5 Tips for Choosing the Right Health Insurance Plan (2024)

October 6, 2014 by Amy @ Oh So Savvy Mom

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I remember the first time I had to actively select my own insurance plan. I was 25 (not terribly young) and I was recently no longer eligible for coverage under my University’s health plan. I pulled out our phone book — remember those big yellow things? — and looked up the nearest agent to me.

As I sat at the desk looking at the most economical insurance plans I quickly realized something. I had no idea what I was doing! LOL

I was completely lost. Not wanting to be stuck with huge unforseen medical bills, I hit the books and did some research.

Choosing the right health insurance plan can seem likean insurmountable obstacle to your future good health and financial soundness. But it is not as daunting as it might first appear. And, difficult thought it may first seem, doing your research and finding the right plan for you is of utmost importance to you and your financial well being.

I took all the brochures the agent gave me back home and studied them carefully. I wrote out the benefits of each and compared them. Living on just $1500 a month we didn’t have much money to put towards premiums. However, if one of us we to have an accident or serious health issue, we would be even less capable of paying the medical bills. We couldn’t afford to go without insurance, but many of the “economical” plans had super high deductibles.

In my search for the right insurance plan for me I learned several things. Here are a few tips I learned along with some others I’ve picked up since.

5 Tips for Choosing the Right Health Insurance Planthis Open Enrollment Season:

  1. Review your current plan! This may sound obvious, but the Aflac WorkForces Reportfound that 51% of employees prefer NOTto have more control over their health care expenses because they don’t have the time or knowledge to effectively manage them.And the 2014 Aflac Open Enrollment Survey found that 41% of employees spent 15 minutes or less researching their benefit options during the 2013 open enrollment season; and 24% spent five minutes or less!Not reviewing your benefits could lead to thousands of dollars of unnecessary health care costs. Obviously, this ignorance is not bliss. Reviewing health benefits can be a challenge, there is a lot of jargon the averageperson may not understand. That’s where“the Google”comes in handy. Also, don’t be afraid to ask family or a trusted and knowledgeable friend to sit down with you and help you out.
  2. Review your options for this year:Set aside time (with your spouse, if you are married) to review the different plans you are eligible for. Having reviewed your current plan (see tip 1) will help you get a feel for what benefits better fit your lifestyle and health needs. Understanding your past needs will help you prepare for your future needs. Be sure to review costs for spousal and dependent coverage.
  3. Understand the financial implications your choices have on your budget. In addition to monthly premiums, make sure you can afford the yearly deductible costs. If a high deductible looks like it may be a burden, choose a plan with a slightly higher monthly premium and a lower deductible that may be easier to manage.
  4. Seek out a licensed insurance broker:If you are having trouble sorting through all the plans, benefits, and which are best for you and your family, you may consider seeking out an insurance broker. They can sit down with you and explain the various plans and help you decide which might be right for you.
  5. Consider Voluntary Insurance:With medical costs on the rise and increasingdeductibles and copays, unexpected medical expenses can be disastrous. Voluntary insurance can help provide employees with financial safety nets. Voluntary insurance pays cash benefits regardless of any other insurance coverage employees have in place, including policies available through government health care exchanges.

In the end I decided to go with an insurance plan that had most of the benefits I needed, but had a high deductible. I purchased voluntary insurance through Aflac to help cover any unexpected medical costs. It was one of the best financial decisions I ever made! Aflac helped me pay doctors’s copays and hospital bills I eventually incurred. 🙂

I encourage you to read up onmoreinteresting findings from Aflac WorkForces Report.

Aflac offers accident, dental, life, vision, cancer, hospital intensive care and more voluntary insurance policies.For nearly six decades, Aflac insurance policies have given policyholders the opportunity to focus on recovery, not financial stress.

I was selected for this opportunity as a member of Clever Girls Collective and the content and opinions expressed here are all my own.

5 Tips for Choosing the Right Health Insurance Plan (3)

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5 Tips for Choosing the Right Health Insurance Plan (4) About Amy @ Oh So Savvy Mom

Amy is mom to three, wife to one, and a sister and aunt to many. Her family is a former military family now settled in Lehi, Utah. Oh So Savvy Mom began as a way for Amy to share parenting and product advice with others. Just as she has evolved, Oh So Savvy Mom has evolved into a resource for Healthy Living for Families, Food, Parenting, and Family Travel.

