Help me pick a plan for my son (1yr old) and I (he will need operation soon)

Hi all!

Need some help choosing a plan for my son and I. I am beginning a new job, and have some options outlined below.

For background, I have not had insurance for a WHILE (I'm 25), my son will finally have insurance, he was home-birthed about 1 year ago.

I am incredibly health (knock on wood), he has been, as well… With that, we anticipate a potential operation to be needed for him very soon.

He will need an umbilical hernia surgery. With that, I have a few questions:

1.) Which insurance of the below should I opt for given this?

Empire Blue Cross Blue Shield EPO 35 – I pay ~$461 monthly – no deductible, out-of-pocket maximum ($4,000)

Empire Blue Cross Blue Shield HDHP 2500 – I pay ~$370 monthly – deductible ($5,000), out-of-pocket maximum ($6,850)

Empire Blue Cross Blue Shield PPO 2000 – I pay ~$520 monthly – deductible ($2,000), out-of-pocket maximum ($6,000)

Empire Blue Cross Blue Shield PPO 500 – I pay ~$645 monthly – deductible ($500), out-of-pocket maximum ($3,500)

We have a surgeon in mind that we want to go with, and I see that they accept Anthem BCBS, but it's unclear to me that all of the above plans would be covered? I can PM the surgeon's info for those that can investigate further, or do I call directly? It says they accept Anthem BCBS, but I didn't see any mention of the EPO plan specifically.

I have not a clue what the cost of such an operation is, I see ranges online from ~$7k – $15k, keep in mind we're in South Florida.

2.) Would I be able to "lower" our insurance plan/tier after this is taken care of in the next couple of months?

See also  The Importance of Updating Your Income Reported to Covered CA

3.) Any other suggestions, tips, feedback for a new dad that's completely lost and disappointed in the state of healthcare today.

Thank you!!!

submitted by /u/msalabarria
[comments]