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3 Tips To Finding Health Insurance In Tennessee

Tennessee


O.K.  You live in Tennessee and are in need of a good health insurance plan.  Are you wondering how to begin?  It's a common question.  It is not easy finding the time to do all the research and knowledge-gathering it takes to lock down a good insurance plan that precisely fits your needs,circumstance, and budget.  Well, no worries.  We can help.  Below are three tips for finding a great health insurance plan in Tennessee.

Good to know:  Want to really know the particulars concerning a health care plan?  Request the "evidence of coverage" document associated with the plan.  The evidence of coverage document is what you need if you want to understand in perfect detail, exactly what a health care plan covers.  You will find a thorough explanation of benefits, exceptions, and exclusions.  The evidence of coverage document provides details that may not be listed in that glossy plan brochure, or any online verbiage detailing plan benefits.  In most circumstances, this document is legally required to be associated with most any health plan policy.  It is available to consumers.  You need only to ask.

Tip #1: Compare different types of health care plans

There are several types of health coverage options that you may choose from in Tennessee.  Even some that you may not be aware of - like faith-based health plans.  Faith-based health plans, (sometimes referred to as healthcare sharing plans), function very much like traditional health insurance plans.  However, they are not insurance plans at all - at least not in a legal sense.

There are also the new short-term plans.  Today's short-term health insurance plans are quite different than what they were in the past.  They now feature benefits that are comparable to traditional health insurance plans.  In addition, you can be covered by a short-term health plan for much longer periods than before.  In some cases, as long as 3 years.  We will touch on all the health plan options available in the Tennessee region, below.

Health insurance plan options in Tennessee include:

  • Traditional health insurance plans.
    Traditional health insurance refers to health insurance plans that are offered via the Affordable Care Act (ACA). Companies offering these plans include: BlueCross BlueShield, Aetna.

  • Short-term health insurance.
    Short-term health insurance plans are not so "short" any more.  Do to recent changes in health insurance guidelines, you can now, in some cases, keep the same low-cost short-term health insurance plan for a year or more - making such plans a serious long-term health insurance option.  Companies offering these plans include: United Healthcare, National General.

  • Faith-based healthcare coverage (Healthcare sharing plans).
    Faith-based, or healthcare sharing plans is the exponentially exploding new market.  Their unique plan structure makes such plans an intriguing and affordable alternative to traditional health insurance plans.  Companies offering these plans include: share.


When reviewing your health plan options, be sure to take a close look at the summary of benefits of each plan you are considering.  Most health plans summaries can be found online somewhere within the description of benefits on most any major health insurance plan website.  If you don't see it, request it before applying for any plan.  A provider directory, which displays the facilities and doctors that are part of the plan's physician network, should also be readily available.

Also, when comparing various plans, make certain to pay serious attention to your family's current medical needs.  Consider the cost and manner of treatment you have gotten in the past.  Though it is not possible to foretell every future medical circumstance, being aware of your family's medical history can assist you in making the right decision.

Good to know:  Before purchasing a health plan, ask questions.  Call the member services department of the health plan you're considering and ask: Which doctors, hospitals, clinics or pharmacies participate in the plan?  How much does it cost to go out of network?  Am I covered during a travel emergency?  What is the premium and out-of-pocket costs?  What is the most I'll have to pay out of my own pocket to cover expenses?  Exactly what benefits are covered by the plan and what isn't covered?  How are disputes about a bill or service handled?  Then verify the information you were given by comparing it to the plan's benefit details.

Tip #2: Review physician / hospital Networks

Be sure to check the hospital/physician network of any plan that you are considering.  Make certain the specific hospitals or doctors you desire, are participating in the network.  The expense of utilizing a physician or hospital that is out-of-network, can be staggering.  Insurance firms negotiate with physicians and hospitals to obtain more reasonable rates.  When you opt out of the network, those negotiated rates are not available to you.  If you have personal doctors and you want to keep visiting them, make certain they are part of the provider network associated with your plan.

Tip #3: Compare out-of-pocket costs

Perhaps the most important part of any health plan is the amount you will be responsible to pay should a medical need arise.  Make sure you have a clear understanding of what your plan will pay toward a medical bill, and what you will be required to pay.  You need to be clear on this issue for most every possible medical circumstance.  This includes office visits, x-rays and laboratory tests, emergency room visits, hospital procedures and stays, etc.  Also, make sure you know the maximum amount your plan will pay toward every medical circumstance.  Many plans have lifetime limits.  Some plans have procedure limits.  These are things you do not want to learn of after you gone through a medical circumstance.  You need to have pertinent knowlege concerning these issues before you purchase your health insurance plan. When it comes to finding a good health insurance plan in Tennessee, there is a lot you need to know.  Talk to the experts.  We are happy to help.  Give us a call today.

Other articles:
Explaining The Growth of Healthcare Sharing Healthplans
Is Short-Term Health Insurance Right For You?



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