Are you planning to get health insurance cover? Finding an affordable and reliable health care plan is tricky thanks to numerous companies offering the services. Whilst websites like myTribe offer reviews for many insurance policies, how do you know a policy covers what you may need? In this post, we will learn how to find the best and reliable policy that covers what you need. Among the essential elements covered include cost of the cover, medical facilities supported, and the maximum amount the cover can pay for our medical bills.

As you may already know, medical insurance covers matters like hospital visits, doctor appointments, medicine, and emergency procedures. Should an illness or accident leave you unable to work during the recovery period, medical insurance does not often cover this. For that event, you may wish to get a quote for disability insurance instead. We’ll cover disability insurance sometime in the future. In the meantime, here are the primary factors to consider when shopping for medical insurance.

The Hospitals and Facilities Supported

Does the prospective health coverage plan cover hospitals or pharmacies we prefer? This is an important question we should think of when choosing a health coverage plan. Most health insurance cover companies limit their clients on the places they can seek medical care. The limitations come in when an insurance company limits clients to a few hospitals. Therefore, before we sign up with a cover, we should consider the facilities they support. Some of the issues to think of are whether the hospitals they support are well-equipped and have a good reputation. Moreover, we should pick a cover that supports facilities located in or close to our residential areas.

Plans and Prices

Health insurance companies have varying plans that are paid differently. Mostly, we choose the plan that best befits our financial state. For instance, low earners select a cheaper plan, but the support offered is different from what higher earners who pay more for improved features get. In the same manner, if an employer is looking to find a suitable health insurance plan for their employees, they might need some important info regarding the plans and packages provided by various insurance companies before making a decision. Hence, we should inquire from the brokers or the company about their plans before choosing the right health care policies. We have to consider the premiums and see if our wages can comfortably cater to them. For some families, they are in a very low-income household and will have to turn to other means of health coverage, for instance, Medi-Cal/Medicaid may be the right choice for them, and they can find more information about this over at websites like IEHP if they are unsure how to start this off.


We have to know the amount a cover will require us to pay from our pocket before they cheap in footing hospital bills. For example, if the deductibles are below $1,000, the cover may hardly pay for most bills. Normally out-of-pocket deductibles include the following:

  • Procedure fees
  • Prescriptions
  • Specialist’s visit

It is also important to note that some insurance companies prevent their clients from accessing advanced medical services. For instance, I can be forced to pay for cancer screening or vaccine bills despite having an insurance cover.


Do you know other expenses you require to cater for to access medical care? We may have to pay for other expenses out of our pockets. For instance, co-insurance plans need clients to pay a percentage of the bill even after catering for the deductibles. Moreover, we may have to cater to co-pay. These are flat fees clients pay for prescriptions.

Medicine Coverage

One of the main concerns we should have before signing a contract with any health insurance company is whether the firm covers our regular prescriptions. In most cases, insurers have a formula and a list of the medicine they cover for. Hence, before we choose a plan, we have to check if the drugs we use regularly are on the list of covered drugs. Furthermore, the list of drugs covered is classified into tiers. Tiers determine the amount of money that we co-pay. To work with the right health care plan, we should make a list of all the drugs we use and compare them with the formula provided.

Final Remarks

Selecting a health insurance plan can be overwhelming. However, this should not be a problem for us. This post captures information about the things we have to keep in mind when choosing the plans. To get the specific information about health coverage to pick for our family and us, we should check the summary of coverage and insurers’ benefits.