Health Insurance Plan Costs Explained
Filed under: Family Financial, Family Health, Family Life Insurance, Family Tips
Health insurance plan costs can be a little bit complicated if you are not familiar with them and many people are surprised that, having paid what they consider to be an enormous premium, they then get stuck with a bill the first time they try to make a claim.
Premium.
The first and most obvious cost is the plan premium which is the amount you will pay monthly (or occasionally quarterly or annually) for the benefits covered under your health insurance plan.
The Deductible.
Most health insurance policies will includes an annual deductible and it is very important that you understand the details of any deductible applied to your policy. A deductible is a sum of money that you will have to find yourself before the insurance company begins paying out on any claims. As with other forms of insurance, such as car insurance, the higher the deductible on your policy the lower your premiums will be. A family health insurance plan will typically include multiple deductibles for the various members covered under the plan.
The amount of the co-payment differs according to the type of health insurance plan you have and is typically lower on an HMO plan than it is on an indemnity plan. The co-payment can also vary for different types of medical service and, if you are a member of an HMO plan, will normally increase if you seek treatment outside of the HMO network.
Co-Insurance. Co-Insurance is the sum of money, expressed at a percentage, that you will be responsible for paying on each medical bill. A common policy ratio is 80/20 which means that the insurance company will pay 80% of a claim and you will pay 20%.
To keep costs low in an HMO plan always try to stay within the HMO’s network and, if you go outside the network, then be careful to compare the actual cost of treatment against what the insurance company considers “reasonable and customary” before undergoing treatment.
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