Health Insurance Guide | individual or family plans, which one is for you?

published on 06 April 2021
Blog-2 Header.png-60yz5

Choosing a health insurance plan can be a tedious task especially with the various options currently available. The decision to choose an individual healthcare plan or family plan is dependent on your circumstance so, in this blog, we have put together a short guide to help make decision making less stressful for you.

One thing you must know is that both of these plans have different eligibility requirements such as age, size of family and income. Our goal is to help you get a basic understanding of both plans and what differentiates them.

Find out why you should invest in health insurance in the first place.

Family or Individual health insurance | Which one is for you? 

Every health insurance plan is different. Each plan has its own special attributes and it is essential to take the time to research in order to make an informed decision. The major elements that you should consider noting are cost, accessibility and the range of services that the plan is offering.

Regardless of whether you are buying an individual healthcare plan or a family one, you need to make sure that it covers everything that you need.  

How to pick the best health insurance plan? 

Before taking any decision, here are a few things that you must know about individual and family health insurance.  

Coverage Norms 

While an individual health plan covers only one person, the family healthcare plan covers two or more members of one family including the spouse and children who are under a specific age. These children may be naturally born, adopted, or even foster kids. 

Note - Children over the age of 26 with any kind of disability can also be covered under many family health plans. 


This is a very obvious concept. The more members you add to the insurance plan, the more costly it will get although different family plans have different premium criteria. In an Individual healthcare plan, however, you just have to pay the premium for one person, making it an economical decision.. 


In comparison to the individual health insurance plan, the deductible is twice for family plans. This same concept is applicable to the out-of-pocket maximum. Basically, this is the most amount of money that a person has to pay during the policy period. 

Now that you know what the difference is between both individual health insurance and family health insurance, let’s talk about the things that you must know before picking a plan for yourself. After all, that is the reason why you are here in the first place. 

  • The 4 Metal Categories 
  • The total Budget you have for health insurance 
  • Type of health insurance plan that will suit you. 

The 4 Metal Categories - Health insurance plans come in 4 different categories including - Silver, Bronze, Gold & Platinum. It might have different titles based on the company but it connotes the same things. These categories are bifurcated depending on the cost of the insurance. Remember, the quality of health insurance plans has no role here. 

The total budget you have for health insurance - The health insurance industry operates on premiums. Regardless of whether you used the offered services that month, you are required to pay your premium. Along with the premium, you are also responsible for paying out-of-pocket costs & deductibles. So, while selecting any healthcare insurance plan, make sure that you consider checking both of these costs. 

Type of health insurance plan that will suit you - There are many types of plans on the market when you start looking for health insurance. HMO, PPO, EPO, and POS are some of the major network types in today's market. Where some of these plans allow you to opt for any healthcare facility, some of them restrict you from going outside their network. So, make sure that you check these out and invest accordingly. 

Now, we hope that after reading this you have an insight into what to look out for when choosing a health insurance plan.  If there was ever a time to get on a health insurance plan, it would be now as we continue to live through the COVID-19 pandemic. Do the necessary research and purchase a plan as soon as possible to avoid being unprepared in case of emergency. If you need any help with this you can send us an email at for assistance.

Read more