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Author: kmart00 One star, 50 posts Old School Fool Add to my Favorite Fools Ignore this person (you won't see their posts anymore) Number: of 17919  
Subject: Annual Benefits Time... Save some money? Date: 10/11/2012 9:46 AM
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Hi everyone...

Trying to figure out if I should make some changed to my insurance coverage... Would like some Foolish advice on coverage options.

I am looking at 3 options.

Option 1) a "Premier Plus" PPO
Option 2) a "Premier" PPO that costs about $1500 less per year than
option 1
Option 3) a "Standard" PPO that costs about $3000 less per year than
option 1

Major Differences:
a) DEDUCTIBLE: Option 3 has $300 per person (pp) / $600 per family (pf) deductible, the others have none
b) COINSURANCE: Option 1: 100% coverage; Option 2: 90%; Option 3: 80%
c) ANNUAL OUT OF POCKET MAX: Option 1: $0; Option 2: $1k pp / $2k pf; Option 3: $3k pp / $6k pf
d) CO PAYS: PCP is $15 for Option 1; $25 for the others
Specialists is $25 for Option 1; $30 for others

From what I am seeing, it seems that the risk is if anyone in the family (myself, DW, and DD--who it less than 1 year old) needs any medical treatment beyond "typical"--ie, colds, sinusitis, etc, that would require an xray, lab work, hospitalization. That seems to be where the Coinsurance costs come in to play.

I guess I am looking for opinions based on the above... I am leaning between options 1 and 2. From what I can see, it looks like I am gambling that I could save $1500 a year on premiums with a worst case scenario of paying at most $2000 (all the numbers are in network, of course!) of post tax dollars... Or am I reading this wrong?

Also, if I did pick Options 2 or 3-- how might I leverage my flex spending account to account for this? I am thinking that maxing it out at $2500 doesnt make sense, as I will only hit the coinsurance if minor (or major!) catastrophe hit....

Thanks in advance!
k
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