8 Tips on Choosing an Ohio Health Insurance Provider

8 Tips on Choosing an Ohio Health Insurance Provider

Are you prepared to handle any medical needs that come your way? Choosing an Ohio Health Insurance Provider can sometimes seem like an overwhelming decision.

Studies show that less than 40% of people in the United States could afford a medical emergency of $1,000 if it came about. Having a solid Ohio health insurance plan is one of the best steps you can take to make sure you can handle any medical visit.

Knowing your insurance provider options is an important step to take when you’d like to make sure you’re properly insured for the coming year. This means understanding how insurance is handled in Ohio, along with the many details that go into choosing a health insurance policy.

Are you ready to make sure your healthcare needs are taken care of in the New Year? We’d be glad to help.

Here are some details that you should know when researching Ohio health insurance plans.

1. Consider Ohio’s Period for Open Enrollment

The first step in choosing an Ohio Health Insurance Provider is making sure that you catch the open enrollment period for your state.

People in Ohio can enroll in health insurance plans starting Nov. 1 to make sure they are covered on Jan. 1. You will have through the end of December to sign up for a plan that will go into effect, so take the time to scour through as many details as possible in advance.

If you don’t hit the open enrollment period, the only chance to get health insurance in 2022 is through special enrollment. You qualify for special enrollment if you lose your job, adopt a child, move to a new state, and some other circumstances.

Make sure to check with the Affordable Care Act (ACA) marketplace site to make sure that you qualify.

2. Find Out About the Different Types of Health Insurance

Learn about the various types of healthcare coverage so that you can find the right insurance provider in Ohio.

Some examples of health insurance policies that you might want to look into include a Preferred Provider Organization (PPO), Health Maintenance Organization (HMO), Exclusive Provider Organization (EPO), or Point-of-Service (POS) plan.

A Preferred Provider Organization (PPO) plan is a common policy that gives you access to specific in-network doctors that can provide you service. It also covers you for out-of-network service, though at a higher cost than you would pay in-network.

With a Health Maintenance Organization (HMO) policy, you have to go with in-network doctors, and these plans are typically less expensive.

An Exclusive Provider Organization (EPO) policy is one that works similar to HMO and PPO plans, though it is limited to a more exclusive set of medical professionals.

With a Point-of-Service (POS) policy, you get access to a strict network of professionals and won’t have to worry about deductibles.

3. Search for Premium Rates

Consider your health insurance budget before opting for a plan. The premium is the monthly price that you will pay in order to keep your health insurance plan active.

On average, people pay a little less than $500 per month in health insurance premiums. Look into the cost of the premium so that you know upfront how much you’ll need to set aside for your health insurance.

4. Figure Out Your Medical Needs

When you’re buying health insurance, you need to take inventory of your medical needs.

More than 18 million adults in the United States are living with some form of heart disease. Plenty of adults are also dealing with issues like diabetes and hypertension.

Consider whether you’re a woman trying to plan a family or an elderly person dealing with pain issues.

Think about how often you visit the doctor so that you can choose a plan that will accommodate you for however many visits that you need to take advantage of in any given year.

5. Look Into Deductibles and Maximums

It’s also important that you research the deductibles and out-of-pocket maximums that come with any health insurance plan that you’re researching.

A deductible refers to the amount of money that you will need to pay before your insurance will kick in and take care of the rest. The out-of-pocket maximum is a ceiling on how much you will pay for service any given year.

These matters directly affect how much you’ll need to budget for medical costs of any type.

6. Study the Co-Pays and Co-Insurance

When you buy a health insurance plan, you will typically either be responsible for co-pays or co-insurance for office visits.

A co-pay is generally a price between $20 and $40 that you’ll pay in order to get a doctor’s checkup, specialist visit, or other medical services. With co-insurance, you’re responsible for a percentage of the visit before the health insurance provider takes care of the rest.

For instance, if an office visit costs $300 and your plan calls for 30% co-insurance, you’ll pay $90 out of pocket at the time of service.

7. Do Your Research Into the In-Network Medical Professionals

Always take the time to study the different medical providers in-network for any plan that you’re looking into. Check into their board certifications, where they went to medical school, how long they have been practicing, and whether they have any reprimand or suspensions against their license.

Knowing who you’re dealing with will give you the best chance of getting quality medical service that you know you’re getting your money’s worth from.

8. Learn as Much as You Can About the Health Insurance Providers

Finally, learn as much as you can about the company that will provide you with health insurance. Learn about their insurance and bond rating, and look up the company in the Better Business Bureau (BBB) and consumer reports.

Ask friends and relatives which health insurance provider they use and whether you’d recommend them.

Choosing an Ohio Health Insurance Provider

Research Ohio Health Insurance Plans

These tips are useful when you’re looking into Ohio health insurance plans. Take heed to these details so that you’re always covered when you need it the most.

Are you ready to take the next steps and seek out a quote? Reach out to us to get a quote on a health insurance plan today.