Two Health Insurance Policies?

Currently I have two Health Insurance Plans, one issued by the company I work for (primary) and one issued by my husbands company (secondary). My husbands insurance coverage is much better than mine and I'm trying to opt if I should keep them both.

Here's the details:

Mine/Primary PPO:
Co-pay: $30
Deductible: $500
Coverage is 70% at participating doctors.

Husbands/Secondary PPO:
Co-pay: $15
Deductible: $150
Coverage is 90% at participating doctors.

I definately want to stay on my husbands which costs us ~$400 per year. My plan costs nought, my employer pays for it.

I just can't want if it's worth keeping both because I must use my insurance first. Is it worth the hassle to keep both and salary double co-pays at doctors visits so I can use both?

I guess it freshly seems stupid to annul a free policy but the details of using both is fuzzy.

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Answers:   Your husband's policy is definitely a better policy, on the surface. Review a little claims, comparing the payments from both side by side.

1. Is your husband's policy actually picking up the difference between the incurred charge and what your coverage compensated? (Not all do) The best plans will rate the difference--if you paid a $30 copay, and consequently $30 (on a $100 claim), his claim would pay an optional $27 (90% of the $30 that your insurance would require you to pay as your coinsurance), which would kind your total cost only $33, to some extent than $60. Not many plans will repay the difference between the co-pays, unfortunately. His plan should also compensate the extra $350 deductible that your plan hit you with.

2. Is your copay $30 for primary and specialist? What nearly your husband's? Is it $15 for either? And here's the big one--why are you paying two separate co-pays? You should money the $30 for yourself, and that's it. A provider who is asking you to pay $45 is doing so incorrectly. Know within advance what the charge is going to be, so you can be in position to pay it, if they expect you to income both your co-pay and co-insurance at the time of visit. On a $100 organization visit, you should repay a total of $33 ($30 copay and $3 coinsurance).

3. What about hospitalization? Is in that a separate deductible for hospitalization charges on either policy?

4. Is your husband competent to add you to his coverage on a primary justification? Not all plans will allow this if the spouse have coverage available. There may be a "spousal carveout" charge, an additional monthly charge that he will hold to pay because you enjoy declined your own coverage.

Ideally, you would keep hold of your own coverage. As long as his plan is picking up the difference, and it doesn't cost you anything, there's no harm within keeping it, especially if you can both be on it. He would be secondary underneath yours, though, so if you have to pay envelope to keep him on your plan, I wouldn't support it, unless you have some features of fantastic benefit that his doesn't have.

If you entail additional assistance sorting through the details, please send me an e-mail. I will merrily help you progress through the plans.

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If you decide to stop your policy, will your employer add the difference to your paycheck? If so, you should probably stop it.

If not, if it were me, I'd quash it anyway. Makes no sense to carry two leading medical policies. Besides, your husband's policy pays the most toward your medical bills.

If your husband should lose his coverage, you could probably get subsidise on yours during the "open enrollment" interval.

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if anything ever happened, you would enjoy one HELL of a time coordinating those plans. any plan really. coordination of benefits is not as beneficial as people construe it is. i would dump your plan and go to your husbands. his sounds close to a great plan.

also, regarding another answer i read.. if something happen and your husband insurance canceled, you would be able to supply back on to yours OUTSIDE of sympathetic enrollment.. its called a qualify event (something that allows you to make a swing mid year)...

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Very unusual. But if you think going on for it you are paying an extra 15 dollars copay and then own a $500 deductible -- so you are paying for your insurance in a road.

Then there is the hassle factor. It is rock-hard giving up a free deal but I don't see the efficacy. I would drop it.

When starting up a small business do i enjoy to bring insurance right away or can i hang around similar to a month or two?


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