Answer: Selecting a health insurance plan may seem like a daunting task, but you can make the best choice from the available plans sponsored by the University by learning about the various options offered.
The University offers you a number of medical insurance coverage options: a managed care plan, two health maintenance organization (HMOs), a preferred provider organization (PPO), and a traditional "fee-for-service" plan. The medical insurance options differ in the benefit levels they provide, the doctors and hospitals you can use, and the cost to you. Before deciding which plan works best for you, take into account your individual and family needs.
Here are some tips to keep in mind when selecting your plan:
Find out which services are covered and determine which plan best meets your needs. Determine whether such services as annual physicals and preventive health care are paid for by the plan.
Look at the doctors, hospitals and other providers in the plan and decide if there are enough of the types of doctors and specialists you need to see. You may need to choose a primary care physician (PCP), seek referrals from a PCP or get approval from the plan before going into the hospital or receiving specialty care.
Look to see if medical facilities are close to your home or work place. Find out how the plan covers care while you are traveling.
Consider costs by looking at deductibles, co-payments, projected annual out-of-pocket dollars and costs that may be incurred after a deductible is met.
See Choosing a Plan for information to help you determine which option is right for you.
The complete plan description is contained in the appropriate certificate of coverage or plan document issued by each plan. You can download the plan booklets from the Benefits Office website. If you still have questions, call your plan. For more information go to Benefits Books page on the Benefits Office website.
Finally, take advantage of the Medical Plan Navigator available on the Benefits Office website. The Medical Plan Navigator allows you to view side-by-side comparison charts of only the U-M medical insurance plans you select to help you decide which plan is right for you. You can select certain plan features that may be particularly important to you, enter your zip code to view plans available in your area, or choose specific plans to compare with your current medical plan.
