New Job Health Insurance, lingo; "enhanced" vs "standard" value and "20% after deductible", who pays that?
Got a new job offer and some of the lingo always confused me a bit.
The table is labeled "IN-NETWORK BENIFITS" and there's a low deductible and high deductible plan, but both the LD and HD list an "enhanced" and "standard" value column. Typically these columns would be the "in-network" and "out of network", so each have different limits, deductibles, copays, etc. What is that? Just in vs out of network? Or are they offering 4 plans, a high and low deductible then some sort of sub level for each? I've never seen it shown like this before.
Some portions list "20% coinsurance". Which would mean I am responsible for 20% of the bill after the deductible is met. I get that. But other portions just say "Hospital inpatient: 20% after deductible" for the low plan and high plan lists "90% after deductible". Am I to assume that is a co-insurance? Or is the opposite? Are they saying they only cover 20/90 or I am responsible for 20/90? I believe it's a coinsurance. Part of the reason I'm confused is because at the top they state "Plan pays (after deductible): 80%", rather than calling it a coinsurance of 20% (100%-X%). So they are using coinsurance some places but not others.
submitted by /u/RedHawwk
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