To many, cost is a major consideration when choosing a health plan. But depending on the types of care or benefits one plan may offer versus another, you may find yourself paying more out-of-pocket expenses than you expected. Depending on your individual needs, a plan with a higher premium doesn't necessarily mean that you're spending more on your health care.
Consider what you'll be paying for when choosing a health plan:
Premiums: The cost for the health plan.
Co-Payments: The fixed fee for utilizing network services such as doctor or emergency room visits and filing a prescription.
Co-Insurance: The part of the cost of health care services that the patient must pay. This is generally identified as the percentage of the cost shared with the insurer (such as 20% paid by the patient and 80% paid by the insured).
Deductibles: The amount that you must pay out-of-pocket before your insurance is activated to pay for your health care.
Out-of-Pocket Maximum: Some plans put a limit on how much you are responsible to pay.
Annual or Lifetime Maximum: Some plans limit the amount that the insurer is responsible to pay. |