10 Questions That Decide Your Premium & Health Cover In Oregon

Whether you decide to go for an individual medical health insurance plan in Oregon or a group health plan / cover, the one thing that is always going to matter is whether it fits within your budget or not. Premiums of any kind of insurance that you might be thinking about getting for yourself or your family are going to result in a significant dent in your monthly budget. This happens if you are not careful with what kind and span of coverage you want and what type of coverage you actually need. There is a fine difference between the two and you will have to understand that before you put a finger on an insurance plan.


 Health insurance premiums are a very critical aspect of any kind of coverage that you are seeking. This is the very first thing that we always consider. It is very often a paycheck deduction but there is much more to a premium amount than just this. Following is a small list of questions that will help you evaluate your potential out-of-pocket costs and also assist you in picking the right insurance plan:


1.       Are you looking for a safety net in case of catastrophic events or do you actually seek comprehensive coverage?


2.       Is your family typically a healthy one with very few medical needs and services or do you have any family members that are prone to illnesses or suffering from chronic diseases at the moment?


3.       Do any of your family members have a job or a hobby that might put them at risk?


4.       How much of the premium is your employer willing to pay?


5.       What will be the deductibles for each type of service?


6.       What are your options for co-insurance after your deductible is met?


7.       Are you also seeking prescription coverage?


8.       Do you often go for drugs that are branded or prefer generic medicines instead?


9.       What are the specifics of co-pays for each kind of service?


10.    What are the provisions of the policy that might increase or decrease your deductibles?


Before you take any medical insurance plans in Oregon, always inquire about the maximum limit of out of pocket expenses and where your plan begins to cover everything. You should also understand the restrictions within which your provider network works. You might not have certain options of doctors / physicians in the network that you get with any particular insurance provider.


At the end of the day, there are other factors as well that will govern the amount of premium that you have to pay for your health insurance plan such as:


1.       Your geographical location


2.       Age of the insured


3.       Tobacco and alcohol use


4.       The category of plan that you have chosen


5.       Your medical history and that of your family's as well


6.       Your gender and lifestyle / health habits


You might also find plans that are divided in four categories such as bronze, silver, gold and platinum. All of these will have different deductibles, different percentage of out-of-pocket expenses, wider or narrower networks of physicians and different co-payment options to name a few. All of this and more go into what finally becomes your health cover in Oregon.




 


Comments

Post a Comment

Popular posts from this blog

Different Health Insurance Plans Explained

Image
Health Insurance is one of the best ways to manage your finances. While purchasing any insurance, one needs to be careful. One should not indulge in any decision without understanding different  Oregon health insurance plans . Also, the support of the insurance provider ensures you get the best deal for you and your family. The most common types of health insurance are:   Medical Health Insurance:  It is a type of insurance that is designed to compensate users for medical expenses due to illness. From nursing charges, surgery expenses, to the fee of a doctor, everything covered under this policy. Group Health Insurance:   Group healthinsurance plans are designed for medium to large-sized enterprises. This policy is beneficial for employers and employees within an organization. The members of this policy receive insurance at the reduced cost.  Individual Health Insurance:  This insurance type is designed for a specific individual, not a group. In this, one is entitl
Read more

Health Insurance: A Must Need During Pregnancy

Image
Expecting a new baby can be a wonderful period in your life, bringing a baby home is the most precious thing that will happen to someone. This moment of love comes with similarly wonderful commitments – those of a selfless protector, a loving and caring parent. Just like our parents have done their utmost to make us who we are, we too want to give our children the utmost – so it starts from the moment they are raised. It's always an anxious moment because you want to make completely confident that both mother and infant get the right treatment and when you need financial support. Pregnancy adds a lot of feelings to a woman's existence: the excitement of making a new baby, the happiness of an adorable kid, the insecurity of the future, and the apprehension of growing finances. For all the joy that birth and motherhood offer, there is still a risk of medical bills lingering in the context. Expectant mothers require continuous treatment and professional support – from
Read more

Why Do You Need Medicare Supplement Insurance Even After Purchasing Original Medicare Plans?

Image
There are a lot of things which Original Medicare plans are unable to cover. To provide these benefits, Medicare supplement insurance is there. If you have purchased both insurance plans then from a medical check-up to getting discharge you don’t need to pay anything. To understand the actual need of Medicare supplement insurance you need to know what Medicare advantage Oregon provides: Medicare advantage plan in Oregon is an alternative way of providing benefits of Original Medicare. Some of the Medicare advantage health plans offer better healthcare, a wide network of medical professionals, long term savings and other small benefits like plan flexibilities. On the other hand, some of the Medicare advantage plans offer a small network of medical professionals, no savings etc. There is a cost difference between these plans also. Thus, according to your need, you can purchase the plan and can avail benefit accordingly. Medicare advantage can be defined as Medicar
Read more