Grandfathered PPO Vs marketplace plan. Help me choose please.
My current grandfathered plan for myself and spouse:
$645
Deductible: $500 person / $1000 Family
Coinsurance 50% to max of $1000 person / $2000 family. Total out of pocket max $1500 person / $3000 family. 20% non PPO penalty applies $2000 person / $4,000 family.
Covered: outpatient surgery, emergency room care, emergency transport, hospital stay, surgeon fees, childbirth, pregnancy (prenatal and postnatal visits billed separately are not covered), X ray, mri, CT
Not covered: primary care visits, specialist, preventative care, drugs, urgent care, rehab, eye care, dental care
The list is longer and their is a mountain of fine print and *points but those are some of the big ones that jump out to me.
This seems like a crap plan because it only covers the big stuff.
However, the marketplace plans don’t seem very good either considering we make too much for any savings. The bronze blue cross plan rings in at $750 per month with a 6x higher deductible.
Sure the marketplace plan “covers” more stuff but I have never spent more than $1,000 on medical needs in a year regardless so why would I spend $1,200 per year more on premiums alone? Also, my grandfathered plan is the same price regardless of age and the marketplace plans go up dramatically the older you say you are?
Then, even if an expense is covered you still have to meet the massive deductible!
Seems every option I have is terrible.
