Health insurance. Help so confused!!?

Question

I don't know how the whole thing works. What is coin insurance? It will be My husband, my daughter, and myself on a plan. When i type all that in and then it gives me the decuctable. Is that per person or per family? And how come some say two person maxium. Does that mean it would only cover two people?? Also how come no one covers maternity anymore. i don't need it now. but i plan to have more kids in the future. I live in WI. Any good health insurance out there. I am so lost. Help please? any advice is wonderful.

Answer 1

Coinsurance is the percentage of EVERY CLAIM that you pay. It's normally around 20%.

There are usually TWO deductibles - a per person deductible (like $2500) and a per family deductible (usually around $4,000).

Some plans are two people only - employee and spouse, or employee and one child. If you need more than one other person insured, you need the FAMILY plan, which costs more, of course.

No individual plans cover maternity, because only the people planning on having a baby would buy it. So there isn't any "risk spreading" there. Some group plans DO cover maternity - because EVERYONE in the group buys the coverage, it spreads out the cost among men and post menopausal women, and single, childhating women - not just women of childbearing years who want to have babies.

My best advice, if you're going through your husband's group policy, is to just READ EVERYTHING. Go slowly. Call your agent to ask questions - even if he just writes your car or house insurance, he'll be able to explain the terms.

If you're going through a private policy, sit down with the agent, and have them explain everything.

Answer 2

ShhShelia is partially right, the part about the co-insurance which is sometimes abbreviated coin. The deductible depends upon the plan. Some plans have a family deductible while most will have a per person deductible. The per person deductible can be 2 or 3 people. To make it simple - you go into the hospital. You pay the deductible. You pay the co-insurance. Now your husband goes into the hospital. He pays the deductible and the co-insurance. If you have a 2 person maximum if your daughter then goes into the hospital she does not have a deductible. Depending upon the plan she may have the co-insurance or she may not.

There are plans that include maternity, but usually as a costly option. If you do the math you'll find that you'll pay more in premium for the coverage than you would if you paid cash for the delivery. Insurance is about risk, and the only people who get maternity coverage are people thinking about having a child. The insurance company IS NOT going to pay out more for your delivery than they take in in premium. The only place maternity makes any sense is a group policy, where everyone, including the men, are paying more in premium for your delivery. Complications with pregnacy, however, is included with most policies even if they don't cover maternity.

You need to talk with a local independent agent. The agent knows the plans available in your area and can answer all your questions. They can find a policy that fits your situation and budget. The plans and premiums are exactly the same whether you use an agent or go directly to the company.

Answer 3

Q. What is coin insurance?
A. "Coin insurance" would be property insurance for coins. I think you meant coinsurance, which is the amount that you pay, typically 20% of each claim, after the deductible.
Q. it gives me the decuctable. Is that per person or per family? And how come some say two person maxium.
A. Typically, that means per person for the first two persons, so once you have paid twice that amount, you do not have to pay more in deductibles
Q. Does that mean it would only cover two people?
A. No
Q. Also how come no one covers maternity anymore.
A. Might be too many women not getting insurance until they started trying to get pregnant, then getting the insurance, dropping it after the baby was born. Also, not fair to have persons who have fewer children paying high premiums to subsidize persons who have more children.

Answer 4

Co-insurance is the term used to describe the portion of the medical care that you pay - it's a formula they use to determine. It can be anywhere from 5% on up. (The insurance takes the "contracted rate" of pay for the charges, because in theory a doctor can bill whatever they want to charge, but if they have an agreement with an insurance company, the insurance company is going to pay whatever the agreed amount is and not a dime more, then they calculate your percentage of it, based on your contract, and that's your portion.)

The deductible is the amount you have to pay out before the insurance does. NEVER pay it to the provider up front! ALWAYS have your insurance billed - the insurance will tell the provider how much to bill you. (That's also how it's tracked to know when you meet your deductible.)

As for the "two person maximum" - that term can be confusing. Let's say the individual deductible is $500. BUT, your family deductible should only be $1000, MAYBE $1250. Meaning, you should only have to meet the deductible for two people, no matter how many people are in your family.

Answer 5

The term is "coin" insurance means "co-insurance."

It means you will be insured for a portion of the cost after the deductible is met.

So, when it says "80/20 co insurance"... that means the insurance company will pay 80% of the cost and you will be responsible for the remaining 20% of the bill.

As for the deductible, if your "whole family" is on the same insurance plan, then the deductible is usually PER family, not per person.

Insurance companies DO cover maternity. However, if you are pregnant before the policy goes into effect, they may elect not to cover the maternity costs.

I am with Blue Cross Blue Sheild and so far, they are very good. Here is the link for them in WI:

http://www.bcbswi.com/

Answer 6

Write down all your questions and then call the insurance company and start asking. They will explain everything to you. I have no idea what coin insurance is. But be very careful. There are some insurance offers that cover very little. Take the time to call a lot of companies and ask a lot of questions until you understand EXACTLY what you are buying and find exactly what you need. Never buy or sign anything until you know what you are doing and it is what you want.

Answer 7

The same people dont know the difference between access and insurance. ALL Americans have access, by law. Many Americans don't have health insurance. I passed 5th grade so the difference is simple to me. We have the best universally available health care IN THE WORLD. Unfortunately, diet and lifestyle choices make Americans unhealthier than most of the westernized world, but quality or access to care has no bearing on that simple fact. A trillion $ per month spent on socialized medicine will not change that pesky fact. We need to WANT to be healthier before demanding a medical entitlement program to burden our treasury forever.

Answer 8

Wisconsin Health Insurance:
http://www.medhealthinsurance.com/wisconsin.htm

If you're getting online quotes and have questions about the results - contact the insurance company directly

Coin insurance - This insurance provides coverage on a special form basis for stamps and other philatelic property and/or coins and other numismatic. Coverage applies while such property is owned by or in custody or control of the insured.
http://www.roughnotes.com/pfm/400/..%5C400%5C430_0600.HTM

Answer 9

go into google and type in health insurance, then click on any health insurance recommendation site should be one of the first fill out their questionaire and before you will be receiving phone calls from many health insurance companies ready to tell you what you need

Answer 10

We tried a medical discount plan. It has been successful so far. Instead of paying high health premiums you pay about $50 a month get huge discounts on dental and stuff. Actually with some of the discounts I pay less than we did with insurance. You can try looking into it.