Major Medical Insurance Plan

Superior Essays
Our Major Research on Major Medical Insurance Plans In our research for insurance companies that carried Major Medical, we found numerous companies in Wisconsin. We chose to cover Dean Health Plan, WPS Health Insurance, Unity Health Insurance, and Physician’s Plus. These were all reputable insurance companies that are commonly chosen by consumers and employers. In our project, we covered the cost of the deductible, premium, coinsurance, and copay. We also looked at the coverage for dental, checkups, major operations, preventative exams, emergency care, rehab and physical therapy, prescription drug, lab work, and vision. We looked at prices for an individual at the age of 40 with no past tobacco or pregnancy and the prices for a family …show more content…
Dean was founded in 1800’s and has numerous plans available for families and individuals. Dean has locations in Madison, Middleton, Sun Prairie, and Portage. The plan we looked at was the Dean Healthplan Catastrophic Safety Net. Dean’s Deductible for a family plan of three is $13,700 in network and $27,400 out of network. Dean’s individual coverage is $7,150 in Network and $14,300 out of network. Dean’s premium per month for a family of three is $659.34 and the individual premium per month is $335.05. A family of three and individual have a coinsurance of zero percent. The copay is a maximum of $100 for all services after deductible for an individual and a maximum of $200 for a family of three. There is no coinsurance. Dental, eyeglasses, and Rehab/Physical therapy are not covered with Dean …show more content…
We looked at the Bronze Coverage Plan. The deductible was $6,550 in network and $13,100 out of network for the individual. The deductible was $13,100 in network and $26,200 out of network for a family of three. The premium was $335.02 per month for an individual and $645.36 per month for a family of three. The coinsurance was 20% on all services after deductible for the individual and 0% for a family of three. The copay was a maximum of $170 for the individual and $340 for a family of three. Dental is not covered by Unity. Unity is the cheapest as far as deductibles go, but in the long run when you add all of the coinsurance and copay, the cost is actually higher than other insurance companies if your plan has to be used to its full

Related Documents

  • Improved Essays

    Many plans ask that you pay one hundred dollars or some similar fee before your benefits for that calendar year kick in. Again, dental insurance plans that have insane deductibles are of little or no use to you. In addition, check into the waiting period of your dental insurance, because some companies have excessive ones that render the plans all but useless. After all, if you can't use the dental insurance for three months, then why pay premiums for…

    • 512 Words
    • 3 Pages
    Improved Essays
  • Improved Essays

    Torn Mcl Case Study

    • 558 Words
    • 3 Pages

    • Health care coverage is the primary variable in determining costs. Deductibles and co-pays are usually the out of pocket costs for a patient with significant coverage. Each health insurance policy is different; checking with the provider will help in estimating a total. A person with no coverage can pay over $20,000 for surgery for a torn MCL. • Degree of injury is another factor in costs.…

    • 558 Words
    • 3 Pages
    Improved Essays
  • Decent Essays

    Insurance company reimbursement rates are seldom available to the public. Most patients are privy to these reimbursement rates only after their claim is processed. After reviewing the charge rates and reimbursement rates of Sutter Health, a system of not-for-profit hospitals and physician groups, disparities between hospital charges and disparities between insurance reimbursements were identified. The results revealed that a hospital charges different rates for the same procedures.…

    • 290 Words
    • 2 Pages
    Decent Essays
  • Improved Essays

    After the collapse of the Health Republic co-op health insurance plan in November 2015, 200,000 New York residents were left with the prospect of having no insurance for December 2015. To ensure that there was no gap in coverage for the individuals affected, the NY State of Health marketplace encouraged them to select a new plan immediately. For those consumers that had not selected a plan in time,, the NY State of Health marketplace arranged for auto-enrollment into one of three health plans, depending on whether the consumer lived in the state. The vast majority of these consumers were auto-enrolled into a plan offered by Fidelis Care.…

    • 791 Words
    • 4 Pages
    Improved Essays
  • Improved Essays

    Polson Case

    • 894 Words
    • 4 Pages

    1. How should Polson communicate its new health benefits plan to employees? Communication of the new plan is extremely important if they want the employees to approve and commit to a managed care network. Employees need to have an understanding of the financial incentives that are present for staying in the network instead of using the traditional insurance side. In addition details of the new plan has to be explained to the employees in a clear way.…

    • 894 Words
    • 4 Pages
    Improved Essays
  • Improved Essays

    Maryland managed Care website showed that there were eight different plans that a Medicaid recipient could choose from to receive their health coverage. Health Choice is the name of this statewide mandatory managed care program. The plans are Amerigroup Community Care, Jai Medical Systems, Kaiser Permanente, Maryland Physicians Care, Med Star Family Choice, Priority Partners, Riverside Health of Maryland, and United Health Care. This paper will analyze these plans in terms of the benefits and coverage they offer, the cost of the service, the quality of the service and limitations within these plans. The plans will receive scrutiny in terms of how the coverage provided will attained the goals of healthcare reform, to provide access to health…

