Skip to content

    Health Care Reform:

    Health Insurance & Affordable Care Act

    How to tell if you have the right kind of health insurance plan for your family's needs.

    WebMD Magazine - Feature

    Health Insurance: Are You Really Covered?

    Once upon a time, having health insurance meant security. If you got sick, your care was covered. At least that's what we all thought.

    But a 2009 study published in The American Journal of Medicine found that in 2007, 62% of all bankruptcies in this country were related to medical expenses. And three out of four people with medical debt had health insurance.

    The difference between a good and not-so-good health insurance plan makes a huge impact on both your health and finances. So, how can you tell which kind you have? Start by doing the math. Look beyond your monthly premium, and add up out-of-pocket expenses in the form of deductibles, co-pays, prescription costs, and co-insurance (the portion of medical bills you pay once the deductible has been met and insurance coverage kicks in).

    Know Your Maximum Exposure

    Also, figure out what your maximum financial exposure is in a worst-case scenario. How much money will you have to lay out before your insurer picks up 100% of your costs? Any health plan without a maximum limit on your out-of-pocket expenses puts you at risk for a whopping bill in the event of a major illness or injury.

    The same is true for plans with dollar limits on hospital stays. "These plans can be tricky and misleading," says Candy Butcher, chief executive of Medical Billing Advocates of America. The monthly premiums may be low, but they cover only a fraction of the costs associated with an inpatient stay, the most expensive form of care. For example, "catastrophic" or "hospital-only" plans might give you the impression that you're covered if you become very ill. But some only pay for certain diagnoses, Butcher says.

    Does your health plan exclude care for certain health conditions (maternity care is a common one), or require a waiting period for pre-existing conditions (something that will go away when health reform goes into full effect in 2014)? If the answer is yes, you're essentially uninsured if you need to receive care.

    "The best place to look for that information is in the list of excluded benefits found in your summary plan description," explains Tracy Watts, health and benefits partner with the consulting firm Mercer. Your best strategy is to go back to the basics. Boring as it may be, "Review your policy book from front to back," Butcher advises.

    Today on WebMD

    stethoscope on person's chest
    Your Marketplace choices,
    How not to waste money on health care.
    man in cafe looking at computer
    Finding low-cost health insurance.
    doctor showing girl a stethoscope
    Get the facts on health insurance.

    Latest Health Reform News

    Loading …
    URAC: Accredited Health Web Site TRUSTe online privacy certification HONcode Seal AdChoices