Health Plan Evaluation Checklist
Fill out the following checklist to evaluate your current health plan, as well as others you're considering. Compare the services offered against the cost of each plan. Then choose the plan that best meets your family's needs.
Financial Considerations
What is the monthly premium?
________
What is the deductible?
________
How much is the co-payment?
________
What is the co-insurance percentage?
________
Will you have a claim form to complete?
________
Choosing a Provider
Given the plan's participating providers, who would you chose for:
a primary care physician
___________________________________
specialists
___________________________________
an urgent care center
___________________________________
a hospital
___________________________________
Evaluating Your Coverage
Which of the following coverage is offered and how would you evaluate it: good, fair, or poor:
________ Treatment of chronic conditions
________ Treatment of pre-existing conditions
________ Surgical care
________ Emergency room visits
________ Inpatient hospital services
________ Consultations with specialists
________ Family planning services
________ Maternity services, including prenatal care and delivery
________ Newborn care
________ X-ray and laboratory services
________ Rehabilitation services, including physical, speech and occupational therapy
________ Well-child care
________ Annual physical exams
________ Immunizations or allergy injections
________ Home health care or services of a licensed private duty nurse
________ Hospice care for the terminally ill
________ Care delivered at a skilled nursing facility instead of a hospital
________ Psychiatric care
________ Drug and alcohol treatment
________ Prescription drugs
________ Rental or purchase of medical equipment (such as crutches or a wheelchair)
(This information is provided for informational purposes only. Your decision regarding health insurance should be based on your particular situation. If you need advice, you should contact your insurance advisor.)
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