Private Health Insurance - How to Buy
Purchasing health insurance is fairly straightforward. The most common approach is
through COBRA when leaving your employer-provided plan. Federal law requires that
specific employers have to continue to provide you health insurance after your
separation with them for a specific time period. This is usually a time window equal to
18 months. If this alternative is available to you, it is worth considering. You keep the
same coverage you had while employed rather than a stripped down complete private
version. You will have to pay the full premium cost rather than just the employee share
as before, but you will have regular healthcare not otherwise available for the same
price individually.
For those whose COBRA coverage is ending or who have no such option and are not
employed with coverage, then a true private health plan is the only option. The first step
is go shopping and comparing notes between what different providers offer. The
Internet is probably the easiest and fastest route. Some companies may not offer
information readily, instead wanting you to ask for a quote. But enough searching via
customer feedback sites will tell you roughly what they charge. For more specific
packages or care needed, an insurance broker can access specific information not
available on the Net.
Group coverage is a third option. Sometimes, due to your affiliation with a particular
group, association, or team, you can get access to health insurance. The providers look a bit kinder on such options since losses are
spread among a pool of applicants rather than just one or two applicants. This creates a better profit probability for the insurer. Many
unions, associations, teams, contracting agencies, and similar have such arrangements. The costs will still be out of pocket, but you
may get access to a health plan not otherwise available under an individual private package.
The Cost
As mentioned earlier, the cost of private health insurance can be much more expensive than a policy through an employer, especially if
you have preexisting conditions. It’s quite common for the individual to pay at least $200 a month, and this is for a young customer with
very little in health problems and a high deductible. For a family on a private health insurance plan, the cost could range from $10,000
to $20,000 annually.
The cost of a plan is commensurate with the amount of deductible involved. This is essentially the amount you agree to pay out of
pocket before the insurance kicks in on a given medical treatment. High deductibles, i.e. over $2,000, have much lower premiums than
say a plan with a $100 deductible. Insurers reward customers who basically don’t cost much to insure. The higher the probability of
profit per contract, the lower the consumer cost is.
This issue gets particular muddy with conditions such as pregnancy and maternity. Particularly for women, these situations require
frequent medical care, appointments, and sometimes treatments and drug coverage. A maternity rider in an insurance plan makes sure
that the pregnancy and maternity costs are covered for a consumer, at least to some extent. Without such a rider, the insurance
company could reject the claims if they are not specifically spelled out in the contract.
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