Tips for choosing the right family health insurance coverage

While the Régie de l’assurance maladie du Québec (RAMQ) covers some essential health care costs, there are several expenses that it does not reimburse¹:

• Services of certain health professionals (like physiotherapists and psychologists) 
• Dental care 
• Vision care 
• Certain medical equipment 
• Certain medications and tests available in pharmacies 

Even with public health insurance (RAMQ), unexpected health care needs can arise for you or your family. These services can quickly add up. Health insurance helps bridge this gap by covering these additional expenses in case of unexpected medical needs. 

While some employers offer group health insurance that covers services not covered by RAMQ, not everyone has access to these plans. Personal health insurance is a great option for many families seeking to fill these gaps and ensure comprehensive health care coverage for everyone.

 

Why Should a Family Buy Health Insurance If They Have Few Medical Expenses? 

Tax credits for medical expenses can be helpful, but they have limitations. They only reimburse a portion of costs, and only if those costs exceed a specific percentage of your income. Individual health insurance can provide more comprehensive coverage. 

While it may not cover 100% of everything, many plans reimburse up to 80% of covered services.² This significantly reduces your out-of-pocket costs compared to relying solely on tax credits. 

Many families underestimate the true cost of health care. Even without major medical needs, prescriptions and unexpected treatments can quickly add up. Over time, these out-of-pocket expenses can easily surpass the cost of individual health insurance premiums. 

In essence, individual health insurance offers a predictable monthly cost and helps protect you from potentially high medical expenses. It’s a proactive investment in your family’s well-being.

 

How to Choose the Right Health Insurance? 

Selecting health insurance is a crucial decision. Take your time to explore your options and find a plan that best suits your family’s needs.

Understanding your coverage 

• Review RAMQ coverage: Start by understanding what’s covered by Quebec’s public health insurance (RAMQ). This will help you identify the gaps in your coverage.
• Assess your needs: Consider the following questions: 
  • What medical treatments or services would benefit you or your family? 
  • Are there any services not covered by RAMQ that you might need? 
  • How do you envision your future health care needs?

Choosing the right coverage 

• Consider your health: Your current health status and any potential future health issues should influence your choice. 
• Think long-term: Insurance purchased while you’re healthy often offers more options and may have lower premiums. 
• Evaluate coverage levels: Choose a plan that aligns with your immediate and future needs, considering factors like deductibles, co-payments, and coverage limits. 

By carefully considering these factors, you can make an informed decision and find the health insurance that best protects your family’s well-being.

Key Considerations When Choosing Health Insurance 

1. Pre-existing conditions: If a family member has a pre-existing condition, discuss potential coverage limitations with your insurance advisor. 
2. Future needs: Consider your family’s current and future health needs to choose the right level of coverage. Our plans offer flexible options to suit your evolving needs (Entry, Essential and Enhanced). 
3. Cost vs. coverage: Start by determining your budget and reviewing the coverage level that fits within it. Keep in mind, however, that the price is not the only factor to consider. Lower-cost plans come with limited coverage, which might result in out-of-pocket costs for some services. On the other hand, paying higher premiums often means access to broader coverage and more comprehensive reimbursements. 
4. Exclusions and limitations: Carefully review the policy to understand any exclusions or limitations that may apply. 
5. Customization: Explore customization options to tailor your insurance to your family’s specific needs. Consult with an insurance advisor for personalized guidance. 

 

When it comes to health insurance, families have unique needs. Choosing the right coverage ensures your family’s financial security in case of unexpected medical expenses. Get a personalized quote online to find the perfect plan for your family.