Comparing Health Insurance Plans

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Use this work sheet to compare health insurance plans.

Ask The Following General Questions: Plan A Plan B Plan C
Can I choose a primary care provider (PCP) or will I be assigned to one?      
Are there a variety of PCPs to choose from in the plan?      
Can I self-refer to a specialist, or must my PCP refer me?      
Is pre-authorization required before going to the hospital or for tests or procedures?      
Do I have to file my own claims?      
How soon will coverage begin after the plan goes into effect?      
If applicable, will the plan treat my pre-existing condition?      
Will the plan cover me if I am traveling?      
Will the plan provide coverage for critical or long-term illness such as cancer?      
Can I choose a hospital or will one be assigned?      
Does the plan work in conjunction with a health savings account?      
Check All Included Covered Services: Plan A Plan B Plan C
Office visits      
Physical exams, health screenings and preventive care      
Prenatal and maternity care      
Immunizations      
Cancer screening tests (mammograms, pap smears, colorectal and prostate cancer tests)      
Cholesterol screening      
Laboratory tests and X-rays      
CAT scans, MRIs and other diagnostic tests      
Prescription medications      
Vision care, eye exams and eyeglasses or contacts      
Dental exams, braces and cleaning      
Mental health services and counseling      
Hearing exams and hearing aids      
Home health care      
Rehabilitation facility care      
Home medical equipment      
Physical therapy      
Speech therapy      
Adult day care      
Nursing home care      
Hospice care      
Drug and alcohol abuse treatment      
Alternative treatments (acupuncture, chiropractic, etc.)      
Experimental treatments      
Outpatient surgery      
Check All Included Covered Hospital Services: Plan A Plan B Plan C
Emergency care      
Ambulance services      
Physician visits      
Transplant surgery      


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