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You are here: Home > Health Information > Checklist for Choosing the Right Plan

Checklist for Choosing the Right Plan

Use the following checklist to evaluate your current health plan, as well as others you're considering. Compare the services offered against the cost of each plan. Then choose the plan that best meets your family's needs.

  1. Given the plan's participating providers, which would you choose for:
    • a primary care physician
    • specialists
    • an urgent care center
    • a hospital?

  2. Which of the following coverage is offered and how would you evaluate it: Good, Fair, or Poor:
    • Treatment for chronic conditions
    • Treatment of pre-existing conditions
    • Surgical care
    • Emergency room visits
    • Inpatient hospital services
    • Consultations with specialists
    • Family planning services
    • Maternity services, including prenatal care, delivery and newborn care
    • X-ray and laboratory services
    • Rehabilitation services, including physical, speech and occupational therapy
    • Well-child care
    • Annual physical exams
    • Immunizations or allergy injections
    • Home health care or services of a licensed private duty nurse
    • Hospice care for the terminally ill
    • Care delivered at a skilled nursing facility instead of a hospital
    • Psychiatric care
    • Drug and alcohol treatment
    • Prescription drugs
    • Rental or purchase of medical equipment (such as crutches or a wheelchair)?
    • What is the monthly premium?

  3. What is the deductible?
  4. How much is the co-payment?
  5. What is the co-insurance percentage or maximum out of pocket?
  6. Will you have a claim form to complete?

* LUHS would like to thank Sutter Health for portions of this material

Related Links
Questions and answers about selecting a doctor or health plan
Types of insurance plans
Glossary of health-care and insurance terms

www.luhs.org - Maywood, IL