QUESTIONS TO ASK BEFORE YOU BUY HEALTH
INSURANCE
1. How long are the rates guaranteed?
2. How is the Emergency Room covered?
3. Is Urgent Care covered?
4. Are Air and Ground Ambulance covered?
How much?
5. What is the Lifetime Limit of the policy?
6. Is the Lifetime Limit of the policy per person
or per policy?
7. What type deductible does the policy have?
Individual? Annual? Per incident?
8. Will the policy cover me anywhere in the
United States "In Network"
the same way I am covered in my own state?
9. What if I move to another state?
10. Does the Network cover Mayo Clinic, MD Anderson, Sloan
Kettering, and
almost every hospital and doctor in the United States?
11. Do I need a referral to use Mayo Clinic?
12. How is organ transplant covered? Single or multiple
organs?
13. Where would I go for a transplant?
14. Is there a companion expense plan available with transplants
for someone to accompany
the insured?
15. What about guaranteed conversion for my children?
16. May my children stay on the policy past age 25 if they
are not attending school
but still live at home?
17. How will the insurance co-pay multiple surgeons for
single operation?
18. What are the company's financial ratings? (AM Best and
Standard & Poor)
19. Do I have to ask permission to see a Specialist?
20. What is the maximum limit on the co-insurance? (stop-loss)
21. How much total out-of-pocket per year per person? Per
family?
22. What are the limitations in ICU? Is there a maximum
amount covered?
23. Does the contract read "charges will be paid usual and
customary as determined
by my doctor, not by the insurance company" and NOT reasonable
and customary?