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Craig Read

Understanding your Employer Health Insurance


By: Health Insurance
Submitted: 2009-12-07 10:31:03 | Word Count: 397


If you are fortunate enough to have employer health insurance, then congratulations are in order! With your employer health insurance, however, often comes confusion and questions. While each employer will offer different plans and different policies, the following information can help you to better understand your employer-based health insurance policy:

* Most employer health insurance plans include managed care plans, including health maintenance organizations (HMOs) or preferred provider organizations (PPOs). It is important to understand that a HMO plan will only cover those doctors within the plan’s network, while a PPO will pay a portion of your costs if you choose to see a doctor outside of the network.

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* Your health insurance may vary in cost depending on the services they offer and your out-of-pocket expenses. Deductibles, co-pays and prescription costs may also vary according to the plan you choose.

* Some employers may expect you to pay a certain portion of your monthly health insurance premium, and may require a larger payment from you if you choose a more expensive healthcare plan. Likewise, a less expensive plan may result in lower out-of-pocket expenses.

* Before choosing a healthcare plan, make sure it caters to your specific needs. For example, if you have many prescriptions you will want to likely search for a plan that offers low co-payment prescriptions costs.

* Compare your health insurance benefits with those of your spouse to determine which plan provides better coverage at a better price. Remember to compare such factors as doctor’s visit co-pays, monthly premiums and prescription medications.

* Read the plan carefully and ask your company’s human resources manager for answers with any of your questions. Many times, insurance representatives will visit companies during open enrollment to answer any questions regarding their health insurance plans.

* Don’t forget to pay close attention to any cap on benefits. For example, does your plan have a yearly or lifetime cap on health insurance benefits?

* Check to see if your family doctor is included in your health insurance plan. Many times, being able to keep the same doctor makes a big difference.

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