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Comparing Power HealthFund 500 And Power HealthFund 750 |
For many people, limited health care is sufficient. Under the Power HealthFund 500 and Power HealthFund 750 through Blue Cross of California, members are allowed a set dollar amount each year for first dollar coverage before having to pay anything towards their annual deductible or out-out pocket expense maximums. Even better is that if they do not use the full amount in the plan year, it rolls over to be available the following year.
For example in the Power HealthFund 500, the first $500 per individual or the first $1,000 family combined covered medical expenses, except prescription drugs, is paid before members start paying the deductible. In the Power HealthFund 750 those amounts raise to $750 per covered person up to a maximum family expense of $1,500.
Once the member reaches the limit, they will be responsible for 100 percent of any covered medical expenses as the annual deductible before copay and coinsurance begins. For members of Power HealthFund 500 that deductible is $1,000 per member, or $2,000 per family and for the Power HealthFund 750 it is $500 per member and $1,000 for the family.
Annual out-of-pocket expense for Power HealthFund 500 and the Power HealthFund 750 is $5,000 per member with a total maximum for all family members being $10,000. For out of network services, the plan pays a maximum of $10,000 per member and a maximum of $20,000 for the entire enrolled family.
Once the deductible has been satisfied for the Power HealthFund 500 members, office visits will cost a $40 copay for network doctors and for out of network office visits, it will cost 50 percent of the negotiated fee plus 100 percent of excess charges. Members of the Power HealthFund 750 will have a copay of $35 for network doctors and for out of network they will pay the same 50 percent of the negotiated fee plus 100 percent of any excess charges.
Power HealthFund 500 member wills pay 40 percent of negotiated fees for professional services, such as diagnostic lab work and X-ray services for in network care and for out of network they will be responsible for 50 percent of the negotiated fee plus 100 percent of the excess charge. Inpatient and outpatient services at participating hospitals will be charged at 40 percent of the negotiated fee.
Members of Power HealthFund 750 pay 25 percent of the negotiated fee for professional services for in network offices and out of network charges of 50 percent of negotiated fee plus 100 percent of excess charges. For participating hospital care, in-patient of outpatient, they are responsible for 25 percent of negotiated charges.
Prescription drugs have a $10 copay for generic drugs and $35 name brand copay once the annual $250 name brand deductible is satisfied for members of the Power HealthFund 500 plan. Members of the Power HealthFund 750 plan will pay a $10 generic drug copay and a $30 brand name copay after satisfying a $250 name brand deductible. Both plans charge 30 percent of negotiated prices for self-administered injectable drugs, except insulin.
While there are no allowances for annual physical exams, the members of either plan can choose a $25 basic health screening each year or a $75 copay premium screening.
Learn more at: www.baahealth.com
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