4 Simple Tips for Choosing Texas Individual Health Insurance

If you're shopping for an individual health insurance plan in Texas, it's easy to become confused by all the different options and terminology.

HMO's, PPO's, indemnity, riders, inclusions and exclusions... it's enough to make your head spin. But, never fear - all you really need to know are a few simple tips to help you choose the best policy for you and your family:
1. Know the policy limits of coverage. When choosing Texas individual health insurance coverage, it's important to understand the differences between coverage limits. Most plans you find are what is known as "managed-care" plans. Managed care plans cover your health costs even if they exceed the amount you've paid into your policy, up to the policy limits in your plan.

So, it's important that you know what the policy limits are so you can be prepared in case of a catastrophic, life-threatening, or extended illness. This is a very personal decision, and should not be made lightly; by all means, make sure you get the coverage limits you are most comfortable with.

2. Know the difference between HMOs and PPOs. HMOs arrange for or provide health care services on a prepaid basis, and generally limit you to providers that are in the HMO's network. On the other hand, PPOs often provide more flexibility, both in the levels of coverage provided as well as by allowing you to see the physician of your choice. So, most folks, when given the choice, would prefer a PPO over an HMO, since the PPO offers the greatest flexibility in coverage and choice of health care providers.

3. Know the policy limitations on preexisting conditions. Many health coverage plans contain limitations on preexisting medical conditions. These exclusions are governed by federal law, and are generally limited to conditions you received care for or were recommended to receive care for in the six month period preceding your enrollment dates. So, be aware that any preexisting conditions that fall within those guidelines may be excluded from coverage under a new health care coverage plan.

4. Know what the deductibles are. The deductible is the amount you have to pay out-of-pocket before the insurance company is required to pay your expenses. Generally, a higher deductible means a lower monthly premium, and vice versa. Make sure that, if you choose a higher deductible, that you have the means to pay it in case of a hospitalization or major surgery. Those lower monthly premiums could very well end up costing you dearly down the road; make sure you plan accordingly.

So, to recap... Know your limits of coverage, know the difference between HMOs and PPOs, know what the limitations are for preexisting conditions, and know what the deductibles are for the policy you are considering.

About the Author

Mike Massie is an independent insurance agent specializing in individual, family, and small business health coverage for Texans. He offers instant texas online health insurance quotes at his website, http://www.easytexashealthinsurance.com/ .

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