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Items to Consider
What is the best health plan for you and your family?
Choosing a health plan can be a confusing experience.
Although there is no one "best" plan, there are some plans
that will be better than others for you and your family's
health needs. We will try to guide you in simple terms.
However, rather than just giving you answers, the best thing
we can do is to make sure you are equipped with the right
questions. The following booklets can help you make sense of
all your health care choices and options:
There are three major things to consider, each with their
own unique set of questions. By considering the questions
thoroughly, you will arrive at the right plan for you and your
family. How affordable is the care (cost of care)? How
much will it cost me on a monthly basis? Should I try to
insure just major medical expenses or most of my medical
expenses? Can I afford a policy that at least covers my
children? Are there deductibles I must pay before the
insurance begins to help cover my costs? After I have met
the deductible, what part of my costs are paid by the plan?
If I use doctors outside a plan's network, how much more
will I pay to get care? How often do I visit the doctor
and how much do I have to pay at each visit?
Do the included services match my needs (access of
care)? What doctors, hospitals, and other medical
providers are part of the plan? Are there enough of the
kinds of doctors I want to see? Where will I go for care?
Are these places near where I work or live? Do I need to
get permission before I see a medical specialist? Are
there any limits to how much I must pay in case of a major
illness? Is the prescription medication which I need
covered by the plan? Does the plan cover the expenses of
delivering a baby?
Have people had good results when covered by a specific
plan (quality of care)? How do independent government
organizations rate the different plans? What do my friends
say about their experience with a specific plan? What does
my doctor say about their experience with a specific plan?
Your Guide to Choosing Quality Health Care * shows how you
can use information about quality to improve the quality of
health care services you and your family receive. It describes
quality measures including consumer ratings, clinical
performance measures, and accreditation-what they are, where
to find them, and how to use them. The Guide has checklists,
questions, charts, and other tools to help you make the health
care decisions that are right for you.
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