Aligna Health Insurance Case Study

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Determine what the plan you select will actually cover...hospitalization? Doctor visits? Medications? Lab tests? X-rays? Determine if there is a deductible that you must pay out of pocket before the insurance pays anything. Determine if there is a co-pay required to be paid out of pocket for services. Determine how much the plan will cost you per month. If you currently have health insurance coverage, is the federal plan comparable in total cost and coverage? How do you feel that the monthly premium associated with "Marketplace" plans compare to the Direct Primary Care premiums you reviewed in this previous module? What about the differences in coverage? How do you feel about the personal mandate to carry approved coverage or face a fine…show more content…
There is a Monthly Premium of $68.00. The Deductible is $600 per individual. The Out-of-pocket Maximum is $600/yr. per individual. The Coinsurance/Copayments for in-network Primary Doctors: $30, Specialist Doctor: $60, Generic Prescriptions: $4, ER Visit: No charge after Deductible. Diagnostic Test (x-ray, blood work) Imaging (CT/PET scans, MRIs) if it’s all in-network there is only a 20% co-insurance…show more content…
The Deductible is $2000.00. The Out-of-pocket Max is $4,500.00. The prices are the same when it comes to the Primary, Specialist Doctors. ER visit is $60 for in-network, for Diagnostic Test (x-ray, blood work) Imaging (CT/PET scans, MRIs) I have a $50 co-pay, for Generic Prescriptions I pay $10. Overall the one I choose on HealthCare.gov is a lot better than the one I have now. I disagree that we have to carry approval coverage or we’ll face a fine from the IRS. I believe if you don’t have coverage you shouldn’t be penalized for it. This is post to be a free country, and doing this I believe goes against that. Even though I do believe having health coverage is very smart. There is a lot of different coverages, some with high premium for less coverage, and some with a lot of coverage for less. You just have to make sure you go through and read what the best is for you out of pocket and health wise, if your health is not so

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