Vimo Editorial: Health Plan Profile
Editorial review written by Erik Espe, Vimo Research Group
Source: Health Net brochure
Last Updated: 07/27/2007
With a lifetime maximum benefit is $6,000,000 per member, Health Net's Simple Choice plan is built to withstand any medical emergency you or your family faces – with the notable exception of an unexpected pregnancy. Maternity coverage is not included in the plan.
The Simple Choice 50 offers $50 copays for pre-deductible, preventive-care office visits. Other than that, you won't see many benefits from the plan until you've burned through your $5,000 deductible.
After you've spent your deductible, the plan also pays 100 percent of covered expenses, unless you seek healthcare out of network, in which case there's a large 50 percent coinsurance fee.
BEST FOR: Someone looking for a cheap plan that offers limited preventative health benefits not subject to the high deductible.
PROS: In addition to Health Net's strong network, the limited preventative benefits mean that you can go to a doctor for a small copay before you've spent your entire deductible.
CONS: The lack of maternity coverage means that a young woman could be faced with tens of thousands of dollars in medical bills if she becomes pregnant.