Before you select a plan, you should consider these six factors:
I. What does my plan cover?
All health plans entitle you to the following:
- Emergency services
- Surgery, organ transplant, and diagnostic during your hospital stay
A more comprehensive medical plan will entitle you to more benefits and medical coverage.
II. How much will it cost?
Generally, if you pay a higher premium upfront, you will pay less when you receive medical care, and vice versa. Health insurance is paid for in these ways:
- Premium that you pay to purchase your plan
- Out-of-pocket medical expenses that are deductible, co-insurance, co-pay, or a combination
III. Can I get healthcare from any doctor or hospital?
That depends. Most local focused plans, have their own network of medical providers. The bill may not be covered fully or at all, if the doctor is not in your plan’s network.
International policies, however, give you the full freedom to seek medical treatment from your doctors or hospitals that are not in the network.
IV. Are my routine examinations covered?
Most preventative check-ups such as mammograms, pap smear tests, and other routine check-ups are usually not included unless specified by the insurer. These tests are usually featured under the section Wellbeing.
V. How will my pre-existing medical condition affect my health insurance coverage?
If you or someone in your family has a pre-existing medical condition or chronic condition, do declare them before taking up the policy as it will affect your insurance coverage.
The policy may not cover the medical costs related to the condition or even exclude these conditions from your health insurance plans.
There are instances when insurers are willing to cover these pre-existing conditions. You will need to find out if the insurer will provide coverage for the pre-existing condition before the policy commences.
Additional premiums are often offered by the insurance companies to cover pre-existing conditions or the benefits will be capped. Common pre-existing conditions include hypertension, high cholesterol, asthma, and diabetes.
VI. Am I covered when I am away from home?
It depends on the plan you have chosen and the geographical area it covers. We recommend finding out if it covers you when you are traveling. Enquire on the type of coverage you will get and if you will be reimbursed.
In most cases, only emergency treatments will be covered when you are traveling outside your policy’s area of cover. A cough or flu are less likely to be covered.