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  • Writer's pictureElijah Ugoh

How to Select The Best Healthcare Plans for Your Employees

How to Select The Best Healthcare Plans for Your Employees
How to Select The Best Healthcare Plans for Your Employees

Regardless of your company's size, offering health insurance to employees is a key decision element for those who are interested in working for your company. It not only gives you an edge when recruiting top personnel, but it also communicates to potential hires your concern for their welfare.

But not every type of health insurance plan is suited to your employees. As an employer, you must pick a plan that provides the best employee health insurance coverage without exceeding your budget.

Here are 9 important factors to consider when choosing health insurance for employees.

1. Learn about the types of employee health insurance plans available

It is important to understand the various types of programs that you could offer to your employees.

A Health Maintenance Organization (HMO) will greatly cut expenditures but will restrict the healthcare providers available to your staff. To see a specialist, they will require a recommendation from their primary care physician.

Preferred Provider Organizations (PPOs) provide more flexibility. Employees can see any doctor they choose, in or out of the network, without needing a referral; but, being in the network will save them money on copays. The cost of a PPO plan is, however, more than an HMO plan.

An Exclusive Provider Organization (EPO) is a hybrid plan. In contrast to an HMO, employees still have access to a network of healthcare providers, but they no longer require a prescription to see a specialist.

You should make a list of your preferences for dental, mental health, or maternity coverage before looking for an insurance broker or evaluating plans on your own. You should also consider whether your company might want to offer insurance for the dependents of employees. To improve the general health care (and reduce premiums) of their employees, many employers have also implemented workplace wellness programs.

2. Opt for plans with networks that are cost-saving

A study shows that many employees prioritize cost-savings and transparency over working with a specific healthcare group. Therefore, offering an EPO plan might be a good fit for your company. Your employees will have access to a carefully curated network of high-quality providers without the need for referrals to see specialists, saving you money on access to a larger pool of doctors that your staff may not need.

Employees generally prefer broader networks that offer them a wide range of providers. When selecting health plans, aim to strike a balance between building networks that are large enough for employers and employees to feel comfortable with their options while also being narrow enough for them to negotiate terms of participation with providers.

3. Choose plans with convenient care options

When weighing your alternatives, search for plans that cover services like urgent care visits, retail clinics, and telemedicine. Consider plans that don't need specialist referrals if your employees have specific medical requirements, so they can more easily find the doctors they seek.

You should consider various plan options from the perspective of your employees when choosing health insurance for them. Get inside the minds of your employees to learn what kind of hospital they typically visit, which employer-provided health benefits would benefit them the most, and whether or not the average employee leads an active or sedentary lifestyle.

4. Choose the right sum insured

The sum insured is the insurer's maximum payment and is made if one of your employees needs hospitalization. When searching for employee health insurance benefits, employers should take the rapidly rising inflation in medical costs into account.

If you are providing health insurance benefits to your employees' dependents, you should consider increasing the sum insured so that it can cover an entire household.

5. Consider the hospitals' network

The type of hospital network covered by your health insurance is another important element to consider when choosing your employees’ health insurance plans. Since medical emergencies can happen at any time, an employee may not always have a choice in which hospital they go to. It is therefore advisable to get employee health insurance that offers a wider network of hospitals across your region or country.

6. Opt for a personalized health insurance plan

When choosing an employee health insurance plan, you should remember that not all employees require the same medical care. Some people would need it in the event of a medical emergency, while others might use it to treat chronic ailments. As a result, when selecting insurance, take into account the health benefits for employees and choose a strategy that can be tailored to a company's needs.

The choice of whether to offer health insurance to workers that focus on accident insurance, mental health issues, maternity benefits, or critical illness care is yours as the employer. Choose insurers that have made investments in a more specialized member experience if at all possible.

Some insurance providers also collaborate closely with physicians to collect and exchange information so they may make more well-informed recommendations. You may want to find out from your broker how insurance companies collaborate with medical practices and hospital networks to deliver integrated care.

7. Coverage for employees' families

A highly considerate and kind decision, one that can help you greatly by attracting new talent, is to get an insurance policy that extends employee health insurance coverage to their family members.

Note that the premium cap will rise proportionally if you decide to extend coverage to your employees' families. So it's wise to perform a cost-benefit analysis before making a choice.

8. Offer tech-enabled healthcare options

Online access to health information, digital monitoring, appointment scheduling, and other health services are offered by several health plans. This technology can assist your employee in the proactive management of ongoing medical conditions, prompt doctor visits, and better health decisions, ultimately saving them (and you) more time and money.

9. Educate staff on how to choose the ideal health plan

It's completely acceptable to seek assistance from external specialists because selecting the best affordable healthcare plan is incredibly difficult. For informative materials that you can distribute to your employees during Open Enrollment, ask your broker or insurance provider(s). They'll be able to give you a more in-depth look at the many plan alternatives and help you determine which plans are best for your staff.

This knowledge can assist your employees in making the best decision for their unique medical needs, avoiding needless administrative hassles and waste of funds.


Employee health insurance offers so much more than just medical assistance. The recommendations presented in this article can help you actively participate in influencing how your business provides health insurance benefits for employees thus protecting their physical and mental health.

At Quantum Benefits, we provide health plan consulting services and give you access to top-notch healthcare solutions that your employees would enjoy while saving your company a significant amount of money. To talk with a representative right away, call (203) 856-6363 or complete our contact form.

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