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Here's what I've learned over the years from being on both sides of the issue.
* Know your policy. Do not, repeat, do not, expect your health care professional or his or her office staff to know what your policy covers. They are typically dealing with a dozen or more health plans, and it is impossible for them to be familiar with the benefits and networks of each.
* Save everything--every communication from the insurance company, every bill from your health care professional's office, every receipt for a co-pay or deductible payment. Insurance companies (and offices) make mistakes.
* Evaluate the available plans during open enrollment. Think about what your family's health care needs and how much you typically spend in a typical year. If you are fairly healthy and don't need much medical care, then a plan with a high deductible and low premium might be best; but, if you have a chronic condition that requires ongoing care, make sure you can afford the out-of-pocket costs.
* Be your own health advocate. That means checking into the hospitals, labs and specialists to which you are referred rather than simply taking your health care professional's word that they are good. It means questioning diagnoses or treatment recommendations if they don't sound right to you; making your health care professional aware of any side effects or problems you have with the treatment; and following up on tests if you haven't heard back from your health care professional's office. Tests can get lost.
* Track your medical history. Until we have a national system of medical health records, you have to be your own medical health record. This is particularly important if you have a chronic condition like diabetes or cancer. Keep a running list of every health care professional you've seen (including phone and address), every test ordered (and the results), every drug you've been given (and the side effects). Give a copy-to every new health care ...