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Does the insurance plan cover the services I am likely to use?

  • Are the doctors, hospitals, laboratories and other medical providers that I use in the insurance company’s network?

  • If I want to use a doctor outside the network, will the plan permit it?

  • How easily can I change primary-care physicians if I want to?

  • Do I need to get permission before I see a medical specialist?

  • What are the procedures for getting care and being reimbursed in an emergency situation, both at home or out of town?

  • If I have a preexisting medical condition, will the plan cover it?

  • If I have a chronic condition such as asthma, cancer, AIDS or alcoholism, how will the plan treat it?

  • Are the prescription medicines that I use covered by the plan?

  • Does the plan reimburse alternative medical therapies such as acupuncture or chiropractic treatment?

  • Does the plan cover the costs of delivering a baby?


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Source: Insurance Information Institute. www.iii.org

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