What kind of person would benefit most from a Consumer-Driven Health Plan?

Question

I'm baffled my my employer's complicated Consumer-Driven Health Plan (CDHP), called Definity Health. It sounds so complicated and even risky. What kind of person would benefit from this kind of plan? Someone who doesn't use doctors very much? What's the worst case scenario (e.g., if major surgery is required)?

Answer 1

Well, its a hard question to answer. I FINALLY understand the best way to use my health plan. The best advice I know to give you, without knowing the specifcs of what you're being offered, is to speak with a rep @ the insurance company the plan is through. They should be able to answer any questions you have before you enroll.

People who try to seek conservative health care, from in network doctors, hospitals, and pharmacies usually have an easier time working though this plan type. I've noticed I try to see my family doctor for most things, and ask their opinion if I'm concerned about testing or specialists. I call all the pharmacies, labs, and hospitals and request info about how much things cost before I have them performed. If it cost $500 to have an xray at the hospital in my town, or $225 at the xray clinic down the street... I'm going to the xray clinic... Duh...

I don't think its too risky, overall, unless you're anticipating having to have a larger surgery @ the first of the benefit year, before your deductible is met. Try absorbing your deductible slowly @ the first of the year, so you can spread out the amount of money you pay up front; and try to scheduled surgery & procedures later in the year....

If your appendix ruptures early on in the year, and you're stuck in the ER with emergency surgery, you can always ask the hospital for a payment plan...

Hope this helps.

Call the insurance company!!!!

Answer 2

The worst case would be having to shell out $5000 deductable.The person that benefits most is the employer.

Answer 3

Norm,

It's difficult to tell you if you will benefit from this particular insurance plan without knowing the details of the plan and your personal health situation. I don't suggest that you share that information here.

I suggest that you ask to sit with the Benefits Administrator to discuss how this plan impacts you. If they cannot explain it properly, ask to speak with the agent who works with them to explain it.

IF all else fails, contact me here and I can try to help you.