How do folks choose health plans?
I've been very confused with what my job offers regarding what would be best money-saving option for me because this is only my 2nd time ever that I'm getting such full benefits from work (always had free low income insurance), which used to offer only one plan before, but now there are 3 CIGNA health plans. Dental is fully covered. And yes, I've spoken to HR about all of this and still unsure.
I'm 33F, in NYC, married but on this plan it would be just me, no dependents, have some chronic health issues (severe anxiety and depression, "benign" unmedicated heart arrythmias) which generally haven't required any expensive medications or procedures other than some diagnostics (which I've done recently). However, I have been to Urgent Care and ER for these recently, as well, which has been an occurrence every few years I guess. This year I need to attend therapy ($300-$400 per month) and once in a few months likely check in with psychiatrist. I understand how yearly premiums, deductibles, in and out of network things work. I'm not sure what out of pocket maximum or coinsurance is as to how they relate to all of this. I have access to Health Savings Account and saved $550 until now. New plans must be chosen by end of this week and i guess I have to re-calculate HSA submission if any.
Any ideas on how I can see what plan may be best for me in this situation? I will take any insights. Thank you all so much!
OAP HRA – Low Plan: $1117.44 yearly premium, $3000 deductible (work covers first $2000), so $2117.44 total per year. In-Network Only (fine by me). Out of pocket maximum $3425. Coinsurance 100%. Prescriptions $15-65.
OAP HRA – Middle Plan: $2116.32 yearly premium, $1500 deductible (work covers first $1000), $2500 out of pocket maximum. Both In Network and Out (all my providers are In, however). Coinsurance 90%/10%. Total per year $3616. Prescriptions $10-60.
OAP – High Plan: $3400 yearly premium, no deductible, both In and Out of Network, coinsurance 100%, PCP $25 copay, specialist $50 copay, prescriptions $15-40.
submitted by /u/Excellent_Move1148
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