Choosing the right health coverage plan is a very important task for you or your family. However, with so many options out there, how do you navigate to the right plan that fits you? Choosing a plan with the right amount of coverage, deductible & copayments can be a confusing & challenging task. Luckily, we here at Xpert insurance services are here to help guide you along the right path to choosing a health coverage that works for you!

Let’s start by defining some simple terms first.

Deductible – The amount of money that the insured (you) will have to pay out of pocket before your insurance company will pay a claim.

EX. You your need expensive dental work done, your insurance says you must pay $500 out of pocket before they pay the full amount due.

Copayment – A fixed amount of money you pay for a covered health insurance service after your deductible is paid

Ex. Your insurance plan may allow up to $100 for a doctor visit, however you must pay a $20 copayment before the insurance covers the rest.

Premium – The amount of money paid monthly to your insurance company. Like a gym membership, this is a fixed amount you pay to keep your plan active.

Typically, insurance coverages with high monthly premiums have lower deductibles & copayments, while on the flip side, lower monthly premiums will give you higher deductibles & copayments.

So how do you go about choosing the right coverage? Below, we have 5 simple steps you can use to better decide on the right coverages.


  1. Compare types of insurance plans

Do you want to stay in a network or outside one? In network plans cost less than out of network plans. This is because certain health care providers contract to certain insurance companies to accept people who are insured by them at a more affordable rate. If you have a preferred health care provider such as a doctor or dentist, then you want to ensure that they are within the network of your insurance provider


2. Compare Out of Pocket Cost

As stated before, premiums with higher monthly cost have lower deductibles & copayments, whereas premiums with lower monthly cost have higher deductibles & copayments. You also want to see what other out of pocket cost are associated with going with a certain health care provider.

Its typically better to choose a plan with higher monthly premiums & lower out of pocket expenses if you:

  • See a doctor or care provider more frequently
  • You need a lot of emergency care
  • You have a series health condition

And choosing a lower monthly premium & higher out of pocket plan is better if you:

  • Are in good health and don’t see a doctor as much
  • Can’t afford higher monthly premium

  3. Compare Benefits

Some insurance plans may offer better benefits for emergency room visits, or physical therapy, whereas others may offer better dental & vision benefits. This is where choosing a good health insurance agent comes into play. For example, here at Xpert insurance services, we ask our clients a number of questions to help see which plans offer the best type of benefits to meet their needs.

Make sure you take time to think about which healthcare provider you spend most of your time seeing over the others, & see if your desired insurance provider has any benefits for that type of service.

4. Put Together Your Budget.

Some parents find it more effective to put their kids on a separate insurance plan by another company, whereas some parents have complete family plans that cover the whole family. However, all of this depends on your budget & what you’re willing to spend on monthly premiums, deductibles & copayments. That is why comparing different types of coverages makes more financial sense.

5. Enroll in a Plan

Finally, after you have decided on a good health care provider, you can proceed to enroll. If you don’t have preferred health care provider, make sure you check your insurance carrier’s website for a list of nearby healthcare providers near you.


Checklist Breakdown:

  1. Compare types of insurance plans. Do you prefer in network or out of network?
  2. Compare out of pocket cost. See what the out of pocket minimums & maximums are. Compare copayments & deductibles.
  3. Compare benefits & see if your desired insurance plan has any benefits to care providers you see most
  4. Put together your budget & decide on the best way to insure yourself or your family.
  5. Enroll is a plan & look for a list of nearby health providers

Thanks for reading! We know that choosing the right health insurance coverage for you or your family is essential, that is why we constantly go above & beyond by educating people on the steps they should use when going about selecting a quality health coverage that fits them the best.

Need help getting the right insurance policy? Or just looking for a free quote? Click the button below & let us help you get the right coverage the first time!