A Guide to Health Insurance in Idaho (ID)

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If you are looking to get Idaho Health Insurance that offers not only good cover, but is also useable in terms of real world treatment options then you need to consider a number of different factors.

Here are Six Areas that you need to check before buying Idaho Health Insurance:

1/ Coverage Amounts

It is important that you read the policy document for your health insurance policy carefully to check what the coverage amounts on the policy are. Some policies will come with lifetime limits for certain types of health conditions, and in practice this means that as you get older and are more likely to need the insurance, the limits on the policy may affect your ability to get treatment.

This is not always the case, but the reality is that health insurance companies are in business to make money, not to provide a universal health care system, and so much of the small print in their policies is not designed for the benefit of their clients. It is designed for the benefit of their profit statements.

Much health care reform is based around this premise of correcting market imperfections, because ultimately someone has to pay the cost for medical treatments, and it generally ends up being the end users in terms of heightened premiums.

So it is a good idea to not take on face value the marketing materials of any Idaho Home Insurance Company that you are thinking of buying a policy from, but instead simply read the policy document and the small print which is where the facts reside about what you are or are not covered for.

2/ Co-Payments

This is the amount that you will have to pay each time you visit the Doctors.

Typically this will be in the region of $15 - $25 in most HMOs; but it is worth checking to make sure it is not excessive.

3/ Co-insurance

This is the amount of the covered expense of any medical treatment that you are responsible for after you have paid for your deductible.

A typical figure for this might be that you would have to pay 20% of the first $5000, and then after that the insurance company would meet 100% of the approved expenses above that.

This is an important figure to know, because in the case of some treatments like bypass surgery or organ replacement surgery, the eventual costs can run into hundreds of thousands of dollars.

So, whilst meeting $1000 of that expense might be acceptable, you don’t want to go for a policy that has a very high co-insurance rate, because your potential financial liability could be huge.

4/ Deductibles

This is the amount that you first have to meet on your Idaho Health Insurance before medical expenses (that are covered by the policy) will be paid out.

Naturally, the lower this figure is, the better it is for you.

There is often a great deal of standardization about deductible levels, but you may find some policies that are a little lower or a little higher than average.

5/ Pre-Existing Conditions

This is an extremely big deal, because in the same way that banks usually prefer to only lend money to people who already have it, and have no need of the cash. Health insurance companies prefer to offer insurance to people who are currently healthy, have no pre-existing medical conditions, and look like they might live forever.

This clearly makes sense from a business perspective, but from a moral perspective and a practical perspective of getting covered, it can be a big problem.

You need to check very carefully exactly what your prospective Idaho Health Insurance Companies take on pre-existing conditions is, as you will often find that you either will not be able to get cover, or will have to accept a policy where the pre-existing condition is not covered.

Clearly, neither of these scenarios is ideal, and so you should check several companies until you find one that is willing to cover you for any pre-existing conditions at a reasonable cost.

6/ Limitations on Access to Hospitals, Medical Specialists and Drugs

Many Idaho Health Insurance Companies are able to offer cheaper cover because they have negotiated agreements with a limited number of hospitals and hence can get preferable rates.

Additionally, they may take different attitudes to whether or not a particular drug is experimental or not, and also about how the payments procedures change if you are referred to a medical expert at a different hospital that is not in their network.
It is important to dig into each of these different factors when you are seeking out Idaho Health Insurance Quotes as they can potentially be very important to your treatment options, depending on the medical problems that you end up suffering from.

As with most areas there is nothing to panic about when choosing health insurance in Idaho, but a little research and due diligence ahead of time may save a great deal of financial pain a little way down the road.


 

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