Major Medical Insurance Quotes
Major medical insurance is designed to provide financial protection against catastrophic or high medical costs.
This type of plan generally covers a wide range of health services after you pay a deductible. Major medical plans offer more comprehensive benefits than basic health plans, making them a good option for those who want more robust coverage.
In this article, we will provide an overview of major medical insurance, its key features, and benefits. We will also share major medical insurance quotes, reviews, and comparisons of top plans from leading health insurers to help you find the best coverage option that makes sense for you and your budget.
Major Medical Insurance Plans and Price Quotes
1. Blue Cross Blue Shield Bronze Pathway X Guided Access HMO
– Deductible: $6,300 individual/$12,600 family
– Out-of-pocket max: $8,700 individual/$17,400 family
– Monthly premium: $289.68 for 40-year-old
– Plan review: “BCBS was a lifesaver when my son had leukemia. They paid for all his treatments and hospital stays. We only paid the out-of-pocket max.”
2. Cigna Bronze Pathway 7500 HMO
– Deductible: $7,500 individual/$15,000 family
– Out-of-pocket max: $8,700 individual/$17,400 family
– Monthly premium: $319.20 for 27-year-old
– Plan review: “Cigna’s app makes it easy to find care. Their customer service is also very responsive.”
3. Humana Bronze 7150 HMO
– Deductible: $7,150 individual/$14,300 family
– Out-of-pocket max: $7,150 individual/$14,300 family
– Monthly premium: $339.07 for 55-year-old
– Plan review: “Humana has a great network of doctors in my area. Never had an issue getting appointments.”
4. Aetna Bronze HMO
– Deductible: $6,300 individual/$12,600 family
– Out-of-pocket max: $8,550 individual/$17,100 family
– Monthly premium: $410.12 for 27-year-old
– Plan review: “Aetna makes it easy to find in-network doctors. I like being able to look costs up on their website before getting care.”
5. UnitedHealthcare Bronze Compass HMO
– Deductible: $7,000 individual/$14,000 family
– Out-of-pocket max: $8,550 individual/$17,100 family
– Monthly premium: $349.15 for 40-year-old
– Plan review: “UnitedHealthcare’s customer service is top-notch. They clearly explain benefits and claims.”
6. Oscar Bronze STIN HMO
– Deductible: $8,150 individual/$16,300 family
– Out-of-pocket max: $8,550 individual/$17,100 family
– Monthly premium: $341.05 for 40-year-old
– Plan review: “Oscar makes signing up easy and their app is great. Doctors are easy to book through the app.”
7. Molina Bronze HMO
– Deductible: $7,800 individual/$15,600 family
– Out-of-pocket max: $7,800 individual/$15,600 family
– Monthly premium: $373.45 for 60-year-old
– Plan review: “Molina has fair prices and decent coverage. Their online portal could be more user-friendly though.”
8. Anthem Bronze HMO
– Deductible: $6,500 individual/$13,000 family
– Out-of-pocket max: $8,700 individual/$17,400 family
– Monthly premium: $379.07 for 55-year-old
– Plan review: “Anthem makes it easy to find doctors and estimate costs. Never had issues with claims or billing.”
9. Kaiser Bronze 60 HMO
– Deductible: $6,300 individual/$12,600 family
– Out-of-pocket max: $8,700 individual/$17,400 family
– Monthly premium: $281.66 for 55-year-old
– Plan review: “With Kaiser, everything is handled in one place. Doctors, labs, and pharmacies are all part of their system.”
10. Blue Shield Bronze Full PPO
– Deductible: $7,600 individual/$15,200 family
– Out-of-pocket max: $8,200 individual/$16,400 family
– Monthly premium: $457.15 for 60-year-old
– Plan review: “Blue Shield has a top-notch PPO network. Their website shows exactly what’s covered.”
11. Bright Health Bronze 7000 HMO
– Deductible: $7,000 individual/$14,000 family
– Out-of-pocket max: $7,000 individual/$14,000 family
– Monthly premium: $371.79 for 40-year-old
– Plan review: “Bright Health offers good basic coverage but has limited plan options in my state.”
12. Medica Bronze Copay HMO
– Deductible: $6,400 individual/$12,800 family
– Out-of-pocket max: $8,700 individual/$17,400 family
– Monthly premium: $291.27 for 27-year-old
– Plan review: “Medica has high-quality providers in their network. Never had a problem getting appointments.”
13. Ambetter Balanced Care 4 HMO
– Deductible: $7,500 individual/$15,000 family
– Out-of-pocket max: $7,500 individual/$15,000 family
– Monthly premium: $461.34 for 55-year-old
– Plan review: “Ambetter offers an affordable option but some providers don’t take their insurance.”
14. Cigna MyCigna 7050 HMO
– Deductible: $7,050 individual/$14,100 family
– Out-of-pocket max: $9,100 individual/$18,200 family
– Monthly premium: $242.59 for 27-year-old
– Plan review: “Cigna has good coverage and reasonable prices. Their online resources help find the right care.”
15. BCBS Silver Pathway X HMO
– Deductible: $3,700 individual/$7,400 family
– Out-of-pocket max: $8,700 individual/$17,400 family
– Monthly premium: $512.71 for 40-year-old
– Plan review: “This BCBS Silver plan has affordable copays for office visits and generic drugs.”
