What Health Insurance Plan should I take???

posted 3 years ago in Money
Post # 3
Member
365 posts
Helper bee
  • Wedding: May 2014

I think I’d go for the last plan because should you need any medicine, an ER visit, a CAT scan or a Dr. visit, you wouldn’t be paying a ton out of pocket. I think the money you save there would compensate for the little bit more expensive delivery. Just my opinion though. 

Post # 4
Member
687 posts
Busy bee
  • Wedding: August 2014

Am I reading this correctly that only one of the options covers prescriptions? If so, I’d definitely go with the last – just as a cautionary tale, my FI’s mom needed a certain kind of antibiotic recently, and their CO-PAY was… $2800! You can imagine the cost of the drug without insurance. *shudder*. To me that peace of mind would definitely be worth an extra $40/month.

Although I just took a second look – 40% of a hospital stay plus deductible out of pocket is insane as well. Ugh, sorry I’m not much help. 🙁

  • This reply was modified 2 years, 9 months ago by  .
Post # 6
Member
219 posts
Helper bee
  • Wedding: May 2014

I agree with the others.  Not having prescriptions covered would worry me.

Post # 5
Member
2400 posts
Buzzing bee
  • Wedding: July 2013

yellow7404:  Sheesh! Sounds like my insurance plan options- so depressing to tally up! No advice but commenting to follow… 

Post # 12
Member
219 posts
Helper bee
  • Wedding: May 2014

I would do the last one.  By far the better coverage.

Here is why it will end up being cheaper:

Cheapest (first) plan is $270 a month. Last plan (most expensive) is $380 a month. $110 difference/month = $1320/year.

That $1320 additional per year in monthly premiums is instantly wiped out in the fact that it has no deductible.  The $1320 is LESS than the $1350 deductible of the cheapest plan.

You’ll make the difference on the monthly premium back right away AND end up with better (i.e., cheaper) coverage.  Overall, much less expensive.

Post # 8
Member
1287 posts
Bumble bee
  • Wedding: May 2014

Ahhhh, these options are so different, and yet, each offer benefits/downfalls.  First, if/when you have a baby, have you/SO/DH, etc discussed whose plan the baby will go on??  If it is yours, look into that STAT – as far as costs go.

I am not sure what plan to tell you (I would elminate 2 right off the bat though!), but can go over what I liked/disliked between the other two: (Disclaimer: I am reviewing based upon the pertinent #’s, not the last few columns because I believe those ‘examples’ of how much you would owe in the event they happen!)

Plan 1) Pros: cheapest deduction/deductible, which means the 10% you would owe out-of-pocket after the dedutible is met (which, while pregnant would likely be met when you include bloodwork/office visits, etc) for hospital/baby stays is really quite nice.  Cons, no RX plan.

Plan 3) Pros:  RX plan, which as other bees commented on can be extremely important, however, a LOT of perscriptions come in a very generic form, thus making them pretty inexpensive, and you may be able to find/pick-up your own RX plan after researching on your own?! Cons: highest deduction/deductible, and I do not like the 40% you would pay AFTER that is met for hospital/baby needs.

So, I suppose I would vote for #1, overall.  Especially if you are healthy, and really lookign at it from a TTC standpoint!

Edit:  You added more options…if you can afford the deduction, then go with the last plan on your second list!!!  

  • This reply was modified 2 years, 9 months ago by  OUgal0004.
Post # 14
Member
219 posts
Helper bee
  • Wedding: May 2014

yellow7404:  I seem to have posting problems–my browser keeps on freaking out, so sorry if ends up multi-posted.

The last one will end up cheaper overall and looks like it will give you better coverage.

Here is why it will end up being cheaper:

Cheapest (first) plan is $270 a month. Last plan (most expensive) is $380 a month. $110 difference/month = $1320/year.

That $1320 additional per year in monthly premiums is made up as soon as you use th plan because it has no deductible.  The $1320 is LESS than the $1350 deductible of the cheapest plan.

So, you’ll make up your monthly premiums right away, and it looks like it is much cheaper in every other categority. Overall, much less expensive.  

Post # 13
Member
5697 posts
Bee Keeper
  • Wedding: August 2012

I’m usually really good at this as I work in Healthcare but these are confusing me. They give you a Baby Delivery coverage, but then another column for delivery and 3 day stay etc… Are those coverages a “max you pay if you have a baby delivery with 3 day stay” type coverage amounts? 

Pharmacy isn’t a super necessary thing unless you are taking a drug that does not come in generic from, which I know that Xanax does. So honestly the 270.00 plan really isn’t bad. But as i said I still don’t get some of this. What does 1450 mean for ER visit? What if the visit is 250.00, is the 1450 an ER deductible? 

Agh I need more info LOL. Feel frree to PM me full details if you want!

And as PP’s said if you are planning to have a baby, and are going to put a baby on this plan then you definitely need to know what that costs as you go to the dr a lot when you are pregnant, and you go to the dr a lot after baby comes (well, the baby does). So you want to make sure that all well baby is covered.

Post # 15
Member
2400 posts
Buzzing bee
  • Wedding: July 2013

yellow7404:  That’s about what it would have been for just me had I changed my plans. TO add DH would have been an additional $300, bringing my monthly total to about $600- nearly half my bi-weekly paycheck! So I’m stuck with shitty super high deductible insurance, I only pay $20/month now, but my deductible is $3,500 and would be $5K if DH was added. It’s crazy to think we are paying so much monthly, only to have to pay the same or more yet again in the form of a deductible if you ever need medical care. This is a huge reason we aren’t TTC yet =(

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