Need some help assessing Open Enrollment Plan

Hello experts. My company is located in Florida, but I live in Illinois and open enrollment is here. I’m not really sure how I’m feeling about this health plan or if it even seems remotely good. I’m going to see what my husband’s company is offering, but wanted to hear some of your thoughts.

There are 4 options and am only considering 2 of them. I have a chronic illness and do have to get outpatient treatments every other year it seems, so please take this into account.

Option 2:

Deductible $1,500 per person

$378.30 per pay period

$756.60 per month for just my spouse and I

ER: 50% after deductible

Inpatient and Outpatient: $1,500 copay

Coinsurance: 50%

Preventative Care: $0

Primary Care: $35

Specialist: $50

Out of Pocket Max: Employee: $6,350, Fam: $1,2700

Option 3:

Deductible $1,000, $3,000 embedded

$507.08 per pay period

$1,014.16 per month for just my spouse and I

ER: $200 copay and 20% after deductible

Inpatient and Outpatient: 20% after deductible

Coinsurance: 20%

Preventative Care: $0

Primary Care: $45

Specialist: doesn’t say 🙃

Out of Pocket Max: Employee: $3,500, Fam: $7,000

I’m fairly used to plans with a 10% or 20% coinsurance, but 50% after the expensive contributions seems excessive… I confirmed with the insurance that the copays for hospital evens are regardless of whether the deductible has been paid or not.

Are either of these …normal?

See also  Help with a $441.76 doctor's visit that I believe should be covered, or heavily prorated, per Healthcare.gov's Preventive care benefits for adults criteria