    • 840 Words
    • 4 Pages
    Improved Essays
  • Improved Essays

    The group I was placed in helped me better understand what health care is and how it impacts various lives today. For example, when dealing with Gerald’s case, I initially chose Plan B, because I was under the impression that plan a revolved around the idea of employment. Kenzie Mclean was a vital part of our group at this point because she pointed out plan B did not involve the coverage of test strips. Kenzie explained that she had a first-hand account of understanding how important test strips are as well as how costly they become Kenzie stated they were “about a dollar each.” For Gerald’s case that would have easily added up being as though he would need to take his blood sugar levels frequently.…

    • 881 Words
    • 4 Pages
    Improved Essays
  • Improved Essays

    Affordable Care Act Dbq

    • 769 Words
    • 4 Pages

    In contrast, in 2006, a family plan cost grew to $18,142, and employees paid $5,277. This trend is also supported by the charts in Document 7, which display a relationship between cost increases and increases in those being covered by health insurance. The existence of these relationships makes perfect sense, as those who were previously unable to get affordable health insurance due to pre-existing conditions were now able to join the pool (Document 9). This has led to a surge in costs for healthy individuals and has led to the cancellations of plans utilized by approximately 2.6 million individuals.…

    • 769 Words
    • 4 Pages
    Improved Essays
  • Improved Essays

    Affordable Care Failure

    • 754 Words
    • 4 Pages

    The United States - The Patient Protection and Affordable Care Act (ACA) of 2010 established “shared responsibility” between the government, employers, and individuals for ensuring that all Americans have access to affordable and quality health insurance. However, health insurance coverage remains fragmented, with numerous private and public sources as well as wide gaps in coverage rates across the U.S. population. The Centers for Medicare and Medicaid Services (CMS) administers the Medicare program (a federal program for those age 65 and older and the disabled, including those with end-stage renal disease) and works in partnership with state governments to administer Medicaid and the Children’s Health Insurance Program (a conglomeration of…

    • 754 Words
    • 4 Pages
    Improved Essays
  • Improved Essays

    Uninsured Health Care

    • 1298 Words
    • 6 Pages

    A high-rate of Americans living without health insurance coverage in one of the wealthiest countries in the world is a major social issue in the United States. Sered Fernandopulle and Ebrary research showed that there are over 40 million uninsured Americans that are falling through the cracks of the health care system. The research is investigated to determine how having no health insurance affects the lives of the millions of Americans. There is an extremely high-rate of adults and children that suffer from being uninsured due to inadequate and inaccessible medical care. Uninsured Americans’ lives are greatly being impacted, by not having no health insurance, according to interviews with 120 uninsured men and women and several medical providers,…

    • 1298 Words
    • 6 Pages
    Improved Essays
  • Great Essays

    Medicare Coverage

    • 1560 Words
    • 7 Pages

    The Medicare Part D, also known as the Medicare Prescription Drug Coverage, was designed to cover the existing gap (the donut hole), between individual’s prescription drug needs and Original Medicare (Original Medicare is characterized in parts A and B). The Original Medicare Plans includes basic drug coverage but unfortunately, many medicare beneficiaries require specific prescription drug needs that do not fall under the qualifications of parts A and B coverage. Medicare Part D is additional coverage associated with parts A and B so you are required to be enrolled in Original Medicare in order to qualify for enrollment. Medicare Part D can not under state law count as essential coverage.…

    • 1560 Words
    • 7 Pages
    Great Essays
  • Great Essays

    TRICARE in a Nutshell TRICARE is the United States Department of Defense (DOD) Military Healthcare System. TRICARE provides military personnel, both active and retired, along with their dependents, a civilian health benefits. The program also covers survivors and certain former spouses worldwide. Finally, in the same way active duty or retirees become eligible, certain reserve military members and their direct dependents become entitled on the service member 's 60th birthday (DHA 1). This paper will further discuss the company’s history, available insurance products, organization, number of enrollees, and financial breakdowns.…

    • 1603 Words
    • 7 Pages
    Great Essays
  • Improved Essays

    Every country’s vision is to have a universal health care system. A system that is not necessarily “free” but a system where everyone has equal opportunity to get the best health care being offered without partiality. Canada successfully implemented the universal health care for its citizens, but it is not perfect in any sense. Individual citizens are provided with preventive care and medical treatment from primary care physicians as well as access to hospitals, dental surgery and additional medical services (Canadian Health Care, 2014-2017, p.1). Some services under the healthcare system that are not covered or partially are things like prescription medication, physiotherapy, ambulance services, prescription eyeglasses as well as dental care.…

    • 1831 Words
    • 7 Pages
    Improved Essays
  • Improved Essays

    ( Kongstvedt 2007) The out-of-pocket maximum, deductible, and coinsurance will each affect the cost of the PPO insurance coverage. A plan member can help to lower his/her premiums by having as high deductible as the plan member can afford to pay out of pocket. (www.ajmc.com).…

    • 1227 Words
    • 5 Pages
    Improved Essays
  • Improved Essays

    Mexico Health Care Essay

    • 737 Words
    • 3 Pages

    Regular health care is also included to everyday residents, although they pay a monthly price that is…

    • 737 Words
    • 3 Pages
    Improved Essays