16. Aetna Gold Plan HMO
– Deductible: $1,500 individual/$3,000 family
– Out-of-pocket max: $8,700 individual/$17,400 family
– Monthly premium: $667.04 for 40-year-old
– Plan review: “The Aetna Gold plan offers low copays and deductibles. Great coverage if you use healthcare often.”
17. Dean Silver 70 HMO
– Deductible: $5,500 individual/$11,000 family
– Out-of-pocket max: $8,700 individual/$17,400 family
– Monthly premium: $424.71 for 47-year-old
– Plan review: “Dean Health has a limited network but good prices on their Silver plans.”
18. Health Net Silver 94 HMO
– Deductible: $4,000 individual/$8,000 family
– Out-of-pocket max: $8,200 individual/$16,400 family
– Monthly premium: $623.82 for 60-year-old
– Plan review: “This Health Net plan makes doctor visits and generic drugs affordable with low copays.”
19. Cigna Gold HMO
– Deductible: $1,000 individual/$2,000 family
– Out-of-pocket max: $8,700 individual/$17,400 family
– Monthly premium: $794.60 for 40-year-old
– Plan review: “Low deductible and great coverage but Cigna’s premium is high for Gold level plans.”
20. UnitedHealthcare Gold Choice Plus PPO
– Deductible: $500 individual/$1,000 family
– Out-of-pocket max: $3,000 individual/$6,000 family
– Monthly premium: $839.43 for 47-year-old
– Plan review: “This UHC plan has the lowest deductible and max out-of-pocket cost but the premium is very high.”
These major medical plan quotes illustrate the trade-off between premiums, deductibles, and total coverage. Lower premium plans have higher deductibles and out-of-pocket costs. Higher premium plans provide more benefits before the deductible.
Comparing Major Medical Insurance Plans
When choosing a major medical policy, there are several factors to consider:
– Premium – The monthly amount you pay for coverage. Premiums are generally the lowest for high-deductible bronze plans.
– Deductible – The amount you pay out-of-pocket before insurance starts sharing costs. Deductibles range from $1,000 or less for gold plans to $8,000+ for bronze.
– Out-of-pocket maximum – The limit on your total costs if you have high medical expenses. Gold plans have lower out-of-pocket caps.
– Doctor and hospital network – The providers covered under the plan. PPOs offer the most flexibility. HMOs have lower costs but fewer provider choices.
– Prescription drug coverage – Plans place medications into tiers with different copays/coinsurance. Review formularies for your specific prescriptions.
– Specialty coverage – Some plans offer richer benefits for services like mental health, vision, and dental.
– Customer service – Insurers offer online resources, apps, and support to help members. Compare reviews and ratings.
Choosing the most affordable major medical coverage involves assessing your expected healthcare needs. Those who rarely see the doctor and take no prescriptions may want a lower premium bronze HDHP to minimize costs. If you require frequent medical services and take expensive drugs, a gold plan reduces out-of-pocket spending at the cost of higher premiums.
Comparison of two sample major medical plans:
– Plan 1: BCBS Bronze Pathway X HMO
– Plan 2: UnitedHealthcare Gold Choice Plus PPO
The BCBS bronze plan has lower monthly premiums at $289.68 vs. $839.43 for the UHC gold plan. However, the UHC option offers richer coverage:
– Deductible – BCBS: $6,300 individual/$12,600 family vs. UHC: $500 individual/$1,000 family
– Out-of-pocket max – BCBS: $8,700 individual/$17,400 family vs. UHC: $3,000 individual/$6,000 family
For those without extensive medical needs, the BCBS bronze plan provides affordable catastrophic protection. But if you require many healthcare services, the UHC gold plan reduces your out-of-pocket costs.
Which Plan is Best for You?
Choosing the right major medical insurance involves understanding your budget and health needs. Consider these tips when picking a plan:
– If you rarely need medical care, lean towards a lower premium bronze or silver plan to minimize costs
– If you take regular prescriptions or have chronic conditions, consider a higher premium gold or platinum plan to reduce out-of-pocket spending
– Make sure your doctors, specialists, and preferred hospitals are in-network to avoid higher out-of-network costs
– Use online cost calculators to estimate your total yearly costs under different plans
– Enroll in an HSA-qualified HDHP if you want tax-advantaged savings for healthcare
For the most affordable coverage:
– Molina Bronze HMO at $373.45 monthly premium
For the most robust coverage before deductible:
– UnitedHealthcare Gold Choice Plus PPO at $500/$1,000 deductible and $3,000/$6,000 out-of-pocket max
But there is no one-size-fits-all best major medical insurance plan. You have to evaluate options based on your unique situation. The important thing is securing coverage that meets your healthcare and financial needs. If you need some assistance, don’t be afraid to call a licensed insurance agent and get their feedback.
Financial Security
Major medical insurance provides financial security against the potentially high costs of critical injury or illness. But these plans involve high upfront deductibles with the benefit of negotiated rates and catastrophic protection.
By understanding key features like deductibles, copays, coinsurance, and out-of-pocket maximums, you can find major medical insurance quotes tailored to your health profile and budget. Comparing quotes from top insurers makes it easier to find your optimal balance of premiums and benefits.
The major medical plans and quotes shared here illustrate the range of options in the current market. Focus on identifying a policy from a reputable national or regional carrier that provides suitable coverage. This ensures you have comprehensive protection in case the unexpected happens.
With major medical insurance, you gain peace of mind knowing you can access needed medical care without the financial burden. Take the time to carefully evaluate major medical insurance quotes and plans so you can find coverage that fits your specific circumstances.