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Choices

There are several types of  health insurance to choose from, and it is important to know how much coverage is provided in each. Depending on the options you have, it is usually a good idea to choose the plan with the most benefits covered in your price range. When a plan has high deductibles, co-payments, and co-insurance, it typically results in lower premiums. Not all plans work the same way, and cover the same amount of care, so make sure the plan you choose has coverage or an affordable alternative for the medical services you and your family need.

In Texas, the following options for health care coverage are available: High Deductible HSA (or catastrophic), Co-Payment, and limited benefit plans. These plans are available through great insurance companies such as Aetna, Blue Cross Blue Shield of Texas, Cigna, Humana, and United. You can search your zip code to get a quote for plans specific to you right now.

As many Texans are still uninsured, it is essential that you find a plan that you can afford and that covers the types of health care you will be receiving. Co-Pay plans are good for those who want coverage that resembles group insurance through an employer. You have a set co-payment for physician’s office visits to in-network providers and coverage on prescription medications. In-network services for preventive care are covered 100% by a Co-Pay plan.

If you are interested in opening a savings account to correspond with your medical services and have coverage on a variety of services, you may want a High Deductible plan with an HSA (health savings account).  For most Texas insurance companies, high deductible plans include 100% coverage on preventive care, and also has accident and emergency care coverage.

Limited benefits plans are fairly straight-forward, they do not have an extensive amount of coverage and are basic. They do provide the essentials or health care, such as preventive services, necessary surgeries, accident care, basic hospital expenses, and coverage for the care of certain diseases like cancer.

By not having coverage under an employer with group benefits, you have a great opportunity to customize your insurance plan and get exactly what you need. It is common for group health plans to generalize their care and not provide certain options that may be necessary to your health. While this can be convenient to not have to search for your own plan, the ability to choose what fits your budget and lifestyle will be better in the long run.