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A Comprehensive Guide To Purchasing & Maintaining a New Health Insurance Plan

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Buying health insurance is easier said than done. If you already have health insurance or are looking to switch to a new plan, this guide can help you through the process of acquiring new health care.


Maintaining health insurance properly is an important part of your overall plan for a better life. You must learn about submitting claims to your insurance provider, and you will find that there are many little things you need to take care of when you are using insurance every week. You also need to learn how to find the plan because there are several different companies that might be useful. Learn why you should investigate health insurance providers, and learn how to take care of your plan throughout the course of the year.

Maintaining Health Insurance Properly 

Maintaining health insurance properly is the most important part of any plan. Be sure that you have all your insurance documents in one place, and remember that you can call the insurance company at any time. This means that you might want to submit your own claims, or you could use paperwork to get exemptions from the insurance company. There are some people who need to submit special paperwork to their insurance company. There are others who need to be sure that they have chosen a plan that will allow them to submit their claims exclusively.

Submitting Claims To Your Insurance Provider 

Submitting claims to your insurance provider is important if you are not interested in waiting around for payment or would prefer to make your payments upfront. There are times when you can make your co-insurance payments and you can take the receipts with you when you want to submit your own claims. Someone who wants to submit their own claims might do this because they think it is faster, and it also allows them to track their spending. The spending that you have done through the insurance company is easier to track because it involves receipts and management of your money.

Why You Should Investigate Health Insurance Providers 

You need to know why you should investigate health insurance providers because these companies all do their work in different ways. Someone who is trying to make the best possible choices for their insurance will find that they can choose a company that gives them the customer service they need. The customer service that people get will help them be sure that they are having their bills paid, their premiums paid on-time, and their plans renewed at the right time. The insurance companies you look at, need to have a customer service team with good ratings. Someone who would like to find a better insurance company will choose the company with better BBB ratings.

How Do You Find New Plans? 

You can purchase new plans online, and you will find that you can get a plan that will be best for you. You could look through the plans that are online because they make it easy for you to learn how wide the network is. You should look at having a wider network that will help you get the care you need. Be sure that you have selected the plan that allows you to care for it in a way that you are happiest with.

Check Your Job First

If you find that your job doesn’t provide health insurance to you, you can shop around on your local state’s Affordable Care Act (ACA) marketplace, or the federal marketplace to help find yourself the cheapest insurance plans. However, there are still other alternatives in buying health care such as through insurers or private exchanges. But, if you decide to choose one of these options, you will not be eligible for premium subsidies.

Finding What Fits Your Needs

Unfortunately, there is no single plan that can suit everyone’s needs. To help you find the best health insurance plan that fits your needs, ask yourself what kind of benefits you want and what kind of budget you are working with.

Reviewing The Previous Year

Before you renew your health insurance coverage this year, review the previous year first. Go over all the medical costs that you had to pay through your insurance company and out-of-pocket. Did you notice any supplies, services, or prescriptions that weren’t covered in your health care plan? If you noticed that last year’s health care plan didn’t fit your budget or lacked certain benefits, it may be time to look for a new plan.

Choosing The Right Type Of Plan

Choosing the right type of plan means deciding on one that best fits your expectations and budget. The most common types of plans include HMO, POS, EPO, and PPO plans. However, while you compare plans, be sure to keep note of the benefits they include. Luckily, most online marketplaces provide links that summarize and show the full cost of their plan. Provider directories should also be available, which lists clinics and doctors that will be at your disposal when you are on their plan. However, if you are opting in for a plan from your employer, be sure to ask your HR department what benefits and price are included in the plan.

Compare Multiple Plans

There are tons of online tools and resources that will help you research and compare all your options. These tools make the health insurance search efficient and simple. You can even narrow down your options based on your location and needs. Once you have a list of different options, get a few free quotes for each of the plans. This way you can compare costs and choose the plan with the best value. When comparing different health insurance plans, there are a few categories that you should pay special attention to. Consider these factors to find the plan that meets your needs the best.

  • Costs: Which plan fits in your budget when it comes to premiums, deductibles, and copayments?
  • Health Benefits: Which plan has the most benefits that meet your requirements?
  • Brand: Do you have a preferred health insurance brand?
  • Physician Network: If you have a favorite doctor, make sure to check out which insurance plans they take.

Gather The Necessary Documents

In order to fill out your application, you will need certain documents and information for everyone who will be on the health insurance plan. You will need everyone’s social security numbers, addresses, income tax information, and their current insurance information and ID numbers.

Apply For Health Insurance Coverage

There are a few ways that you can apply for health care. You can apply:

  • Online
  • In-Person with a licensed agent
  • Calling
  • Mailing in a paper application

If you have any questions or are unsure about where to begin, applying in person should be your first choice. A licensed agent can help guide you through the process and ensure you will receive the best plan for your needs.

Take Note of the Date Your Coverage Goes Into Effect

If you take advantage of the open enrollment period and become enrolled by December 15th, your insurance will go into effect on January 1st. If you enroll between December 16th and January 15th, your coverage will go into effect on February 1st. If you enroll between January 16th and January 31st, you will be covered starting on March 1st.

How Do You Pay Your Premiums? 

You need to pay your premiums online, through an automatic withdrawal, or over the phone. You can send in a check every month, or you can make yearly quarterly or semi-annual payments. The premiums that you pay should remain the same during the year, and you have to be sure that you have found the company that will give you the best payment options. This is the simplest way for you to care for your plan, and you also need to ask the company if they can help you when you have questions about the premium.

How Long Do Plans Last? 

You must renew your plan every year, and you need to renew your plan with help from the marketplace or the insurance company. The insurance company that you work with can renew you automatically, or you could go to the marketplace to get the plan that you need. This also means that you can make a change to the plan when you do not like the policy that you have. Changing your plan will help you get to a new provider that matches the doctors or dentists you want, and you also need to remember that you can have more than one plan if you want to purchase dental, vision, and medical insurance that All comes from different providers.

What If You Lose Coverage? 

You might lose coverage at any time, but you can choose another plan by going to the special enrollment page where it is possible to pick out a plan that will be just like the one you had. You might want to call your provider for help if you believe that they have information on your plan that would help you get it restarted, or you need to change plans instantly when a provider pulls out of your state.