How to Choose the Right Insurance Plan960

How to Choose the Right Health Insurance Plan

October 21, 2020

How to Choose the Right
Health Insurance Plan

Looking for health insurance can take a lot of time and effort. When you finally sign up for insurance, you’re not guaranteed that the plan will cover your health condition. However, with a little knowledge and the right strategy, you can get an individual or group health insurance policy that meets your needs.

If you are unsure where to start looking for the best health insurance plan, you may want to consult a health insurance broker. An agency can compare insurance plans, make recommendations, and help you with the underwriting process. In the meantime, here are some things to consider when choosing the right health insurance plan.

Step 1: Find the Right Health Insurance Resources

If you go on Google and type in “Health Insurance in (my state),” you are likely to land on endless sites that cause more confusion than provide answers. Furthermore, there is no assurance that you are getting up-to-date, accurate information. As a result, you are going to have to choose your health plan marketplace. Where are some places to compare and buy health insurance?

  • Your employer
  • Your state’s public marketplace
  • Federal marketplace (such as
  • Private Exchange
  • Directly from Health Insurance Companies
  • A health insurance broker

If your employer offers health insurance, you may want to start there. If not, your next best option is to go through a health insurance broker. By going through a broker, you can get the best health insurance place at affordable rates. A broker can also update your policy as needed and monitor your plan to make sure you get the best coverage.


Step 2: Understand the Main Types of Insurance

If you are getting individual health insurance for the first time, you may not know the different plans available. Most health insurance companies offer four main types of health insurance plans:


1. Health Maintenance Organization (HMO)

An HMO offers lower of-of-pocket costs and a primary care physician who coordinates your healthcare. You pay less for medical treatment, but you have less flexibility in choosing your provider. Most treatment services must stay in the insurance provider’s network, and specialists are only accepted through referrals to the insurance provider.


2. Preferred Provider Organization (PPO)

A PPO gives you greater flexibility in choosing your health provider. You are also not required to provide referrals. However, you will pay higher out-of-pocket costs. In some cases, your healthcare costs can be much higher. If you don’t mind paying more to see your doctor, then a PPO is the way to go.


3. Exclusive Provider Organization (EPO)

An EPO is like an HMO but with a smaller network that does not allow for flexibility. You will have lower-out-of-pocket costs, but you can only use a provider outside of the health insurance company’s network for emergency treatment. Fortunately, emergency treatment providers do not require a referral.


4. Point of Service Plan (POS)

A POS combines the best of an HMO and a PPO. You have the flexibility of choosing providers. However, the cost of care is more expensive outside of the insurance company’s network. A primary care physician coordinates your care, and any physicians outside of the network must get a referral.

Step 3: Compare Health Insurance Companies

The third step in choosing the right health insurance providers is to compare what insurance companies have to offer. What features do you compare?

  • Health plan networks
  • Out-of-pocket costs
  • Deductibles
  • Copayments
  • Coinsurance
  • Benefits

Make a side-by-side comparison of all features, including additional benefits that you can add to your policy. If you are determined to stay with your doctor, eliminate any providers that exclude your doctor from the network. Determine whether you want higher health insurance coverage or higher premiums each month. Ensure that the plan you go with will cover regular, specialized, and emergency care for your health condition.


Which Health Insurance Plan is Best for Me?

You may be wondering which health insurance company is the best? When choosing a plan, you first need to assess your personal healthcare needs, look at all your options, and choose a health insurance plan that fits in your budget. How do you determine which health insurance is best? Ask yourself these questions:

  • How often do you visit your doctor?
  • What type of treatment do you need in the next 12 months?
  • What prescription drugs do you currently take?
  • Which healthcare providers/physicians do you prefer?

Once you decide your healthcare needs, you can narrow your search to your state’s health insurance companies. Some of the health insurance providers that we work with include:

  • 41881105-0
  • 41881105-0
  • 41881040
  • cigna-logo-vector
  • 41881020
  • 51482052-0-IAIC-Color
  • 41881045-0-kaiser
  • 41881070-0-Untitled-1-1
  • Philadelphia-America
  • 47121850

A Health Insurance Solution That Makes Sense

  • We leverage what you pay for medical services. You end up paying much less than what insurance companies pay out.
  • We negotiate procedures and services from healthcare providers and treatment facilities within Multi-Plan on your behalf. If you are self-paying, you save up to 80 percent when you use a provider in the network.
  • PHCS Multi-Plan is the largest healthcare PPO network in the country.
  • You choose any doctor in-network.
  • Our plans pay out benefits based on all benefits schedules regardless if the benefit exceeds your discounted price. You simply pay the remaining balance.
  • Use Healthcare Bluebook, a simple online tool, to help you find the best care and price for your procedure in your local area.

We Offer Affordable Health Insurance in These States:

Contact Insurance Enterprise for Premier Health Insurance

If you have questions about group or individual health insurance and need health insurance quotes, contact Insurance Enterprise at 888-350-6605. Speak to a licensed agent and find out more about how you can get an affordable health insurance plan.