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Major Carriers and High Deductible Health Plans

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Vimo Editorial: Health Plan Profile

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.

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Health insurance companies modify their offerings quite often. Contact a licensed health insurance agent to learn more about this health plan, any recent changes to it, and to verify that its benefits are currently available in your state.

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