Is my health insurance plan decent?

32Y single, male. No HSA or FSA. Not planning to have any dependents or kids for the next 5+ years. Only planning to use in-network services. No chronic medical conditions.

-Office visit co-pays ($20 PCP/ $35 specialist)

– Annual deductible ($200 in-network / $700 out-of-network). This does not include office visit co-pays. But it includes any labs, imaging, PT/OT, drugs ordered during the office visit. I didn’t include urgent care, ER, surgery, any shots given in the office since I don’t plan on getting any of them and also to simplify things.

-After $200 deductible, 90/10 coverage kicks in. Coinsurance is 90% – Insurance pays 90%, I pay 10% out of my own wallet. This also does not include office visit co-pays. Instead, it applies to imaging, labs, PT/OT services, drugs prescribed.

– Annual maximum-out-of-pocket ($400 in-network / $1300 out-of-network). Continue with 90/10 coinsurance coverage, until I paid $400 out of my own wallet (my $200 annual deductible is included in calculating $400).

I was wondering if this is considered “good” benefits.

Appreciate comments!

See also  A Strategy For Value-Based Drug Pricing Under The Inflation Reduction Act