Monday, July 9, 2012

High Deductible Vs Low Deductible - How to Choose?

High Point Insurance - High Deductible Vs Low Deductible - How to Choose?
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Note: If you need definitions of health guarnatee associated terms, plainly click "Free Pa Quotes" at the end of this article.

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The mean buyer tends to assume that low deductible health plans (Ldhp) are more benefit rich then their high deductible (Hdhp) counterpart. You may be surprised to find that in most cases, both forms of health coverage are equally comprehensive. It is foremost to consider your individual situation to resolve what is finally best for you. Knowing the relative strengths and weaknesses of each type of plan will put you in optimum position to maximize savings.

Since becoming a licensed agent, I have worked with a large array of prospective customers who, for a lack of best words, love their health plan. That is aside from just one thing - the cost. Usually, the story goes something like this:

"I love my health plan; there is no deductible, I only pay to see the doctor, my labs don't cost me anything, if I go into the accident room it only costs me , and if I go into the hospital - I only pay 0. If I only have one issue, it is a bit high-priced at 0 a month."

The intuit why some consumers have a virtual love affair with their health plan (in spite of the cost) is they feel that their health plan is in some form, the envy of those nearby them. This is puny more then a false perception about one plan being best then another.

The intuit why this perception exists is that Hdhp's tend to receive the bulk of buyer complaints. Are the complaints justified? Let's look a puny bit closer...

Usually, the Hdhp story goes something like this; "The other day, my son fell off the swing. We were implicated that he broke his arm and decided to take him to the accident room. As it turns out, it was puny more then a deep bruise. Unfortunately, we just got the bill in the mail and we had to fork out 0. Do you believe that, what's the point in having guarnatee if I still have to pay so much money? I didn't know a bruise could be so expensive.

In another case, we might hear of a friend who has to pay 00 dollars for an Mri - Ouch! But it gets worse. In the event that they have to use their guarnatee again, they still would have to pay 00 out of pocket before reaching their every year deductible. To add insult to injury, even after they reach their high deductible, they still have to pay 20% coinsurance for who knows how long...and on and on it goes...

When the proud owner of a low deductible health plan hears of such nightmare stories, they wipe their brow and with a sigh, write another 0 check for this month's premium.

But does the seemingly enviable low deductible policy possessor have cause to feel the way they do? When you take a closer look (keeping a calculator handy) you may find that enviable friend of yours...should be envying you.

While there are many variables to consider for any health policy, let's get out a calculator out and collate a concentrate of policies:

Policy 1 (Low Deductible health Plan - Ldhp):
Monthly Premium: 0
Doctor copays:
Deductible:
Coinsurance:
Maximum Out of Pocket (Oop):

Yearly Cost (excluding copays):
,200

Policy 2 (High Deductible health Plan - Hdhp):
Monthly Premium: 0
Doctor copays (pre-deductible):
Deductible: 00
Coinsurance: 20%
Maximum Oop (including deductible): 00

Yearly Cost (excluding copays) if full deductible is reached:
00

Savings on policy 2:
00 (potentially more if deductible is not reached)

So, which plan would you pick - does the Ldhp still look like a viable selection to you?

While policy one's deductible looks fascinating at first watch in comparison to policy two - how does it work out in the end when you account for the wide increased cost of the first policy?

There is no question, from a spoton dollar for dollar standpoint, policy two of course seems to be the best choice.

But let's play devil's advocate and switch gears again. In the above comparison we are reviewing possibly the most foremost variables that resolve the cost of a policy. However, they are not the be-all end-all of shopping health insurance. When you account for the tendencies of human nature, it's potential that a Hdhp (like policy two) can of course pose higher risks to the consumer. How is this, you say? For one thing, many high deductible policy holders tend to put off minor pains and ailments to avoid the out of pocket deductible costs. This potentially lends itself to some conditions becoming worse that might have been resolved if treated earlier. Also, for some consumers who are less "savings conscience" they may find that their lack of discipline puts them in a compromising situation in the event that they have to incur unexpected deductible costs.

And yet, there are still other variables to consider. Whether it's a Hdhp or a Ldhp, some plans may cap obvious forms of treatment. This is an foremost consideration, and you may want to rate your health history to see how this might potentially sway you in the future. Also, max. Oop does not necessarily mean that this is all you will be paying once that level is reached. Most plans have copays for hospital stays and other services, even after the max Oop has been reached. With high copays, the costs can fast add up. While some copays look fascinating pre-deductible, they are just an extra cost - post-deductible.

Consider speaking with a state licensed agent who will consider these variables when helping you shop for health insurance.

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