Saturday, January 28, 2012

Here's A Case Study In Affordable Health Insurance

A recent client called me to ask about getting health insurance for her family and wanted to ask some questions to make sure she was on the right track.  After a few minutes I found out that she and her husband wanted to have children, so maternity insurance was important.  Her plan was to get the cheapest pregnancy insurance plan she could find, and put the whole family on it (herself, her husband, and their 4 year old daughter).
I quickly pointed out that her husband and daughter did not need the extra benefits of maternity care, and that having a family deductible would double her out of pocket costs for the prenatal and delivery costs.  My recommendation was to put her husband and daughter on a separate non-maternity health insurance plan, and put her on a maternity plan that would minimize her out of pocket costs.
Her initial plan would have put everyone in the family into the Anthem Blue Cross Lumenous HSA 5000 plan, at a cost of  $612/month.  My strategy put her into the Blue Shield PPO 5000 plan and her husband and daughter into the Anthem Blue Cross ClearProtection 5000 plan for a combined cost of $320/month.
She was so happy to realize that they would easily be able to afford the monthly premium costs, and by looking at the California Maternity Health Insurance page on the SPF Insurance website, she knew what her expected costs for the pregnancy would be.  To get affordable health insurance San Diego couples need to work with an expert health broker to find the best solution.
Stop back for more case studies in the future.

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