El Paso County Medical Society Home Page

Are you considering a new health plan
Are you wondering how yours rates?
. . . . Health Plan Features and Services Checklist. . . .

This checklist is provided by the El Paso County Medical Society to help you compare various plans, or summarize your current plan. You may wish to save it to your hard drive or print it off the screen.

As you make notes, try to be as specific as possible. If a certain plan has a deductible, how much is it? If a service is covered, are there any restrictions that apply? For example, a plan may cover acupuncture but limit the number of treatments. If there are additional features or services that are important to you, be sure to add them to the list and compare how they are covered under each plan you are considering.


Features

  Plan A Plan B Plan C
Approval Needed for Services      
    Which Services?      
    Pre-authorization?      
    Referral?      
Claim Processing Time      
Co-Payment      
Deductible      
Liability for Accuracy      
Maximum Annual      
Maximum Benefits Paid      
Monthly Premium      
Network Doctors      
Out-of-Network Doctors      
Out-of-Pocket Expense      
Travel Coverage      
Waiting Period for Pre-Existing      
Other Features      
Other Rules or Limitations      
       
       


Services

  Plan A Plan B Plan C
Acupuncture      
Alcohol and Drug Abuse      
Ambulance      
Chiropractic      
Durable Medical Equipment      
Emergency Services      
Eye Examinations      
Eyeglasses or Contact Lenses      
Home Health Care      
Hospice Care      
Immunizations      
Infertility Treatment      
Inpatient Treatment      
Mammograms      
Mental Health Counseling       
Outpatient Treatment      
Organ Transplants      
Osteopathic Manipulation      
Pap Tests      
Physical Exams or Checkups      
Physical Therapy      
Plastic Reconstructive Surgery      
Prescription Drugs      
Skilled Nursing Facility      
Speech Therapy      
Sterilization      
Well-Baby Care      
Other Services