I need professional help deciding if my company's insurance plan will be worth paying over $300 per month. Many people have told me my company's plan seems expensive and I am concerned about getting enough value for my pricey monthly cost. I am extremely lost when it comes to insurance and the main thing I am concerned about is value and coverage. Is there a plan out there that I could purchase outside of my company with more or equal coverage for less? I have pasted my coverage summary. I am a 27 year old male, my wife is 25 and we have a 5 year old son. We are all in excellent health. I will submit the dental as a sub-post since this was too long with it included.
ADMINISTERED BY: Great-West Life and Annuity Insurance Company
DEDUCTIBLE ELECTION FORM
Please elect one of the following deductible options for the 2007 Plan Year.
CALENDAR YEAR OPTION OPTION OPTION
DEDUCTIBLE: ONE TWO THREE
Per Person $300 $500 $700
Maximum Per Family $900 $1500 $2100
MONTHLY COST
FOR COVERAGE:
Employee Only $ 53.56 $ 47.58 $ 39.29
Employee and Spouse Only $284.35 $268.11 $245.51
Employee and Child or Children Only $277.49 $261.54 $239.39
Employee and Spouse and Child or Children $366.79 $346.89 $319.17
AARON RENTS, INC.
GROUP HEALTH INSURANCE SUMMARY
ADMINISTERED BY: Great-West Life and Annuity Insurance Company
COMPREHENSIVE MAJOR MEDICAL COVERAGE
CALENDAR YEAR DEDUCTIBLE OPTIONS:
Option One Option Two Option Three
per Person $300 $500 $700
max. per Family $900 $1500 $2100
You must elect one of the above three deductible options. You can only change your election on January 1st, the
plan anniversary date.
CALENDAR YEAR COVERAGE OPTIONS:
• Employee Only Coverage
• Employee and Spouse Only Coverage
• Employee and Child or Children Only Coverage
• Employee and Spouse and Child or Children Only Coverage
You must also elect one of the above four coverage options. You can only change your election on January 1st, the
plan anniversary date. The following plan provisions are the same regardless of the deductible and coverage
options you elect.
This plan includes a "carry-over provision" If you or your dependent incured Covered Medical Expenses during the
last three months of the calendar year and they were applied to meet that year's Deductible, those same expenses
may be used again, "carrier over" to help meet the Deductible Requirement of the next year.
EMERGENCY ROOM: A separate $100 deductible applies to each hospital emergency room visit unless the
Treatment is for an accidental injury or you are admitted to the hospital following the
emergency room visit.
OTHER THAN
COINSURANCE: PREFERRED PROVIDER: PREFERRED PROVIDER:
INPATIENT/OUTPATIENT
HOSPITAL SERVICES: 90% after deductible 60% after deductible
PHYSICIAN SERVICES
AT HOSPITAL (SURGERY
AND VISITS): 90% after deductible 60% after deductible
PHYSICIAN OFFICE OR 100% after a separate 60% after deductible
HOME VISITS: $20 per visit copayment
(Calendar year deductible
does not apply to these services.)
OTHER MEDICAL
SERVICES: 90% after deductible 60% after deductible
(OVER)
AARON RENTS, INC.
GROUP HEALTH INSURANCE SUMMARY
EFFECTIVE JANUARY 1, 2007
Page 2 of 3
COINSURANCE
STOP LOSS LIMIT: IN NETWORK EXPENSES: Usual & Customary expenses are paid at 100%
after $2,000 has been paid out of pocket, per person, up to $4,000 per Family.
OUT OF NETWORK EXPENSES: Usual & Customary expenses are paid at
100% after $6,000 has been paid out of pocket, per person, up to $12,000 per
Family. These expenses do not include those that were applied toward your
deductible, spinal manipulation, mental or nervous disorders, or
alcoholism/drug abuse.
PREADMISSION
TESTING: Covered like any illness.
HOME HEALTH CARE: Covered like any illness to a maximum of 40 Home Health Care visits per
calendar year.
MATERNITY: Covered like any illness; a pre-natal care program is available to all covered
expectant mothers.
PREVENTIVE CARE Well baby care, routine nursery, routine physicals/pediatric visits,
PACKAGE: immunization and vaccinations, and birth control pills are covered like any
illness.
HOSPITAL PREADMISSION
AUTHORIZATION, PRE- Required for all hospital admissions and surgical procedures.
SURGERY REVIEW & GREAT-WEST PRE-CERTIFICATION HOTLINE:
BENEFIT ADVICE LINE: 800-445-2336
PRESCRIPTION DRUGS: The prescription drug program provides the following options:
Generic Preferred Brand Name Non Preferred Brand Name
Mail Order (90-day supply) $15.00 $30.00 $45.00
Network Pharmacy (30-day) $15.00 $30.00 $45.00
Non-Network Pharmacy(30-day) $25.00 $40.00 $55.00
(Dollar amounts are copayments and the annual deductible does not apply.)
LIMITATIONS
TREATMENT of MENTAL
HEALTH CONDITIONS,
ALCOHOLISM or DRUG ABUSE: OTHER THAN
PREFERRED PROVIDER PREFERRED PROVIDER
While a patient is NOT confined Deductible Applies; Deductible applies;
as a Hospital inpatient, limited to payable at 50% payable at 50%
20 visits per calendar year.
While a patient is confined Deductible Applies; Dedcutible applies
as a Hospital inpatient, limited to payable at 90% payable at 60%.
