MyNASE  |   Site Map  |  Contact Us  |  Login
 

Health 101 Workbook
Health Insurance Basics
Consumer Directed Health Plans
State Mandates
Assess Your Insurance Needs
Health Plan
Comparison Worksheet
Shopping for Health Insurance
Tips for Cost Cutting
Wellness Programs
Health Insurance Help
Resources and Links
Key Terms and Definitions
State Departments of Insurance
Research
Wellness
Health News
Assessment Info
 | Step One  | Step Two  | Step Three

Assess Your Health Insurance Needs

When making a major purchase, such as buying a new car, you assess your needs. Do you need transportation primarily for yourself or will you be carting around school-age children and their friends? Do you live just down the street from your workplace or do you have a long commute? If you belong to the child-toting, long-haul group, then a two-seater sports car with a gas-guzzling engine just doesn’t make practical sense for you.

The same is true for purchasing health insurance. Even if you’re healthy, it would not be a wise financial decision to join a high-deductible catastrophic health plan with no maternity coverage if you plan on having a child within the next year.

While you may find that all the homework and preparation that goes into finding the right health care coverage is an unpleasant task, there is no way of getting around it if you don’t want to sabotage your financial goals. Think about it. The lowest premium doesn’t always signal the cheapest plan and even good coverage at a moderate price can have big loopholes.

What if you regularly take an expensive medication for high-blood pressure and one of the plans you are thinking of choosing doesn’t cover prescription drugs? Can you consistently afford to pay for this medication out-of-your-own pocket? You must assess your needs and use these results to compare your health plan options before you enroll. Otherwise, when you seek treatment, you may be in for a nasty surprise. (See Health Plan Comparison Worksheet.)

Take Assessment

Be the Consumer
Shopping for health insurance can sometimes make you feel like you’re back in school, cramming for a big exam. Although you may hate the homework, it has its rewards. At the very least, you will be a more informed health care consumer and you will feel empowered to take greater control over your health care decisions.
Unless you don’t mind being blindsided by coverage denials or saddled with unexpected out-of-pocket medical expenses, you really have no choice. Today, employers and insurers alike are asking you to shoulder more of the costs and burden of decision-making, so it’s best to be prepared before you check off the boxes on your enrollment form or insurance application.
Price, while important, should not be the sole consideration in your purchasing decision. You must also make sure you know the answers to the following key questions.
 » 

Do you fully understand what benefits are covered under this policy?

 » 

Is the insurer (or the broker you are buying from) licensed to sell health insurance in your state?

 » 

What is the complaint ratio of this insurer? Where available, these ratios provide consumers with a way to compare complaints filed against an insurer that takes into account the size of the company.

To find out whether an insurer or broker is licensed or whether your state tracks insurers’ complaint ratios, check with your state’s Department of Insurance (DOI). The National Association of Insurance Commissioners has a list of state DOI Web sites at www.naic.org.
 
www.NASE.org is the official Web site of the National Association for the Self-Employed.
Copyright © 2008. All Rights Reserved. National Association for the Self-Employed.
Privacy Policy  |  Site Map  |  Contact Us