HealthQuotes.ca has been in the Canadian health insurance business since
1981, just over 33 years. This experience gives us superb insight into
the industry, and we would like to pass on to you the most important
things that we have learned.
Tip #1: Get Health Insurance While Healthy
This
is the most important advice that we can give you! We regularly hear
from Canadians who are now shopping for health insurance because of
current medical bills (e.g. prescription drugs, therapy not covered by
provincial healthcare, etc.). Unfortunately, trying to buy health
insurance after a serious health/medical condition is diagnosed is more
difficult than getting coverage while you are healthy.
Keep in
mind that most health plans are “medically underwritten”, which means
that there is a medical questionnaire. In addition the insurance company
investigates each applicant’s medical history.
To put it in a
nutshell: if you are not insured at work via employee benefits then it
is a smart move to leverage your good health now and get health
insurance.
Tip #2: Consider Guaranteed Health Insurance for Pre-Existing Conditions
There
are people who are diagnosed with a medical condition and do not have
any health insurance. If this applies to yourself or someone you know
there are two options:
- Try to purchase a medically
underwritten plan, in which case coverage for the pre-existing
condition(s) will be excluded or the application will be rejected.
- Purchase
a guaranteed issue health insurance plan that does not have medical
questions (acceptance is guaranteed). These “no medical” health plans do
offer coverage for pre-existing conditions. The drawback to these types
of plans is that there is less coverage for the same premium cost when
compared to a medically underwritten plan.
There are instances where a guaranteed health insurance
plan
makes a great deal of sense. An example of this is uninsured people
that are diagnosed with diabetes. A guaranteed issue plan such as
Flexcare ComboPlus Starter covers the costs of most of the durable
medical equipment that a diabetic uses, thereby partially paying for
itself. Add in the dental and prescription drug coverage and the
ComboPlus Starter plan is a virtual "no brainer" for diabetics.
Tip #3: Provincial Healthcare Plans are Slowly Decreasing Coverage
The
current, long-term trend with most provincial healthcare plans (e.g.
AHCIP for Albertan s, OHIP for Ontarians, etc.) is a gradual decrease in
coverage. This means that more and more Canadians will be paying for
treatments or medications that used to be paid for by the province.
For
example, as of January 1, 2013, OHIP will no longer cover annual
physical checkups (they are being replaced by the less frequent
"Periodic Health Exams").
What does this mean for Canadians? If
you do not have health insurance coverage then you’ll be covering more
and more medical costs out of pocket.
Tip #4: Prescription Drug Costs Can Hurt You Financially
Occasionally
we are contacted by people who do not have drug coverage and are paying
out large sums of money for prescription drug coverage.
Generally
speaking, prescription drugs are only covered by provincial health
plans if administered while in a hospital, or if the person in question
is 65 years of age or older. (Note: each province has different public
healthcare plans that determine what is covered and how much coverage
there is).
A guaranteed issue health plan offers drug coverage,
but in these cases the amount of coverage does not begin to cover the
costs of some prescription drugs. For example, consider Kalydeco, a drug
for treating cystic fibrosis that costs up to $300,000 a year.
Low-income
families (in Ontario only) may qualify for prescription drug coverage
via the Trillium Drug Program if the cost of the drugs is high compared
to the family income. Click
here for more information.
Tip #5: Know What Health Insurance Plans Cover
Before shopping for a health insurance plan it’s a good idea to know what a typical plan consists of.
Generally speaking the average Canadian private health insurance plan consists of:
- Core
coverage that includes vision care (eyeglasses, eye exams, etc.) and
extended health benefits such as paramedical practitioners (e.g.
chiropractors, massage therapists, speech therapists, etc.)
- Dental coverage
- Prescription drug coverage
Decide
if you are not interested in dental or drug coverage. If this is the
case know that there are health insurance plans that don’t offer dental
and/or prescription drug coverage. Don’t pay for what you do not want!
Conclusion
We hope you found these health insurance tips helpful!
If
you have any questions at all please call us toll-free at
1-800-474-4474. We are licensed, experienced Canadian insurance brokers
that are here to help.
Source:
Canadian Health and Travel