Individual plan: provider network is limited?

I am in my 50s and considering retirement. I live in WA. I am looking at my insurance options. I want to have the highest possible coverage in terms of doctors, hospitals, procedures, drugs, etc. I don’t mind high deductible or high co-insurance, and I may be able to afford relatively high premiums.

What I am finding is that no matter what I am willing to pay I won’t be able to get insurance comparable to my current employer-provided insurance, which is Premera. I looked at Premera Individual options and what I found is that for individuals & families Premera has a separate provider network called “Individual Signature Network”.

One thing I noticed right away is that “Individual Signature Network” has no out-of-state providers at all. So if your kid goes out-of-state for college, or if you have an accident while vacationing out of state, you have no coverage and your savings could be wiped out by one serious incident. Not only that, you won’t be able to go out of state to get the best possible care. For some serious but rare diseases there may be expert, specialized care available in another state, but the “Individual Signature Network” does not cover it.

This makes it scary to retire. What do people who want to retire in their 50s do, if they want the best possible health insurance, including a provider network that is comparable to employer-provided insurance?

submitted by /u/petilon
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I am in my 50s and considering retirement. I live in WA. I am looking at my insurance options. I want to have the highest possible coverage in terms of doctors, hospitals, procedures, drugs, etc. I don’t mind high deductible or high co-insurance, and I may be able to afford relatively high premiums. What I am finding is that no matter what I am willing to pay I won’t be able to get insurance comparable to my current employer-provided insurance, which is Premera. I looked at Premera Individual options and what I found is that for individuals & families Premera has a separate provider network called “Individual Signature Network”. One thing I noticed right away is that “Individual Signature Network” has no out-of-state providers at all. So if your kid goes out-of-state for college, or if you have an accident while vacationing out of state, you have no coverage and your savings could be wiped out by one serious incident. Not only that, you won’t be able to go out of state to get the best possible care. For some serious but rare diseases there may be expert, specialized care available in another state, but the “Individual Signature Network” does not cover it. This makes it scary to retire. What do people who want to retire in their 50s do, if they want the best possible health insurance, including a provider network that is comparable to employer-provided insurance?
submitted by /u/petilon [link] [comments]Read Morer/HealthInsurance

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