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Comments

  1. 5 Tips for Choosing the Right Health Insurance Plan (5)Nicole Dzsays

    October 7, 2014 at 12:27 am

    This is a great post, especially for younger kids looking into insurance who have no clue where to start. Great tips!

  2. 5 Tips for Choosing the Right Health Insurance Plan (6)shelly petersonsays

    October 7, 2014 at 6:52 am

    Luckily I am not one looking for an insurance plan. But boy if I had to I would be lost. Thanks or sharing this great information.

  3. 5 Tips for Choosing the Right Health Insurance Plan (7)Annesays

    October 7, 2014 at 5:52 pm

    Being uninsured is frightening, especially if you have preexisting conditions. At one point when I was between jobs, we had to buy insurance on the open market (this was decades before the Affordable Health Care Law) and it was hundreds of dollars a month, with a deductible of something like $200,000. But it kept us insured until I could be covered under an employer's plan again. Things may be confusing now, but at least there are a lot more options available. Good luck finding insurance--it's worth it, believe me.Oh, and I love that beautiful picture of you and your newborn. You look so happy!

    • 5 Tips for Choosing the Right Health Insurance Plan (8)Amy @ Oh So Savvy Momsays

      October 9, 2014 at 4:01 pm

      Oh my goodness. Having that kind of deductible would scare the pants off of me! LOL

  4. 5 Tips for Choosing the Right Health Insurance Plan (9)Drewsays

    October 29, 2015 at 11:18 am

    Deciding which plan works best for you and your family can seem a bit overwhelming, but these are great tips. The more you shop around the better chance you have at finding the perfect plan. Thanks for the advice!

  5. February 11, 2016 at 4:51 pm

    You are so right that oftentimes people let the intricacies of their health plans slip away for lack of time or knowledge. however, if people would just be aware of what they have on their current plan, it would be more obvious which aspects they like and which ones might be more superfluous. That way, when you sit down to review what plans are available, it will be an educated decision.

  6. February 17, 2016 at 12:51 pm

    Wow, I'm shocked to learn that such a high percentage of people don't adequately learn about their healthcare plan options before enrolling! I am the kind of person who has to know every detail before making a decision. I like the point you make about using a licensed broker, though, because I always feel like I'm missing something and they would be able to help me avoid that. Thanks for some great tips!

  7. August 4, 2016 at 5:29 am

    Hi Amy, Thanks for sharing such a wonderful post!! A great read for beginners who are looking for insurance. I really like the way you described the points. According to my opinion choosing an insurance is quite a tough task and you can't take a risk because you are investing your hard earned money. Taking help from a licensed insurance broker will help you in many ways. He is the one who understands your requirements and suggests you the best plan for you and your family. Cheers Bakerigg

  8. September 23, 2016 at 6:26 pm

    I think it's a great idea to review your current plan and then see what your options are for this year! My wife and I have been working on finding the right health insurance for our little family, but we haven't thought to try that yet; we just started looking for the best options, right away. It's shocking that so many people don't want control over their health insurance! We are definitely not like that - we want to know what we are agreeing to and how it affects us.

  9. November 10, 2016 at 3:44 pm

    I'm so glad you suggested seeking out an insurance broker! I've been really struggling to try to figure out the insurance world on my own, and there is so much that goes into it that it's been really difficult for me to navigate on my own! I really think talking to an insurance broker about it would help me get it sorted out and decide on what is right for me.

5 Tips for Choosing the Right Health Insurance Plan (2024)

FAQs

5 Tips for Choosing the Right Health Insurance Plan? ›

Five factors can affect a plan's monthly premium: location, age, tobacco use, plan category, and whether the plan covers dependents.

What are the five 5 things to know before getting insurance? ›

Here are the five key things you need to know:
  • Importance of Insurance. Understanding the fundamental role of insurance sets the stage for informed decision-making. ...
  • Types of Insurance. ...
  • Determining Coverage Requirements. ...
  • Researching Insurance Providers. ...
  • Policy Inclusions and Exclusions.
Jan 25, 2024

What are the 5 factors of health insurance? ›

Five factors can affect a plan's monthly premium: location, age, tobacco use, plan category, and whether the plan covers dependents.

