Mother pays a lot for premium (nearly $2k/mo) — is she being ripped off?

Hi all,

My mother has been paying $1875/mo for her BCBSIL plan which she set up in another state before moving to mine (both are blue states, if that counts). Her financial planner set it up for her and told her that it was the “best possible” option for her.

Her health details: 68 year old woman with several chronic health conditions (COPD, severe osteroporosis involving spinal fractures that required several surgeries).

We are revisiting her budget and I was wondering if her monthly premium payments are truly appropriate or better (cheaper) coverage could be found elsewhere. My wife and I currently pay $900/mo for our insurance (small biz owners) so $2k for one individual was a shock to us.

Details:

PPO – Pharmacy/Dental

Coinsurance – 80%

Deductible – $3.5k ($600 remaining as of June 2023)

Out of pocket max – $5k ($2k remaining)

Out of network – $9.5k ($7k remaining)

Before I jump into calling around for quotes, I wanted to get a pulse-check regarding the reasonableness of her plan. Your insight is much appreciated!

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