|
Deductible is the part of
your approved medical expenses that you pay before the Health Insurance Plan
starts paying for them. By assuming more of the risk with a higher
deductible, you can reduce your premium cost.
Tip:
Compare the
prices of the different deductibles and select a deductible where you will
“break even”.
Co-insurance is the amount
of your approved medical expenses you and the Health Insurance Plan pay (on
a percentage basis) after the deductible is met. The most common
co-insurance percentage is an 80/20 plan, in which the insurance pays 80%
and you pay 20% of the approved expenses.
Tip #1:
The lower
the coinsurance percentage number, the less expensive the plan. A
50/50 plan is less expensive than an 80/20 plan.
Tip
#2:
Most plans
place a cap (limit) on the amount you pay. Generally, the higher the cap,
the lower the premium. After the cap is exceeded, the insurance company
pays 100% of the approved expenses. An 80/20 plan with a $10,000 cap is
less expensive than a 50/50 plan with a $5,000 cap.
Doctor co-pays are the fees
you pay at the Doctor’s office for services received. Doctor’s co-pays are
usually a flat fee of $10 or $20. Generally, the higher the doctor’s co-pay,
the lower the premium.
Tip:
In an average year will you spend more on the
doctor co-pays than you will get back?
________________________________________________________________________________________________________
Still Confused? Need Help?
Call me at 800-333-1270 or 717-225-9596 for a no hassle, no pressure
phone conversation.
|