Help deciding on plan

Hi,

I am trying to decide between these two plans offered by my employer. There is a $120/mo difference between the two. I am 27y/o, single, healthy. From what I understand the HDHP is optimal if I’m unlikely to incur significant medical expenses; however, I don’t like how I’m basically paying out of pocket for everything with the HDHP with no contribution from the insurance provider if I’m under the deductible.

Any input would be appreciated, thanks.

PPO $2500 Plan

• In-Network: • Deductibles: $2,500 individual, $5,000 family • Coinsurance: 20% • Out-of-Pocket Maximums: $6,500 individual, $13,000 family • Office Visits: $20 physician, $75 specialist • Emergency Room: $250 & 20% (waived if admitted) • Prescription Drugs: $1,000/$3,000 MOOP; $10 (Tier I), $35 (Tier II), $50-$150 (Tier III) • Out-of-Network: • Deductibles: $5,000 individual, $10,000 family • Coinsurance: 40% • Out-of-Pocket Maximums: $19,500 individual, $39,000 family

HDHP $5000 Plan

• In-Network: • Deductibles: $5,000 individual, $10,000 family • Coinsurance: 0% • Out-of-Pocket Maximums: $7,000 individual, $14,000 family • Office Visits: $40 (AD) physician, $75 (AD) specialist • Emergency Room: $0 (AD) • Prescription Drugs: Medical deductible; $10 (Tier I), $40 (Tier II), $60-$150 (Tier III) • Out-of-Network: • Deductibles: $10,000 individual, $20,000 family • Coinsurance: 30% • Out-of-Pocket Maximums: $33,600 individual, $67,200 family

Monthly Rates

• PPO $2500: • Single: $613.83 • Employee/Spouse: $1,333.13 • Employee/Child(ren): $1,210.17 • Family: $1,935.62 • HDHP $5000: • Single: $492.08 • Employee/Spouse: $1,068.95 • Employee/Child(ren): $970.34 • Family: $1,552.14 submitted by /u/fedaby95
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