What do I need to know when picking a health insurance plan?

Those in the Altoona, IA area will have a variety of health insurance needs. One form of insurance that people here will need to consider getting is health insurance. If you are going to pick any health insurance plan, many factors need to be considered along the way. It would be best to consider a couple of items when you are choosing your next health insurance plan. 

Type of Plan and Network

You will want to spend time assessing your type of plan and the network that comes with it. Many health insurance plans today have networks of primary care physicians and specialists that are within them. In many cases, your personal costs are much lower if you receive care from someone inside your network. You should evaluate the network of each insurance provider to ensure your preferred care providers are included. 

Costs Incurred

Another factor that you need to understand when choosing a health insurance plan is what your costs will be. A health insurance plan comes with complexities and different costs. Some of these can include your monthly premiums, co-pays for standard care and prescription, deductibles for individuals and all people under the plan, and total out-of-pocket maximum costs. You should carefully compare these plans to assess what the true costs will be. 

Residents in the Altoona, IA area need to make sure that they fully understand their insurance options. When looking for a new plan in this area, it would be wise to call Luke Peterson Insurance. The team with Luke Peterson Insurance understands the importance of health insurance. They also can help you be summarizing your options to make it easier for you to choose a plan that is ideal for your situation. 

Health insurance terms you need to understand

One of the most important decisions you make every year is your choice of health insurance. It is also one of the most confusing. You are confronted with words and concepts you don’t understand or that are not adequately explained. You finally choose a plan, probably the least expensive, and hope it will give you the coverage you need. At Luke Peterson Insurance in Altoona, IA, we understand what an important decision health insurance is and how stressful it can be. We are locally owned and provide a high level of friendly customer service. 


Every insurance company has providers who have a contract to furnish services to members for a predetermined rate. Before deciding on an insurance plan, you should determine if your preferred primary care doctor and any other medical professionals you use are in the network. 


The formulary is the list of covered drugs. They are listed in tiers, and the policy will have set prices for each tier. Before choosing a policy, make sure any medication you take is listed in the formulary and compare the plans’ prices. 


The deductible is the amount that you must pay before the insurance policy kicks in. It can be all services, or some may be exempt from the deductible. Read this part of the policy carefully. 


This is your share of any service. It may be a set amount such as $10 for a visit to the doctor or a percentage of the charge. It is much harder to anticipate the percentage dollar amount. 

Out of the pocket maximum

This is a significant figure. It is the most you will have to pay in any given year for medical expenses. If you have a bad accident or a serious illness with hospitalization, you will really appreciate this limit. 

Contact Luke Peterson Insurance in Altoona, IA to learn more about health insurance options.