The American Association of Health Plans has put together the following
information in order to assist consumers in choosing a health plan.
How to Choose a Health Plan
In comparing health plans, one of the most important steps is
to assemble as much useful information as possible. When gathering
information, don’t forget that information is available
from many sources and in many forms, including:
Ask your employer/fellow employees for information on their
experience with different health plans.
Ask health plans to provide copies of new member guides in
addition to pre-enrollment promotional materials.
Ask friends and coworkers for specific reasons why they’re
satisfied or dissatisfied with their present or former plans.
Contact business and consumer groups that survey or monitor
health plans’ performance.
Contact state insurance, public health, or consumer affairs
agencies.
Contact accreditation agencies like the National Committee
for Quality Assurance (NCQA), the Joint Commission on Accreditation
of Healthcare Organizations (JCAHO), or The American Accreditation
Healthcare Commission/URAC for the status of plans you’re
comparing.
In addition to the above resources, each health plan has its
own member handbook. You may find answers to many of your questions
in these handbooks.
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