When shopping for private health insurance, aim for a plan that balances premium costs with out-of-pocket expenses. You can do this by comparing plans from different insurers as well as reviewing what each one covers.
If you have a specific need, check the provider network list to see whether all your preferred providers are included and compare which companies provide additional benefits.
1. Comprehensive Coverage
The ideal private health insurance policies offer comprehensive protection for all medical issues. A good way to determine this is by looking at their rating by the National Committee for Quality Assurance (NCQA), or visiting marketplace websites where localized policy-specific ratings may also be available.
Look for plans with the best value in terms of deductibles, copays and premiums. Make sure that your preferred doctors and hospitals are included on the provider network for each plan you consider.
The Affordable Care Act marketplace allows you to compare plans by “metal tier.” Silver and Gold plans offer lower monthly expenses, while Platinum covers more expenses and costs more. Explore whether an HMO, PPO, EPO or HDHP is suitable for you and your family.
2. Faster Access to Healthcare Services
Private health insurance not only decreases wait times for certain procedures, but it can also provide people with access to innovative therapies and treatments at more reasonable costs. Some of the top private plans even provide affordable options.
When selecting a private health insurance plan, make sure it comes from a provider with a stellar track record for customer service and broad coverage options. Kaiser, Blue Cross Blue Shield and Harvard Pilgrim all boast top-rated plans that are among the most preferred providers.
Other great choices for individuals include United Healthcare and Fidelis Care, both providing cost-effective plans. When considering these two providers, take note of whether you prefer Preferred Provider Organization (PPO) or Exclusive Provider Organization (EPO) plans.
3. Portability
Health insurance portability provides policyholders with an option to switch health insurers without losing accumulated renewal benefits. You can take advantage of this facility at renewal time to select an ideal plan that suits your healthcare needs.
Many individuals consider porting their policies after moving to an area with few or no network hospitals that accept their current insurer, or becoming dissatisfied with customer service offered by their current provider.
Portability gives them access to better coverage and features that can be tailored specifically to their healthcare requirements. This is particularly helpful for cost savings; additionally, they have access to a wider selection of doctors and hospitals for care – ultimately improving overall health while simultaneously increasing quality of life.
4. Personalized Customer Support
Equipsme is an exceptional provider that provides private health plans and solutions to self-employed owners, large companies, and families alike. Their team of experts are always on hand to address any queries or address concerns you might have; additionally they have a dedicated nurse helpline available 24/7 for any health concerns you or your family might be experiencing.
ValuePenguin editors conduct an in-depth analysis of customer ratings, complaints and other data sources in order to select the ideal private health insurance solutions for you.
5. Choice of Plan
Private health insurance providers with top ratings offer a range of plans so you can find one that meets your individual needs. Kaiser provides affordable Bronze plans and was recognized with top marks for customer satisfaction in 2023’s J.D. Power U.S. Commercial Health Plan Study as well as having high NCQA ratings.
Harvard Pilgrim offers another flexible, comprehensive health plan option for those searching for cost-cutting health plans. Their extensive network of doctors and hospitals allows it to deliver top-quality care at lower costs; additionally, Blue365 discount program can save money when purchasing fitness, wellness or personal care services.
Independent Health offers some of the lowest premiums and its 0% claim denial rate translates into lower out-of-pocket expenses for policyholders. Their Affordable Care Act marketplace plans offer PPO, HMO, EPO and POS plans as well as Silver, Gold and Catastrophic options.