Hello friends an health insurance agent is going to come my home this weekend.As a newbie to insurance, what questions shall i ask him while accepting for a policy detailedly? What are the precautions I should take before accepting a policy for me/my family? Shall i search any information about insurance?
Best reply by Insurance Pickle.com:
Coming to your home? Are they from NASE or Mega Life? You want to see plans and know what companies they represent before you meet with them. AND, you want them to show you multiple policies from multiple carriers. I would not suggest meeting with them until you’ve at least seen some preliminary information.
You ultimately want to do business with an insurance broker. I’d suggest trying the tool on my site and looking at what companies are available in your state. The tool requires no personal information to use and works in many states.
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What questions should be asked to the insurance agent while taking a policy/plan?
Use the internet to do a little research about health insurance in general. I recommend the Insurance Information Institute’s page on health insurance @ http://www.iii.org/individuals/healthinsurance/
Questions I would ask:
Is the proposed plan an HMO, a PPO or a POS plan? (Have the agent explain what those abbreviations mean)
Do I have to get permission to see a specialist?
What is the penalty if I go out of network?
What is the annual deductible?
After I paid my deductible what percent of expenses are covered by the Company? and when does the company begin to pay 100%?
Are diagnostic charges covered? if so, is there a separate annual limit?
Are prescriptions covered? if so what is the copay? Is there a separate annual limit?
Does the plan pay preventative benefits?
Is maternity covered?
Is mental health coverage included?
Is chiropractic care covered?
What hospitals are in the network?
What physicians are in the network?
If I have a preexisting condition how will the company treat this?
What is the total lifetime benefit? $1,000,000 $2,000,000 $5,000,000?
What is the maximum annual out of pocket?
What hospitals are in network?
What is the monthly premium? …