Which Plan is Right for Me? Step 1 of 2
About You:
Age:
Gender:
male
female
Type of coverage you are seeking:
Employee Only
Employee + Children
Employee + Spouse
Employee + Family
(spouse + children)
About your health care and health plan needs:
Agree
Neutral
Disagree
I (would) use online tools to help manage my health care.
Agree
Netural
Disagree
I don't mind paying more if I happen to use more health care services.
Agree
Netural
Disagree
I take advantage of routine and preventive care services available to me.
Agree
Netural
Disgree
I am interested in wellness information to improve my health.
Agree
Netural
Disgree
I am willing to pay more of the premium cost for better health coverage.
Agree
Netural
Disgree
I take an active role in managing my health care coverage.
Agree
Netural
Disgree
I am interested in trying new approaches to health coverage.
Agree
Netural
Disgree
I don't mind getting referrals or other authorization for specialty care.
Agree
Netural
Disgree
I choose the health coverage with the lowest cost deducted from my paycheck.
Agree
Netural
Disgree
I am willing to pay more to have a larger choice of doctors and hospitals.
Agree
Netural
Disgree
What type of health care coverage do you currently have?
PPO
An open access plan(HMO or POS with self-referral)
HMO
Traditional /Indemnity Plan
POS (Point of Service)
Other
What type of health care coverage is currently offered by your employer ?
PPO
Consumer Driven Health Plan
HMO
POS (Point of Service)
Do you believe your usage of health plan services is high/medium/low?
High
Medium
Low
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