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Version 2.02
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Health Insurance - Which Type Is Right for You
For each group, choose the statement 1 or 2 that best describes
how you feel:
- Having complete freedom to choose doctors and hospitals is the
most important thing to me in a health plan, even if it costs
more.
- Holding down my costs is the most important thing to me, even
if it means limiting some of my choices.
- I travel a lot or have children that live away from me and we
may need to see doctors in other parts of the country.
- I do not travel a lot and almost all care for my family will
be needed in our local area.
- I don't mind a health insurance plan that includes filling out
forms or keeping receipts and sending them in for payment.
- I prefer not to fill out forms or keep receipts. I want most
of my care covered without a lot of paperwork.
- In addition to my premiums, I am willing to pay for the cost
of routine and preventive care, such as office visits, checkups,
and shots. I also like knowing that I can get an appointment for
these services when I want one.
- I want a health plan that includes routine and preventive care.
I don't mind if I have to wait for these services to be scheduled
for an available appointment with my doctor.
- If I need to see a specialist, I probably will ask my doctor
for a recommendation, but I want to decide whom to go to and when.
I don't want to have to see my primary care doctor each time before
I can see a specialist.
- I don't mind if my primary care doctor must refer me to specialists.
If my doctor doesn't think I need special services, that is fine
with me.
If your answers are mostly 1: You want to make your own health
care choices, even if it costs you more and takes more paperwork.
Fee-for-service may be the best plan for you.
If your answers are mostly 2: You are willing to give up some choices
to hold down your medical costs. You also want help in managing
your care. Consider a health maintenance organization.
If your answers are some 1's and some 2's: You might want to look
for a plan such as a preferred provider organization that combines
some of the features of fee-for-service and a health maintenance
organization.
The differences among fee-for-service plans, HMOs, and PPOs are
not as clear-cut as they once were. Fee-for-service plans have adopted
some activities used by HMOs and PPOs to control the use of medical
services. And HMOs and PPOs are offering more freedom to choose
doctors, the way fee-for-service plans do. By studying your health
insurance options carefully, you will be able to pick the one that
provides you with the coverage you need, no matter what it is called.
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