Hi everyone. I am newly employed and about to select health insurance coverage for the first time. I was on my mother’s plan until the age of 26 and for the last 3 years, I’ve been on state insurance (free to me) while I was a student. The state insurance was extended due to COVID but is due to run out by the end of the month and therefore I need to enroll in new coverage. I talked to my mom about this and have sent in some questions to the insurance administrators at my company, but was wondering if I could get some opinions on which plan to choose. Below are the differences when comparing the plans.
For reference, I am a single female and I will be the only one on the insurance plan. I am fairly healthy but do preventative care one/twice each year with an occasional walk-in clinic visit. I have a monthly prescription for birth control, but no other prescriptions.
There is no cost per month for me – my employer covers that… which is why I feel it’s obvious to go with the lower deductible but I wanted to get other’s opinions. I also have the option for an FSA, non-taxed account to put money in from my check to use towards health related expenses.
Differences are listed below, but emergency service ($250), out of network coinsurance (20%), coinsurance (50%), are all the same.
Plan 1:
Deductible: $500, Copay: $20, Specialist Copay: $40, Out of Pocket Max (does no include deductible): $4500, Generic Drugs: $15, Preferred Brand: $40, Non-preferred: $75
Plan 2:
Deductible: $1500, Copay: $30, Specialist Copay: $30, Out of Pock Max (includes deductible): $4000, Generic Drugs: $20, Preferred Brand: $50, Non-preferred: $100
submitted by /u/riverinthewoods
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Hi everyone. I am newly employed and about to select health insurance coverage for the first time. I was on my mother’s plan until the age of 26 and for the last 3 years, I’ve been on state insurance (free to me) while I was a student. The state insurance was extended due to COVID but is due to run out by the end of the month and therefore I need to enroll in new coverage. I talked to my mom about this and have sent in some questions to the insurance administrators at my company, but was wondering if I could get some opinions on which plan to choose. Below are the differences when comparing the plans. For reference, I am a single female and I will be the only one on the insurance plan. I am fairly healthy but do preventative care one/twice each year with an occasional walk-in clinic visit. I have a monthly prescription for birth control, but no other prescriptions. There is no cost per month for me – my employer covers that… which is why I feel it’s obvious to go with the lower deductible but I wanted to get other’s opinions. I also have the option for an FSA, non-taxed account to put money in from my check to use towards health related expenses. Differences are listed below, but emergency service ($250), out of network coinsurance (20%), coinsurance (50%), are all the same. Plan 1: Deductible: $500, Copay: $20, Specialist Copay: $40, Out of Pocket Max (does no include deductible): $4500, Generic Drugs: $15, Preferred Brand: $40, Non-preferred: $75 Plan 2: Deductible: $1500, Copay: $30, Specialist Copay: $30, Out of Pock Max (includes deductible): $4000, Generic Drugs: $20, Preferred Brand: $50, Non-preferred: $100
submitted by /u/riverinthewoods [link] [comments]Read Morer/HealthInsurance