Ways to Determine if Your Employer’s Health Plan is Right for You

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Is there any worse than getting sick? Acquiring illness and having a large medical bill to pay out of pocket. There are plenty of people who think that just because they have employer-provided health insurance, they are covered for almost everything. However, that’s not usually the case, as most corporate plans differ in terms of the level of coverage benefits provided. For instance, several plans only provide basic hospital insurance benefits, while others give more all-inclusive cover such as dental or maternity.

Determining whether your current corporate health insurance is proper for you can, of course, be a bit tricky. It’s because it’s true, for those of you who are not well-versed in the world health insurance. This is why an employer’s health insurance benefits can add a lot to the reconsideration of a job. For instance, in America, there are about 151 million Americans who rely on employer-sponsored coverage.

However, you should not wait until you’re finding a new job to examine a company’s health benefits. If you have to review your employer’s health insurance benefits every year, particularly since the costs are on the rise. Take note that those expenses affect your compensation considerably, and you want to make sure that your employer’s contributions are significant and generous.

It’s nice to have health insurance provided by your employer but make sure that you take note of how every corporate plan is different. This is where reading the fine print of your corporate policy and asking yourself or HR the following questions becomes imperative:

If you already have employer-provided health insurance, that’s great, but just make sure to remember that every corporate plan is different. And with that, you will find yourself reading the fine print of your corporate policy and asking yourself these important questions.

Why do I need to pay?

As health insurance premiums constantly develop, the number of companies introducing corporate health plan costs containment measures such as high deductible and copayments.

This is a crucial thing to look out for, as high deductibles— which is the cost you pay before your insurance starts to pay, or copayment—the fixed amount you pay for each health service, can actually add to your pocket expenses.

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Will my employer-provided health insurance cover my doctor?

There is one known method companies use to lower their employer-provided health insurance expenses is by limiting cover to a restricted network of healthcare providers. This network displays the facilities that are contracted to your corporate health insurance plan. Since its chances are high that you will have to pay more for out-of-network care, it’s crucial that you have you verify whether your current GP specialist or other medical facilities you visit regularly are listed under the network of providers.

Can it pay the treatment of my pre-existing condition?

Ask yourself, have you had some previous, current illness, or injury that you obtained to be cared for? Do you have a condition that necessitates daily treatment? We are pretty sure that your medical expenses will be high, especially if you do not have access to some type of health insurance.

Therefore, it’s crucial that you affirm whether your corporate health insurance covers pre-existing conditions. Although before it was common for group plans to cover pre-existing illnesses, it is turning to an increasing occurrence for corporate health insurance plans to exclude this benefit entirely.

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What’s my cost?

Almost everyone wishes to know immediately of what will be coming out of their paychecks, although this is not the most necessary thing to focus on. To determine if your employer is generous or not, you have to know what percentage you pay and what percentage your employer pays.

A lot of employees benefit packets that will have a percentage number somewhere in the materials, or you can talk to your human resources department about it.

According to Kaiser Family Foundation research, the average single employee pays 18 percent of a health plan’s costs. Also, in some cases, employers cover the whole amount, even for family coverage.

There is another clue to this: the pricing tiers available. Commonly, the more choices, the more cost savings the employer is offering to employees. In several companies, they provide a family rate, but they may charge a slighter to add just your children without a spouse. General companies normally don’t have a surcharge or exclusion for working spouses who could get their own plans, which is becoming more widespread nationwide.

On the Note

It’s totally understandable that it’s difficult for most employees to tell if they are getting a good deal or not. With these tips we have provided that will most likely help you, we still think that the greatest indicator of whether you have a good or bad plan is asking your friends and people you know who work at companies that compete with yours of if not, you can always talk to an insurance broker for more information about health plans.

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