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Is this a good deal?
So like I said earlier this week H and I are looking at insurance and I have been talking with a representative but I don't know enough to know if this is a good deal. My mom says it is but honestly I am just so confused. I know Blue Cross Blue Shield is a good company so it has nothing to do with that and all the rates for other companies I saw are about the same. What I don't know is if the plan itself sounds good.
So for H and I it is a PPO with $0 copays BUT we would have a deductible. That is $3800 a year and it is shared. This is how much we would pay out of pocket. Once that is met then they will cover everything 100%. Preventive and wellness visits are already covered 100% so no worries with that. Maternity is covered and it is also in with the deductible so if we hit the $3800 everything after that is covered.
This was the best plan they offered us and for the best price. It's the Blue Saver plan for anyone who has BCBS. What to you ladies think? Good deal or bad deal?
Re: Is this a good deal?
Just from the insurance I have had in the past, I would rather have a lower deductible and have to pay copays. I have to have regular MRIs and they usually take up the entire deductible. My last deductible at work was $2500 and that is what I was charged, out of pocket, for my last MRI. Definitely try to get quotes for a lower deductible.
My boss has a similar plan through her husband's work, although I don't know how much their deductible is (I want to say it's higher). FWIW, he works in insurance and they chose their plan over ours.
What they do is put a portion of their paychecks into an account to cover their deductible. I would say if you're able to put away a good portion of the $3800, it might not be a bad idea, especially if it covers what you regularly need.
The reason we are looking at this one instead of one like you are describing is because the other plan with copays is an 80/20 plan or 60/40 plan. Meaning we would have to pay either 20 or 40% of the cost which could end up higher than $3800 with lab work and doctor visits for me. BUT we still get a discount on bills because they are only allowed to charge us what the insurance says we can be charged. So even though a dr bill may be $300 we only have to pay $200 because that's what they say we should pay.
that's the type of insurance i prefer because i rarely go to the doctor except for routine wellness checks (which is covered anyway). the time i had my accident i had a similar plan with a $3000 deductable. my ER visit was twice my deductable, so i paid the hospital $3000 and insurance covered everything else 100%.
i say as long as you're not at the doctor's office routinely, and you have the $3800 saved up just in case on an emergency, that's probably the best plan for your money.
and like you said, you compared the 80/20 plan and 60/40 plan and still come out better with the low premium/high deductable plan. sounds like you've done your research and have chosen the best plan for you and your hubby.
My BFP Chart Danger Love Blog
I agree with this too
That's a pretty big deductible. However, if you have $3800 in the bank and are comfortable parting with that much money (potentially at one time), then the rest of it is decent.
What about prescription/dental/eye coverage?