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Remember that premiums are driven by the
cost of medical care in the geographic area in which you live. Generally
if you purchase a policy that costs less in monthly premium, you will usually
end up paying a greater share of the medical expenses when you are sick
or hurt.
Most Arizona plans are managed care plans where you receive higher benefits
when you play by the rules of the plan. Some are Preferred Provider plans
where you receive the maximum benefit if you stay within the plan's provider
network, the physicians, hospitals and other medical providers who have
agreed to the plan's schedule of payments for services performed. These
plans usually allow you to receive healthcare services outside their network
of providers, but at an additional cost to you. Some may require the selection
of a Primary Care Physician (PCP), a personal physician who directs all
your care and who's written referral you need prior to visiting a specialist.
Family insurance is simply an individual policy with more than one insured
member of the family included in the application and coverage. Private and
personal insurance are other names for individual health insurance.
Applying for health insurance requires filling out an application which
includes questions about your past health conditions and treatments, in
most cases. The insurance company uses this information to determine whether
to approve you for coverage. Do not try to hide information about your health
condition, as it can be reason to retroactively terminate your coverage,
leaving you responsible for all of your expenses from that time forward,
less any premiums paid. If you have exhausted COBRA coverage, loose COBRA
coverage because your former employer went out of business and are considered
federally eligible, insurance companies are usually required to offer you
a choice of two different plans regardless of your health condition. These
can be more expensive as can be any conversion policy available to you within
30 days after you terminate employment.
If you have not previously had health insurance coverage, the insurance
company will usually impose a waiting period before your coverage starts
for anything you were treated for in the past, and in some cases anything
you should have been treated for. Coverage for preexisting conditions may
be limited in coverage, limited in time, or excluded altogether. Please
make sure you understand where you stand with the insurance company on preexisting
conditions during the first 10-day free review period after receiving the
policy, if not before.
If you do not find the information you need here, please use the "Have
You Help Us" choice at the top of this page to let us know.
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