Health Insurance Product Reviews (BETA)
Major Carriers and High Deductible Health Plans
Vimo Editorial: Health Plan Profile
A plan with relatively low premiums and a relatively low deductible, Preventative and Hospital Care 1250 is, unlike the similar Preventative and Hospital Care 3000, not compatible with Health Savings Accounts (HSAs).
The plan also has a high out-of-pocket maximum, so in an emergency you would pay thousands before the plan covered 100 percent of your expenses. There are also no pre-deductible co-pays for office visits to your doctor and no co-pays for prescription drugs. Some other high-deductible health plans at least let you make a routine visit to your doctor for a small co-pay prior to burning through your deductible. This one does not (although it does have some pre-deductible preventive health benefits). It also makes you pay 20% of post-deductible expenses until you hit your OOPM.
PROS: It’s a simple plan to understand. Also, the Aetna name means you don’t have to worry about being covered in the event of a major medical emergency.
CONS: High out-of-pocket expenses. You won’t enjoy any benefits from the plan until you have burned through the deductible or full benefits until you’ve burned through the out-of-pocket maximum (OOPM).
BEST FOR: Someone looking for a moderate deductible for a low, low premium price, and are willing to put up with a high OOPM.
Vimo is committed to an objective, open and comprehensive comparison shopping experience for health insurance buyers, and we welcome suggestions, updates and corrections from consumers and the insurance community.
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.