costs?

 

This will appear next to the premium of any plan you look at. If someone on the plan goes to the emergency room or needs a lot of health care services, you’ll likely have to pay that amount toward care in the next year. For an emergency room visit or expensive treatment, you could be charged the deductible all at once, so there is a risk if you choose a plan with a high deductible.

 

Discuss your individual or group insurance options today with one of our licensed agents!

 

Pay special attention to prescription coverage  — Does someone in your family rely on prescription medication?

If that drug is an expensive one, you may have to pay full cost for it until the deductible is met, and a coinsurance percentage after that. Ask yourself: Would it be a better deal to pay a higher monthly premium in exchange for a flat copay each time you need to refill at the pharmacy?

 

Discuss your individual or group insurance options today with one of our licensed agents!

 

Check the plan’s provider network to make sure there are doctors and hospitals near you who take that plan.

 

If you go out of the network to receive care, you might have to pay full price, whether you knew you went to a non-network provider or not. If you have a doctor you like, also make sure he or she accepts your medical insurance plan.

How much you pay when you go out of network and how many doctors are in your network will depend on which type of plan you get. Your plan type will also determine whether you need a referral from your primary doctor before you see a specialist.

© 2012 Dover Insurance & Financial Services, Inc.