Just moved to the US. Help me understand these plans.

I'm a doctor who just moved to the US (Alabama specifically), my income as stated in the offer letter pre-tax is $70k + $40k "differential pay". The hospital I work for offers a few insurance plans. I am 30, male, with no chronic conditions, and have never been admitted to a hospital, touchwood. No dependents. I have to choose a health insurance plan, people tell me to get the cheapest one, but I'm really confused about two plans.

Plan 1
Premium: $83 per month
HSA: $600 by employer
Deductible: $1600
Office visit: 90% coverage
Outpatient hospital services: 90% coverage
Inpatient hospital services: 90% coverage
Emergency room visit: 90% coverage
Prescription drugs: 90% coverage
Out-of-pocket max: $3500

Plan 2
Premium: $109 per month
No HSA
"Limited network plan"
Deductible: $150 (Rx only)
Office visit: $25 PCP, $40 specialist
Outpatient hospital services: $150
Inpatient hospital services: $250
Emergency room visit: $100
Prescription drugs: generic $15/$30, preferred $45/$113, non-preferred $70/$175, specialty 20%
Out-of-pocket max: $5000

I tried to google these terms and I now kinda understand what they mean, but I'm having difficulty comparing these plans cause one of them is in dollars and the other in percentage, so I don't know which one is better. Plan 2 is listed as a "limited network plan" and basically it covers just my hospital, but my hospital is a large university hospital so I don't think I will ever go to a different hospital as long as I'm working here. Both plans offer out-of-network coverage only for emergencies. The provider is Viva, and as far as I can tell they are only available in Alabama.

See also  Why did my provider at the same location change the place of service from "office" in 2022 to "outpatient hospital" in 2024/is that allowed?

My simple breakdown was: Under plan 1, I pay a low premium, but will have to pay up to $1000 on my own (in addition to $600 by my employer) if I need any healthcare before the insurance will pay a dime. But I shouldn't have to pay more than $3,500 per year. With plan 2, I pay a higher premium, have to pay only $150 out of pocket before insurance kicks in, but the maximum I might have to pay per year is $5,000. So essentially plan 2 has me paying a higher premium + higher OOPmax, which seemed odd to me, although it offered a lower deductible.

So, can someone break this down for me in terms of what they *actually* mean, and which one might be better? Any help would be appreciated. Thank you so much.

submitted by /u/quizdoc94
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