15 days per calendar year
-------------------------
PHYSICAL MEDICINE
(CHIROPRACTIC & Paid 50% after deductible to a maximum benefit of $500 per calendar year.
SPINAL TREATMENT):
INFERTILITY: Not covered.
ADMINISTERED BY: Great-West Life and Annuity Insurance Company
DEDUCTIBLE ELECTION FORM
Please elect one of the following deductible options for the 2007 Plan Year.
CALENDAR YEAR OPTION OPTION OPTION
DEDUCTIBLE: ONE TWO THREE
Per Person $300 $500 $700
Maximum Per Family $900 $1500 $2100
MONTHLY COST
FOR COVERAGE:
Employee Only $ 53.56 $ 47.58 $ 39.29
Employee and Spouse Only $284.35 $268.11 $245.51
Employee and Child or Children Only $277.49 $261.54 $239.39
Employee and Spouse and Child or Children $366.79 $346.89 $319.17
AARON RENTS, INC.
GROUP HEALTH INSURANCE SUMMARY
ADMINISTERED BY: Great-West Life and Annuity Insurance Company
COMPREHENSIVE MAJOR MEDICAL COVERAGE
CALENDAR YEAR DEDUCTIBLE OPTIONS:
Option One Option Two Option Three
per Person $300 $500 $700
max. per Family $900 $1500 $2100
You must elect one of the above three deductible options. You can only change your election on January 1st, the
plan anniversary date.
CALENDAR YEAR COVERAGE OPTIONS:
• Employee Only Coverage
• Employee and Spouse Only Coverage
• Employee and Child or Children Only Coverage
• Employee and Spouse and Child or Children Only Coverage
You must also elect one of the above four coverage options. You can only change your election on January 1st, the
plan anniversary date. The following plan provisions are the same regardless of the deductible and coverage
options you elect.
This plan includes a "carry-over provision" If you or your dependent incured Covered Medical Expenses during the
last three months of the calendar year and they were applied to meet that year's Deductible, those same expenses
may be used again, "carrier over" to help meet the Deductible Requirement of the next year.
EMERGENCY ROOM: A separate $100 deductible applies to each hospital emergency room visit unless the
Treatment is for an accidental injury or you are admitted to the hospital following the
emergency room visit.
OTHER THAN
COINSURANCE: PREFERRED PROVIDER: PREFERRED PROVIDER:
INPATIENT/OUTPATIENT
HOSPITAL SERVICES: 90% after deductible 60% after deductible
PHYSICIAN SERVICES
AT HOSPITAL (SURGERY
AND VISITS): 90% after deductible 60% after deductible
PHYSICIAN OFFICE OR 100% after a separate 60% after deductible
HOME VISITS: $20 per visit copayment
(Calendar year deductible
does not apply to these services.)
OTHER MEDICAL
SERVICES: 90% after deductible 60% after deductible
(OVER)
AARON RENTS, INC.
GROUP HEALTH INSURANCE SUMMARY
EFFECTIVE JANUARY 1, 2007
Page 2 of 3
COINSURANCE
STOP LOSS LIMIT: IN NETWORK EXPENSES: Usual & Customary expenses are paid at 100%
after $2,000 has been paid out of pocket, per person, up to $4,000 per Family.
OUT OF NETWORK EXPENSES: Usual & Customary expenses are paid at
100% after $6,000 has been paid out of pocket, per person, up to $12,000 per
Family. These expenses do not include those that were applied toward your
deductible, spinal manipulation, mental or nervous disorders, or
alcoholism/drug abuse.
PREADMISSION
TESTING: Covered like any illness.
HOME HEALTH CARE: Covered like any illness to a maximum of 40 Home Health Care visits per
calendar year.
MATERNITY: Covered like any illness; a pre-natal care program is available to all covered
expectant mothers.
PREVENTIVE CARE Well baby care, routine nursery, routine physicals/pediatric visits,
PACKAGE: immunization and vaccinations, and birth control pills are covered like any
illness.
HOSPITAL PREADMISSION
AUTHORIZATION, PRE- Required for all hospital admissions and surgical procedures.
SURGERY REVIEW & GREAT-WEST PRE-CERTIFICATION HOTLINE:
BENEFIT ADVICE LINE: 800-445-2336
PRESCRIPTION DRUGS: The prescription drug program provides the following options:
Generic Preferred Brand Name Non Preferred Brand Name
Mail Order (90-day supply) $15.00 $30.00 $45.00
Network Pharmacy (30-day) $15.00 $30.00 $45.00
Non-Network Pharmacy(30-day) $25.00 $40.00 $55.00
(Dollar amounts are copayments and the annual deductible does not apply.)
LIMITATIONS
TREATMENT of MENTAL
HEALTH CONDITIONS,
ALCOHOLISM or DRUG ABUSE: OTHER THAN
PREFERRED PROVIDER PREFERRED PROVIDER
While a patient is NOT confined Deductible Applies; Deductible applies;
as a Hospital inpatient, limited to payable at 50% payable at 50%
20 visits per calendar year.
While a patient is confined Deductible Applies; Dedcutible applies
as a Hospital inpatient, limited to payable at 90% payable at 60%.
15 days per calendar year
-------------------------
PHYSICAL MEDICINE
(CHIROPRACTIC & Paid 50% after deductible to a maximum benefit of $500 per calendar year.
SPINAL TREATMENT):
INFERTILITY: Not covered.
