Need some help assessing Open Enrollment Plan
Hello experts. My company is located in Florida, but I live in Illinois and open enrollment is here. I’m not really sure how I’m feeling about this health plan or if it even seems remotely good. I’m going to see what my husband’s company is offering, but wanted to hear some of your thoughts.
There are 4 options and am only considering 2 of them. I have a chronic illness and do have to get outpatient treatments every other year it seems, so please take this into account.
Option 2:
Deductible $1,500 per person
$378.30 per pay period
$756.60 per month for just my spouse and I
ER: 50% after deductible
Inpatient and Outpatient: $1,500 copay
Coinsurance: 50%
Preventative Care: $0
Primary Care: $35
Specialist: $50
Out of Pocket Max: Employee: $6,350, Fam: $1,2700
Option 3:
Deductible $1,000, $3,000 embedded
$507.08 per pay period
$1,014.16 per month for just my spouse and I
ER: $200 copay and 20% after deductible
Inpatient and Outpatient: 20% after deductible
Coinsurance: 20%
Preventative Care: $0
Primary Care: $45
Specialist: doesn’t say ๐
Out of Pocket Max: Employee: $3,500, Fam: $7,000
I’m fairly used to plans with a 10% or 20% coinsurance, but 50% after the expensive contributions seems excessive… I confirmed with the insurance that the copays for hospital evens are regardless of whether the deductible has been paid or not.
Are either of these …normal?