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Personal Finance (Not Investing) • How do I decide which health insurance plan to pick?

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Appreciate this forum and its members for the wealth of knowledge — I have learned so much! I'm torn between 3 health insurance plans and I'd love to get additional insights/advice. I'm based in CA.

Option 1: Cigna Choice Fund with HSA Plan
  • Provider network: Cigna Open Access Plus
  • Bi-weekly paycheck deductions: $14.5
  • Deductible: $1,600 (in-network), $2,500 (out-of-network)
  • Employer's HSA contribution: $750
  • Coinsurance after deductible: plan pays 90% (in-network)
  • Out-of-pocket max: $2,600
- Pros:
  • have HSA, employer contributes $750
  • Covers egg freezing after meeting deductible
- Cons:
  • High deductible. I predict I'll need to see a doctor more often this year
  • I'm currently on this plan and it's been hard to see a doctor in a timely manner but this could be because I was used to Kaiser (often next day appointments)
  • Behavior change: I can see myself not seeing a doctor as often to save on out-of-pocket costs
Option 2: Cigna Managed Network Plan
  • Provider network: Cigna Open Access Plus, pay less with Tier 1 specialists
  • Bi-weekly paycheck deductions: $15
  • Coinsurance: plan pays 100%
  • Co-pay: $20-$40
  • Out-of-pocket max: $2,000
- Pro:
  • Covers egg freezing after meeting deductible
  • No deductible
- Con:
  • Hard to see a doctor in a timely manner but this could be because I was used to Kaiser (next day appointments)
Option 3: Kaiser
  • Provider network: Kaiser doctors only
  • Bi-weekly paycheck deductions: $15.5
  • Co-pay: $20
  • Coinsurance: plan pays 100%
  • Out-of-pocket max: $1,500
- Pro:
  • Can see primary doctors in a timely manner
  • No deductible
- Cons:
  • Egg freezing is not covered
  • Impossible to see specialists without primary doc approval

Statistics: Posted by salt_drummer — Tue Jun 18, 2024 6:08 pm — Replies 1 — Views 187



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