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How to Understand Health Insurance Quotes

Dino Christoforakis
Dino Christoforakis

Editor in Chief & Licensed Insurance Agent.

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  • Health insurance terms so that you are better able to search out a suitable quote
  • Learn the aspects of Health Insurance included in quotes
  • Advantages of health insurance while also searching for a quote


Getting quotes for health insurance can feel stressful and overwhelming. However, that is not always the case if you take one piece at a time. Understanding what any agent is trying to sell you is the first step in purchasing your policy.

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Understanding the Jargon


A deductible, for instance, is money you are responsible for paying out-of-pocket before a claim is paid by an insurance claim. Deductibles are entirely the patient’s responsibility, and as you research, it should be an important subject to bring up with insurers as you gather quotes.

There is also coinsurance which means that you pay a portion of the premium while your policy pays the remainder. The percentages range, however, the normality is a 20/80 split, allowing you to be responsible for 20 percent while your plan covers the rest. Not all plans have this option and worth asking while garnering quotes.

Co-payment is a part of health insurance that rarely changes. When the fees to fluctuate, your policy holder will contact you to explain why and if they do not, be your advocate and never shy away from asking questions.

Co-payment at the doctor or pharmacy rarely counts against your deductible.

When you are researching your health insurance quotes, ask each company what they require you to pay out-of-pocket. Most insurance companies have a max before they begin covering 100 percent of the remainder of the claim.

Understand the terms while congregating a plan so ensure you are covered with health insurance that fits both you and your budget.

Choosing the Best Health Insurance for You


You are the consumer. It is up to you to know the questions to ask and why you are asking them.

There is a huge difference between basic and comprehensive health insurance coverage. Primary coverage is generally cheaper. However, the coverage is also limited. If you are not accident prone and healthy, a basic plan may be what you decide to search quotes for.

Keep in mind, though, that comprehensive coverage ranges from eye exams to maternity.

You should always ask your potential insurer whether or not you will retain your doctors and specialists so that you do not have to change doctors due to new insurance.

Other important questions to consider when calling or going through an online process to receive health insurance quotes:

  1. Does the insurance quote cover you if you travel for leisure and pleasure?
  2. Does the insurance quote include personalized coverage such as preventative and maternity?
  3. Does the policy cover not only you but also your family?
  4. Is your medication covered under the insurance plan that you are thinking about acquiring?

Advantages of Research

When researching health insurance quotes, keep in mind your personal needs. You will get an idea of the full policy you are looking for by asking questions, and there are no such thing as stupid questions when it pertains to your health and well-being. However, there is more to consider:

You will want to know if you have access to nurse/doctor hotline that offers overall advice or services. You will have already asked what co-pays are required under the policy agreement.

Urgent care has become the new emergency room. Some insurance companies do not cover these visits entirely, and you may want to ensure your doctor’s claim will get paid by your insurer in a timely manner and not out of your own pocket.

Emergency room visits are by far the most expensive form of healthcare. However, you will want to know how much your policy holder is willing to pay on a claim made by an emergency room as well as the other fees, such as radiology.

Ensuring Health Coverage Status


New laws are in place so that those with preexisting conditions, children under 25, and mental health issues have access because of the Affordable Care Act. However, when on the expedition for your perfect policy, keep your own health and well-being in mind.

Keeping your body healthy is dependent on you, but it is also dependent on access to preventive medicine.

If you remember the questions to ask and know the portions of a health plan that is germane to your needs, gaining your insurance quote is secondary because you have a firm understanding of what insurers are looking for in their clients.

Click here to compare FREE health insurance quotes and find a plan that works for your lifestyle AND your budget!

[su_spoiler title=”References:” icon=”caret-square” style=”fancy” open=”yes”]

  1. https://www.healthcare.gov/glossary/deductible/
  2. http://lifehacker.com/whats-the-difference-between-all-these-health-insuranc-1500452519
  3. https://www.healthcare.gov/


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