Thinking of buying health insurance? Many consumers have already bought it, but there are many others who regret not having known how to choose between …
A few days ago a good friend told me that before purchasing health insurance, the insurer had already excluded him from assistance derived from a previous pathology. How do you know what I think of private health insurance? He would tell me in case he could find an article.
Quite a challenge for me, and for you reading it if you have ever thought about taking out health insurance. I will teach you to distinguish what interests you the most.
We talk about health, your health, and that of your family, so any decision seems complicated. There are other series of circumstances that make it not easy to know if you are choosing the most appropriate insurance for your needs.
To make your task easier, I leave you a series of very useful tips when choosing your private health insurance.
How to choose good health insurance: 15 tips to get it right
Health insurance offers you a series of advantages, such as being able to choose the specialist that you like the most within a medical chart. It also gives you the ability to undergo prescribed diagnostic tests without having to be on a waiting list. But this is only the attractive part of the insurance.
1. Select the type of medical insurance
Choosing the type of insurance will be the first step you will have to take. Then others will come, such as selecting which coverage to include or if you are going to include the family.
This is a small summary of the modalities that you can find right now in the market:
1.1 Medical table
Medical table is assistance insurance where the insurer puts at your disposal a medical chart according to a catalog of specialties. It generally includes primary care to hospitalization.
the most widely contracted type of medical insurance, to which you can include the so-called copayment to reduce its price. We will see a little later how it works.
1.2 Reimbursement of expenses
The modality of reimbursement of expenses or of free medical choice allows you to choose the specialist you want, whether or not he is on the company’s medical chart. You will have to pay the bill and the insurer will reimburse you according to the percentage that you have agreed to in the policy, normally between 80 and 95%.
1.3 Mixed Insurance
There is a mixed formula that allows you to enjoy the medical chart and free-choice services. A complete modality and of course much more expensive.
2. Assess whether it is worth including the copayment
That the price of the insurance seems expensive because there you have the copayment. This is the amount that you will have to pay out of pocket for each medical assistance. It serves to lower the insurance premium but you will have to do some numbers before deciding to include it. Its inclusion is limited to the modalities where the assistance is carried out through a medical team. In the expense reimbursement mode, the copayment is equal to the percentage that the insurer will not pay you when it reimburses you for the cost of the benefit.
3. Contrast what is the experience of the insurer in health insurance
There are many insurers that market health insurance, but few that have a high level of specialization. Check their experience in the field, if it is the main one or is it one more in their product catalog.
Being prepared to respond to unforeseen situations, provide assistance abroad in case of emergency, or have a wide network of clinics and medical professionals, together with accessible customer service will give you an idea of the level of experience of the company. insurance carrier.
4. Value that you have a quality medical chart
It is about your health, it is mandatory to verify that the medical chart offered by the insurer is of quality.
How do I do it?
Checking that the medical staff includes prestigious professionals, specialists who enjoy professional recognition. The Internet can be a good tool to help you find quality information.
5. Verify the quality of healthcare centers
As important as the quality of the medical staff is that the centers where you are going to receive assistance are distinguished by having a good level of care, excellent facilities, and equipment. The proximity to your residence is a factor that should be weighed in the choice.
When we feel bad, everything becomes more distant and uphill.
6. Check if you have other additional services in your policy
As important as medical care is to have healthy habits. To help you, some insurers put at your disposal a series of services aimed at facilitating this task: telephone or online advice, spas at special prices or nutrition services, smoking cessation, or a personal trainer, are some of these services.
Ask if your policy incorporates them.
7. Quick access to authorizations
One of the problems with private health insurance is that each assistance needs the authorization of the insurer. It is essential that they have a good telephone, computer, or personal attention service that resolves the authorization quickly. Ask about the procedure and the means you are going to have, it will be very useful in your decision.
8. Ask about the consequences of using the services frequently
Many of the inquiries I receive are related to the increase in health insurance premiums from one year to the next and by surprise. One of the reasons for this increase is due to the frequent use of contracted services. It is very important to inform yourself about the consequences it has and the cost that it can entail. Premium increases of more than 10-15% per year are not unusual.
The diagnosis of certain diseases or the detection of certain pathologies was the reason for the insurer to rescind the policy. With the entry into force on January 1 of the changes introduced in the LCS, this is no longer possible if they have been known once the medical insurance has been subscribed. Disregards insurance that incorporates any clause that limits this right.
9. What grace periods will I have
By grace period we mean the time that has to elapse from when you take out the insurance until you are entitled to its benefits. In health insurance, several periods are usually established depending on which medical service is involved. Compare which one offers you shorter grace periods. Make sure that they are referred to in the contract conditions.
Make sure if you change companies and they offer you the insurance without deficiency that at the time of subscribing everything that they have offered you is in the clauses of the policy.
10. Check what coverage is included and excluded
Traditionally when we take out insurance, the determining factor in your choice is the price, in health insurance, be very careful. Basing your purchasing on price can be a problem in the medium term. Do not expose yourself to being said that this diagnostic test or certain medical consultation is not contracted in the policy.
Choosing good health insurance only depends on the time you spend analyzing all the coverages one by one.
11. Pre-existence and its consequences
Pre-existence is understood to be the pathology or disease that the person presents before the date of contracting the insurance. And what if I don’t know what I have? Well, you may have a problem if the insurer considers that it already existed before purchasing, even if the disease had not shown any symptoms until then.
Any reference that you find in the conditions of the contract in this section must be evaluated with great care.
12. Diseases or pathologies diagnosed or under treatment
Remember that at the beginning I was talking about how a friend had already been excluded from coverage before purchasing the insurance. He was sincere when filling out the health questionnaire that the insurance company gave him and the consequence has been that they have excluded treatment, surgery, and hospitalization for a certain pathology.
Declare to the company your real state of health will prevent that later, surely when you need it most, they reject the benefit for not having been sincere.
Depending on your health declaration, the company may limit coverage for a certain disease, accept full assistance, or may refuse to take out the insurance.
13. Review the clauses of the policy
Whenever I write an article where I advise on what to consider before purchasing insurance, I include this recommendation: review each and every one of the conditions of the policy. Your data as a policyholder or insured, the risk that is well defined, the duration of the contract and the form of payment, the deadlines to cancel the contract and in the case of health insurance, in addition to the general conditions that regulate it, all the information related to the medical staff, healthcare centers or telephone numbers and online addresses where to go if necessary.
Insist on asking if you have any doubts, it is preferable to postpone the purchasing until you have everything clear.
14. Search, compare and if you find something better … buy it
I was saying that the determining factor when choosing insurance is its price, often neglecting other factors that can be a problem.
And health insurance is no exception.
You will find a wide variety of offers at very tempting prices. Find the balance between coverage and price. Compare the prestige of the medical team, the quality of the healthcare centers, their facilities, and equipment. The proximity to your home, the additional services that they include, or the humane treatment they give you are elements that should influence your decision. And if after making the decision you find something better, buy it.
15. Determined to take out the insurance, the last choice
You have already chosen the insurer, the modality, the coverage, you only have one more step left before purchasing it. It remains for you to decide if you include the family in the policy, the best for you will also be for them. If you’re not convinced, you can always go back to the beginning of the article and review each of the 15 tips.
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Do you have health insurance, why did you choose that modality and not another?
Because we can’t see you in the comments where we can discuss this issue.