Terms you need to understand when choosing health insurance

When it comes to choosing a health insurance plan, many people get overwhelmed. So much information and so little direction to help you make the right choice. Having an insurance agent you can trust goes a long way in making the decision less stressful. At Agency Advantage Insurance in West Bloomfield, MI we are an independent agency and can offer our clients more choices. We represent many different carriers making it easier for us to find the perfect match for our clients. 

Before you decide on your health insurance coverage you need to make sure that you understand terms that are used routinely to describe the plans. 


Every insurance company negotiates with providers to get the best possible deal for their customers while making sure that they have access to quality health care. You need to examine the network to make sure your preferred doctors, dentists and hospitals are in the insurance company’s network. The carrier should provide you with access to a provider directory. 


This is the drug list that tells you if any drugs you take are covered and what tier they fall into. Each tier has a different co-pay and some may also have deductibles. Both brand name and generic drugs are included. 

Maximum out of pocket

The maximum out of pocket is the dollar amount that you personally have to pay. Once you have paid this amount, you won’t have to pay any additional fees.  

Choosing the right health coverage is one of the most important decisions you make every year. You want to be able to afford the policy and have the coverage you need to allow you to get quality health care. At Agency Advantage Insurance in West Bloomfield, MI we understand your concerns and we will work with you to get the coverage you want and need. Give us a call or stop by our office for a no-obligation quote.