Palig Logo
Wellness Hub
News and resources to help you on your wellness journey
Health Insurance
5 Things to Consider Before Buying Individual Health Insurance
January 01, 2025
Estimated Reading Time: 4m
Middle aged woman meditating in living room

Getty Image

Trying to choose the best health insurance plan? There is a lot to consider, especially if you’re new to this process. However, a quality policy will protect both your health and finances, so it’s worth your time to get it right.   
And it’s not as difficult as you think. Just focus on these five key factors.    
1. Know What’s Covered 
Not all health insurance plans cover the same medical services. Look for these core benefits:  
  • Doctor visits (primary care and specialists)   
  • Hospital stays, including inpatient care and surgeries  
  • Outpatient surgery 
  • Emergency care 
  • Lab work, such as blood tests and x‑rays   
  • Preventive services, like vaccinations and wellness visits 
 Some plans also cover:  
  • Prescription drugs 
  • Mental health services 
  • Dental and/or vision care 
Tip: When reviewing plans, review what services you’ve used in the past and expect to need going forward—and to see if they’re covered or available at lower rates.     
2. Breakdown the Costs 
You can’t determine if a plan is a good value without understanding these key financial components. Here are a few key terms to look out for.    
  • What is the Premium in my health insurance plan? 
    • The monthly amount you pay for coverage, regardless of whether you use it 
  • What is a Deductible? 
    • The amount you pay upfront every year before your insurance kicks in 
  • What is a Copay? 
    • A fixed amount you pay for certain services, such as a $20 doctor visit copay 
  • What is Coinsurance? 
    • The percentage of costs you pay after meeting your deductible. For example: with 80/20 plans, your insurer pays 80% of covered expenses and you pay the remaining 20%
  • What is an Out‑of‑Pocket Maximum? 
    • The most you’ll pay in one year for covered services. Once you hit this max, your plan pays 100% of covered expenses
Tip: Think in terms of balancing costs with anticipated usage. For example, if you expect to need frequent care, a plan with higher premiums but lower deductibles and copays may be your best value.   
3. Understand Provider Networks 
Many health insurance plans are built around networks of specific healthcare providers. Insurers negotiate lower rates with these providers in return for sending insureds their way, which keeps costs down. As a Pan‑American Life insured, you will have access to an extensive network of medical providers globally. To take a closer look visit our Provider Search today.  
Tip: If you’re between two plans that cover different tiers of providers ask yourself this: What’s more important to you: cost or flexibility?   
4. Research the Carrier’s Reputation  
Obviously, you want a health insurance company that is financially sound, pays claims as promised and provides quality customer service.  
One of the best ways to evaluate a carrier is to look at its industry ratings. Ratings services grade carrier strength and stability based on factors like balance sheets, operating performance and ability to meet its financial obligations. (For example, an AM Best rating of A (Excellent) and Fitch Ratings of A (Strong).  
You might also check with your local regulatory insurance agency and consumer commissions, do some general research and ask people you trust for their recommendations.  
Tip: Choosing the right carrier is as important as choosing the right plan. Research options and think carefully before putting your faith in an insurance carrier.  
5. Make It Personal   
What might be a great plan for you may not be for someone else. When evaluating plans, think about your health history, current health status, budget, and what your future health needs may be. For example, consider:   
  • How often you see a doctor—and how many 
  • If you take maintenance medications 
  • If you’re planning any major life changes, like having a baby 
  • If you travel regularly and need coverage outside your local area 
All these factors should influence your decision.  
Tip: If you have significant medical needs, a plan with broader coverage is likely worth the higher premiums. If you rarely see a doctor, a high‑deductible plan with lower premiums may be all you need.   
In Conclusion…  
Buying health insurance is important, but needn’t be overwhelming. Identify your needs. Do your research. Compare your options. And don’t hesitate to seek guidance from an experienced advisor—that’s their purpose.   
At PALIG, we offer a range of affordable individual and group health insurance plans in many countries. Your local agent can tell you what’s available to you, help you choose the right plan, and guide you through the entire process.     
 
Enter your email to subscribe to our newsletter and receive a weekly email with information on health and wellness issues
I agree to Terms of Service and Privacy Policy