Just starting my first job as an RN and had to pick healthcare coverage. I previously had Medicare from SSI for my disability but am surly going to lose my benefits. The hospital offers qhdhp (80/20, 90/10) and PPO. I chose PPO coverage with a premium of $100.10/pay. Seems exspensive but I’m only used to living off of $800/month from SS while going through school and wanted my specialists, therapy and meds decently covered as best as they can be like Medicare. I feel pretty dumb trying to understand what all is covered and how paying medical bills works. I’m 23F and need services like psych, ortho and now oncology/infusions. Otherwise I am healthy. I am still very mobile and able to do my job of course but I feel slightly overwhelmed making this switch without knowing what exactly I’m getting and what’s the difference between all the choices. I have a few questions after looking at the comparison plan: What is in-network/ out of network? How does the deductible work exactly? And what would it mean if it said “enhanced value: $500/$100” “standard value: $1000/2000” “0ut of network: $2500/$5000” What is an out of pocket limit and total maximum out of pocket? These are higher than 90/10 option. Deductible for prescription drug says “$50/$150” for PPO and “combined with medical” for other 2, is that good? Has some other stuff idk what it means but this would be a good start. Period is Jan through dec so would I have to re enroll by Jan and would that go along with other coverages like accident/disability/life and other stuff I didn’t accept this time? Thanks for your time I hope these questions make sense. HR just told me they can’t help me pick when I started asking these.
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Just starting my first job as an RN and had to pick healthcare coverage. I previously had Medicare from SSI for my disability but am surly going to lose my benefits. The hospital offers qhdhp (80/20, 90/10) and PPO. I chose PPO coverage with a premium of $100.10/pay. Seems exspensive but I’m only used to living off of $800/month from SS while going through school and wanted my specialists, therapy and meds decently covered as best as they can be like Medicare. I feel pretty dumb trying to understand what all is covered and how paying medical bills works. I’m 23F and need services like psych, ortho and now oncology/infusions. Otherwise I am healthy. I am still very mobile and able to do my job of course but I feel slightly overwhelmed making this switch without knowing what exactly I’m getting and what’s the difference between all the choices. I have a few questions after looking at the comparison plan: What is in-network/ out of network? How does the deductible work exactly? And what would it mean if it said “enhanced value: $500/$100” “standard value: $1000/2000” “0ut of network: $2500/$5000” What is an out of pocket limit and total maximum out of pocket? These are higher than 90/10 option. Deductible for prescription drug says “$50/$150” for PPO and “combined with medical” for other 2, is that good? Has some other stuff idk what it means but this would be a good start. Period is Jan through dec so would I have to re enroll by Jan and would that go along with other coverages like accident/disability/life and other stuff I didn’t accept this time? Thanks for your time I hope these questions make sense. HR just told me they can’t help me pick when I started asking these.
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