In HMO plans, you use a network of health care providers. PPO plans have a network, but you can use other providers, too, if you are willing to pay more. Indemnity plans have no network. For more information about plan types and what’s covered, see the
IHC
Buyer’s Guide.
This refers to how you will share the cost of covered services with the Carrier. You can pay a dollar amount per visit or service (copayments) or a percentage of expenses (coinsurance) until a maximum dollar amount is reached (the total of the deductible + coinsurance + copayment). For more information about cost-sharing arrangements, see the
IHC
Buyer’s Guide.
Carriers offering an HMO plan must offer a $30 copayment option. Some Carriers offer other options, including an option for different copayments for regular physician and specialist visits (split copay). Contact each Carrier for more detail about specific plans.
This refers to what percentage of the cost of covered services you will share with the Carrier after you pay a deductible. For Plan A/50, you and the Carrier each pay 50%; for Plan B, you pay 40%, and the Carrier pays 60%; for Plan C, you pay 30% and the Carrier pays 70%, and for Plan D, you pay 20% and the Carrier pays 80%. For more information about cost-sharing arrangements, see the
IHC
Buyer’s Guide.
Contact each Carrier for more detail about specific plans.
Contact AmeriHealth for more detail about specific plans.
Contact Horizon for more detail about specific plans.
Contact Oxford for more detail about specific plans.
Coinsurance refers to the percentage of the cost of covered services you will share with the Carrier after you pay a deductible. For Plan A/50, you and the Carrier each pay 50%;
for Plan B, you pay 40%, and the Carrier pays 60%;
for Plan C, you pay 30% and the Carrier pays 70%, and for Plan D, you pay 20% and the Carrier pays 80%. For more information about cost-sharing arrangements, see the
IHC
Buyer’s Guide.
Contact each carrier for more detail about specific plans.
A deductible is a dollar amount you pay for covered health care services before the Carrier agrees to pay anything. Note that preventive care services are covered by the Carrier whether or not you have met the deductible requirement. For more information about cost-sharing arrangements, see the
IHC
Buyer’s Guide.
Contact each carrier for more detail about specific plans.
Carriers may consider age, but not gender or health status, when setting rates; some Carriers do and some carriers don’t. If a Carrier does consider age, then the Carrier may use only the age categories specified in the drop-down list.