Finally decided it's time to get myself insured again. I am confused. This thread may cause a headaches.
Hopped on healthcare.gov. Got sent to wahealthplanfinder.org. Looked at plans. Boom down for maintenance (AGAIN this has happened numerous times).
Before it went down, I briefly looked through plans from various providers and the cost ranged from about $215-$300 (I'm sure they go higher).
I am 28 and a smoker. I would of course like to keep the monthly payments as low as possible, but $300 is actually not as high as I was expecting. I
don't mind having a high deductible, but my understanding is that out of pocket expense is capped at $6350 now. I don't know if you need that
information, but there you go.
I understand the deductible. It's like car insurance. If I crash my car, I have to pay X amount and insurance covers the rest, basically the same
thing. Deductible goes up, premium goes down. I understand premium (cookies appreciated).
Coinsurance and copay are confusing me at this point. I was looking at two plans, about the same premium (I think $40 different a month). One had a
higher deductible (but only by about $1,000) but says 0% coinsurance after deductible for everything. The other was 20% coinsurance after deductible.
That 20% coinsurance could add up REAL fast. Have a $50,000 surgery and have to pay coinsurance... Considering a freaking ambulance ride can exceed
Plan 1 cheaper premium, 0% coinsurance after deductible and $20 office visits. Higher deductible.
Now looking at this, am I to assume that the copay for doctors visit takes effect before I reach my deductible? As in every time I go to the doctor I
only pay the copay even if I haven't racked up $6350 deductible? Also WTF are the different tiers under prescription drugs?
Plan 2 more expensive premium, 20% coinsurance, same cap for maximum out of pocket expense, apparently cheaper drug costs before deductible.
Difference in deductible seems negligible to me. $1,000 doesn't seem like a lot to me if you consider the alternative can go off the charts.
SOOO... Who in their right mind would choose option 2? People that have a ton of prescriptions but aren't worried about hospital bills?
Copay is throwing me for a loop because I thought generally you had to max out your deductible before the insurance company started paying for
anything. So are they saying that an office visit is only going to cost me $20 or whatever even BEFORE I've reached the deductible?
I feel like option 1 is the best for me if I'm correct and the total annual cost would not exceed $6,350 (because no coinsurance).
Any tips, advice, mocking, sympathy for my now fragile mental state or questions about this train wreck thread appreciated. I tried to make my
confusion easy to understand.