An Overview of Choosing a California Health Insurance Plan

You can save money both now and in the future if you thoroughly understand your California health insurance policy! Knowing what your california health insurance plan does and does not cover can help save you money on prescriptions, tests, Doctor visits, and even medical equipment.

Healthcare costs can be tremendously expensive without health insurance. Even with a good health insurance plan, out-of-pocket costs can add up. To help keep those expenses down, be proactive in your own healthcare by reviewing your healthcare coverage policy. There are three main areas of your policy to review before utilizing your healthcare services.

Most consumers know that generic prescription drugs are cheaper than brand names. But did you know that most drugs could be interchanged for another drug in the same category? Checking your health insurance plan for covered or preferred medications allows you to ask your doctor for a cheaper medication when starting a new drug regimen. Doctors will be quick to select a prescription covered by your healthcare coverage to reduce your medication costs, but they might be hesitant to change an effective medication.

Testing includes any type of diagnostics used to help your physician determine a diagnosis and a proper plan of treatment. MRIs, endoscopic procedures, ultrasounds, x-rays, and blood tests are all tests that are commonly ordered by doctors.

When your physician orders lab work, sometimes it is important to ask where the blood will be drawn and which laboratory will do the testing. A laboratory for which you are not insured by your health plan may be used by your doctor on a regular basis, resulting in a large bill on your account.

Your health insurance policy might restrict some diagnostic tests. Knowing the details of your coverage before submitting to such testing can help keep you from incurring unnecessary expenses.

An annual list of recommended and preferred health care providers is included with many health plans. This list contains the names of health care providers in your area who participate in a discount program sponsored by the insurance company. If you choose a health care provider that is outside of your insurance company’s network, then the out of pocket expenses to you will increase dramatically.

It is also helpful to know your health insurance company’s policy regarding specialty physicians. Some plans require a written referral or screening process prior to the appointment. Keep in mind that if you fail to follow proper insurance claim procedures, the insurance company can deny your payment.

You should review your california health insurance plan to determine how your policy handles ancillary healthcare coverage. If you know the details of your insurance policy, you can stay healthy without having to pay a lot of money for out of pocket medical expenses.

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Originally posted 2010-06-24 16:22:18.

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This entry was posted on Friday, December 23rd, 2011 and is filed under Insurance. You can follow any responses to this entry through the RSS 2.0 feed. Both comments and pings are currently closed.

3 Responses to “An Overview of Choosing a California Health Insurance Plan”

  1. fer pelanquez on November 13th, 2010 at 3:09 am

    Also, efforts to instigate timely ACP conversations can now focus on Physician Orders for Life Sustaining Treatment (POLST, known in NY as Medical Orders for Life Sustaining Treatment or MOLST). Developed for use by people with advanced illness or frailty, POLST addresses the limitations of DNRs and other traditional practices for communicating treatment preferences. And it works! A recent study found that “POLST orders restricting medical interventions were associated with less use of life sustaining treatments” for dying patients. See Journal of the American Geriatric Society 58:1241-1248, 2010 for details.

  2. varill schumimunz on November 25th, 2010 at 6:23 pm

    The provider is the persons Physician. Most insurances consider them Health Care Providers. A Provider can also be a Hospital Emergency Room anyone who "provides" health care. In this case Physician.
    A woman of color is any woman who is not Caucasian. Usually in these text they are talking about Blacks and Hispanics.
    Yes, he meant she cannot pay. Older women, especially those who are retired have problems affording proper insurance. Physicians (Health Care in General) in the United States is VERY expensive. Medications are also VERY expensive. Insurance is supposed to help with these costs. But insurance is MORE [...]

  3. kutsch gusherodea on November 8th, 2011 at 12:47 pm

    International economics is about the global economy. You will touch on how countries interact with each other on a macro scale and how business interact on a micro scale.

    Health economics is more micro oriented and deals with stuff like insurance, healthcare, and the choices people make over the course of their lives.

    I enjoyed my general macro courses a lot more than my health economics course in college, but you will find a job much easier with a concentration in health economics.

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