Wednesday, February 23, 2011

can you tell me how a health insurance works? i need to get one.?

I am 18 years old, still in high school, only because i was not born here in Georgia and I just moved last year from Philippines. I've been trying to do a research on Health Insurance but i still dont get how it works. what do they mean by quotes? and what do you mean by file a claim? waa. and how am I supposed to find a doctor? will they find it for me once I apply for one? hm.. and actually,I really want to have dental insurance. but i know it is important to have a health insurance as well right away since anything might happen. can u suggest any cheap and affordable one? my family really needs it. and can you tell me how to find a doctor? =) thanks a lot ... =)
--------------------
This is long but it barely touches the surface of your question. Find a local independent agent and go talk with them. This person will be able to explain a complicated subject that we don't have enough room here to explain. They can also help you find a plan that is suitable for your situation. They don't charge you anything for the service. The quote is the estimated premium that you will pay monthly. The insurance company will not help you find a doctor. Depending upon the plan you will have to go to a doctor in the network. The agent will explain networks and may suggest doctors or can help you find one. Normally, you don't file a claim, the doctor's office does when you visit him. The agent will be able to explain this also. Dental is completely different and not included with most plans. Some companies will have dental as an option and the agent can assist there as well. You have three options with dental. 1. Insurance - Depending upon the policy: cost $30-$60 per month. You pay a $50 deductible first, they have an annual maximum that they'll pay per year of $750 - $1500, they have a waiting period up to 18 months for major work and then you're paying 50% of the charges. Example - average cost for a root canal in my area is $829. With insurance you pay $414 after paying 18 months of premium (around $800 or $900). Advantage - you can use any dentist with most plans. 2. Discount plans - Cost - $5-$12 per month. No deductible, no annual maximum and no waiting periods. Also, hardly any dentists will accept the plan and when they do you MIGHT get a 10% discount, which is about the same discount you can get by paying cash. Example - average cost for a root canal in my area is $829. With discount plans you pay around $746. Be very wary of these plans because most are scams. The people that sell these plans have little or no knowledge about health & dental insurance and do not need a license to sell them. The plans are not regulated by the state so you have no recourse when you have problems. Some states are starting to ban these plans from being sold. Here is an informative link http://www.insurancejournal.com/news/wes… concerning these plans. 3. Fee for Service discount plans - Cost $7-$15 per month. No deductible, no annual maximum and no waiting periods. Many dentist will accept the plan (check providers first before signing up with any plan). When you use the plan there is a set fee that the dentist will charge you. Example - average cost for a root canal in my area is $829. With fee for service plans you pay as little as $404. I'm an insurance agent and my personal plan is the fee for service plan. I got mine here http://www.dpbrokers.com/default.aspx?lo… specifically the Aetna Dental Access plan but which one you get depends upon your area and comparing the fee schedule to find the best for what you need covered.
Source

No comments:

Post a Comment