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Choosing a Medical Insurance Policy

Choosing between policies is not as easy as it once was. Although there is no one "best" policy, there are some policies that will be better than others for you and your family's health needs. Policies differ, both in how much you have to pay and how easy it is to get the services you need. Although no policy will pay for all the costs associated with your medical care, some policies will cover more than others.


Almost all policies today have ways to reduce unnecessary use of healthcare—and keep down the costs of healthcare, too. This may affect how easily you get the care you want, but should not affect how easily you get the care you need.

Policies change from year to year, so you should carefully consider each policy, using the questions outlined in this page. If you get health insurance where you work, you should start with your employee benefits office. Its staff should be able to tell you what is covered under the policies available. You can also call Premier Healthcare Direct directly to ask questions.

If you are self-employed or if your company does not offer group policies, you may need to buy individual health insurance. Individual policies cost more than group policies.

Some organizations—such as unions, professional associations, or social or civic groups—offer health policies for members. You may want to talk to us with regards to this as there are substantial discounts to be gained from becoming a member of Medical Insurance Scheme.


Pre-Existing Conditions

A pre-existing condition is a medical condition diagnosed or treated before joining a new policy. In the past, health care given for a pre-existing condition often has not been covered for someone who joins a new policy until after a waiting period.

If you have a pre-existing condition and require advice, please do not hesitate to contact us where we will be pleased to offer any advice.


Most policies provide basic medical cover, but the details are what counts. The best policy for someone else may not be the best policy for you. For each policy you are considering, find out how it handles:

  • In-patient Cover
  • Out-patient cover
  • Parental Accommodation
  • Private Ambulance
  • NHS Cash Benefit
  • Alternative Therapy
  • Care and counseling for mental health
  • Ongoing care for chronic (long-term) diseases, conditions, or disabilities
  • Physiotherapy
  • Home nursing
  • OVERALL ANNUAL LIMIT

  • In choosing a policy, you have to decide what is most important to you. All policies have tradeoffs. Ask yourself these questions:

  • How comprehensive do I want coverage of healthcare services to be?
  • How do I feel about limits on my choice of hospitals?
  • How convenient does my care need to be?
  • How important is the cost of services?
  • How much am I willing to spend on premiums?

  • You might also want to think about whether the services a policy offers meet your needs.

    Consider:

  • Life changes you may be thinking about, such as starting a family or retiring.
  • Chronic health conditions or disabilities that you or family members have.
  • If you or anyone in your family will need care for the elderly.
  • Care for family members who travel a lot, attend college, or spend time at two homes.
  • After you review what benefits are available and decide what is important to you, you can compare policies. Many things should be considered. These include services offered, choice of providers, location, and costs. The quality of care is also a factor to think about.


    Services

    Look at the services offered by each policy. What services are limited or not covered? Is there a good match between what is provided and what you think you will need? Find out what types of care or services the policy won't pay for. These usually are called exclusions.

    Choice

    What doctors, hospitals, and other medical providers are part of the policy?

    Location

    Where will you go for care? Are these places near where you work or live? How does the policy handle care when you are away from home?

    Costs

    No health insurance policy will cover every expense. To get a true idea of what your costs will be under each policy, you need to look at how much you will pay for your premium and other costs.
  • Is there an Excess?
  • Must you pay for certain services, such as doctor visits?
  • If a policy does not cover certain services or care that you think you will need, how much will you have to pay?
  • Are there any limits to how much you must pay in case of major illness?
  • Is there a limit on how much the policy will pay for your care in a year or over a lifetime?

  • A single hospital stay for a serious condition could cost thousands of pounds.

    You can't know in advance what your health care needs for the coming year will be. But you can guess what services you and your family might need. Figure out what the total costs to your family would be for these services under each policy.

    Quality is hard to measure, but more and more information is becoming available. As a specialist intermediary, Premier Healthcare Direct ONLY deal with those insurers who have a proven track record pertaining to quality of service and products.


    Finally, you can talk to current members of the policy. Ask how they feel about their experiences, such as waiting times for appointments, the helpfulness of staff, the services offered, and the care received.

     
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    Premier Healthcare Direct Ltd is regulated in the United Kingdom by the Financial Services Authority.

Our regulated Firm number is 300707

    Premier Healthcare Direct Ltd is regulated in the United Kingdom by the Financial Services Authority. Our regulated Firm number is 300707. Full details can be found on the FSA Register



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