What are 4 things you should look at when choosing an insurance plan? ›

Below are four things you should think about when choosing coverage - Costs, provider network, benefits, and quality.

What are the key points one should consider while choosing a particular health insurance policy? ›

There is no one-size-fits-all when it comes to health insurance. Depending on your needs, you'll want to consider the monthly premiums, each plan's provider network and drug formulary, and expected out-of-pocket costs. These will all factor into determining which plan will best fit your needs and budget.

What are the 5 C's of insurance? ›

The 5Cs of transformation in insurance are – communication, customization, connection, cognition and consensus. Let's look at each in turn: Communication At its core, insurance is a promise. Now, there isn't much value in a promise if you can't communicate it!

What are the 7 most important principles of insurance? ›

In insurance, there are 7 basic principles that should be upheld, ie Insurable interest, Utmost good faith, proximate cause, indemnity, subrogation, contribution and loss of minimization.

What is the most important factor in health insurance? ›

Costs Associated with a Health Insurance Policy. When considering a health insurance policy, one of the most important aspects to consider is the costs associated with it. These costs can include monthly premiums, deductibles, copayments, and coinsurance.

What are 5 factors that are used to determine the cost of insurance premiums? ›

What factors are most important for car insurance rates?
  • Age. Age is a very significant rating factor, especially for young drivers. ...
  • Driving history. This rating factor is straightforward. ...
  • Credit score. ...
  • Years of driving experience. ...
  • Location. ...
  • Gender. ...
  • Insurance history. ...
  • Annual mileage.

What are the 4 most important insurances? ›

Most experts agree that life, health, long-term disability, and auto insurance are the four types of insurance you must have.

What are the 6 C's of insurance? ›

“There are six Cs as to why companies form captives: cost, capacity, control, compliance, cover, and commercial,” said Patrick Ferguson, senior vice president, Marsh Captive Solutions.

What are the 3 most important insurance? ›

There are many types of insurance available, but there are some which top the charts in terms of importance. Home or property insurance, life insurance, disability insurance, health insurance, and automobile insurance are five types that everyone should have.

Is HMO or PPO better? ›

HMO plans typically have lower monthly premiums. You can also expect to pay less out of pocket. PPOs tend to have higher monthly premiums in exchange for the flexibility to use providers both in and out of network without a referral. Out-of-pocket medical costs can also run higher with a PPO plan.

What factors did you consider before deciding on a insurance plan? ›

4 Factors to Consider When Choosing a Health Insurance Plan in...
  • Open Enrollment.
  • Types of Plans.
  • Total Cost & Financial Assistance.
  • Monthly premium: the price you pay the insurance company each month.
  • Deductible: the amount you pay for covered services before your health insurance plan begins to pay.
Dec 19, 2023

What is the most important part of an insurance policy? ›

The Insuring Agreements are typically the main part of the policy. They define who and what is covered by the policy and what the insurer promises to do and not do in exchange for your premium.

What are 2 important reasons to have healthcare insurance? ›

Health insurance covers these costs and offers many other important benefits.
  • Health insurance covers essential health benefits critical to maintaining your health and treating illness and accidents.
  • Health insurance protects you from unexpected, high medical costs.

What are the 6 rules of insurance? ›

In the insurance world there are six basic principles that must be met, ie insurable interest, Utmost good faith, proximate cause, indemnity, subrogation and contribution. The right to insure arising out of a financial relationship, between the insured to the insured and legally recognized.

What to ask before getting an insurance? ›

Five questions to ask when choosing your health coverage
  • Who will your health plan cover? ...
  • Are there specific providers you want to see or facilities you want to use? ...
  • Will your plan cover the medical care you need? ...
  • How much can you afford to pay? ...
  • Do you want flexibility in choosing certain specialists or services?

What are the five steps of the insurance process? ›

Five steps to getting your insurance claim paid
  • Make your claim. Submit your claim, along with photos and videos of all damage, to your insurance company or someone else's company. ...
  • Answer questions. The insurance company will ask follow-up questions. ...
  • Be aware of deadlines. ...
  • Choose a contractor. ...
  • Get paid.

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