Orlando Health Insurance

Affordable Health Insurance Quotes from All Major Reputable Health Insurance Providers

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Affordable Health Insurance In Orlando & Orange County, Florida

Orlando and Orange County health insurance is certainly different from the South Florida health insurance model that we have been beating to a pulp.  Firstly as you head North on I 95 you lose three health insurance companies including Vista, Coventry, and Avmed.  Coventry will be available soon however.  Thus Orlando is a quicker and less intense case study then our other examples.  Additionally, health insurance is much more affordable in Orlando and Northern Florida so it is also less competitive among the Florida health insurance companies.

Orlando Health Insurance Case Study

In this example I use a 34 male and 34 female in this example.  The deductible is a 2500 and/or a maximum of out of pocket of at most $5000.  It is blatantly obvious to me that most affordable plan is absolutely United Health Care in Orlando.  This is surprising as they are not very competitive in South Florida, however in Orlando they are most definitely the price leader.  That being said as they are not domiciled in Florida you might want to also consider Cigna which is often times the most affordable Florida health insurance plan.  Of course we have not considered Blue Cross Blue Shield of Florida yet, and of course we must as they are certainly the most comprehensive plan in Florida.

In Orlando, Blue Cross Blue Shield of Florida is certainly not the most competitive in price but if you look closely at the benefits you will see that they have co-pays for nearly every situation besides in-patient hospitalization which of course applies to the deductible. A good example would be an MRI, in Orlando and Orange County with Aetna, Cigna, Humana, and United the deductible is applied to most testing such as MRI’s, Cat Scans, etc.  If you haven’t met your annual deductible, then you will be paying for these tests until you meet your deductible.  Usually (always with our companies) you will pay the same price for these procedures as these Orlando health insurance companies would.  This is called the contracted rate and is usually 25-60% less than going in without any health insurance at all.  Of course if you are a smooth negotiator you will pay the contracted rate anyways even if you don’t have health insurance.  But most people are not even aware of these subtle Florida health care situations and end up getting stuck with unbelievably high, marked up health care costs.

With Blue Cross Blue Shield of Florida you will only pay a co-pay for these tests, and in fact for many tests like colonoscopies you will actually pay nothing.  Similarly, most outpatient procedures are also covered without a deductible except in rare circumstances which I cannot even think of a concrete example.  Please read some of the benefit summaries attached for more detailed explanations of these health plans.  Also remember that the Blue Cross Blue Shield plans that we are discussing are the 590 series!  So unless you get these plans specifically you could end up with the same plan that United or Cigna offers for example.

And if this is the case as you don’t care about co-pays for everyday testing then by all means pick the cheapest plan period.  This is the Orlando health insurance product that offers the most health insurance coverage for the least amount of money.

Name:
Effective Date: 11/01/2009
Applicant: Male, 40, Non Smoker
Spouse: Female, 40, Non Smoker

State: FL       Zip: 32801

Quotes Prepared By: Jeremy
Company: East Coast Health Insurance
Email: jehrenthal@hotmail.com
Phone: 888-803-5917
Fax: 954.571.4143

Compare Plans

(I)=Individual (F)=Family (P)=Preferred (S)=Standard

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Orlando Blue Cross Blue Shield Health Insurance Plans

Plan Name` Traditional Insurance
Predictable Cost
Plan 597

  • Family physician copayment plan
  • Dental coverage included
  • $15 copay for generic prescription drugs
Traditional Insurance
Predictable Cost
Plan 598

  • Family physician copayment plan
  • Dental coverage included
  • $15 copay for generic prescription drugs
Health Premium
(per month)
$382.00 $298.00
Maternity Coverage
Prescription (Rx) Coverage

Included Included
Total Monthly Premium qe-btn-apply orlando-health-insurance
Cost Sharing Benefits(In-Network)
Plan Name Plan 597 Plan 598
Individual or Family Calendar Year Deductible (CYD) $2,500 / $7,500 $3,000 per Individual
Pharmacy Deductible $0 Deductible $0 Deductible
Coinsurance (amount you pay) 0% 25%
Out-of-Pocket Maximum (per Individual/per Family) $2,500 / $7,500 $7,500 / $15,000
Individual or Family Calendar Year Deductible (CYD) for Dental Benefits $75 / $225 $75 / $225
Other Benefits(In-Network)
Plan Name Plan 597 Plan 598
Physician Services Family Physician: $25 copayment Specialist: $45 copayment Family Physician: $35 copayment Specialist: $50 copayment
Adult Wellness (per calendar year) Covered without an in-network benefit maximum Covered without an in-network benefit maximum
Well Child Family Physician: $25 copayment Specialist: $45 copayment Family Physician: $35 copayment Specialist: $50 copayment
Urgent Care Centers $50 copayment $55 copayment
E-visits $10 copayment $10 copayment
Inpatient Hospital Facility Services (per admission) CYD CYD plus coinsurance
Outpatient Hospital Facility Services (per visit) CYD CYD plus coinsurance
Hospital & ER Physician Services CYD CYD plus coinsurance
Emergency Room Facility Services (per visit) $300 copayment $300 copayment
Independent Clinical Lab $0 copayment $0 copayment
Rx Benefits Generic drugs only: $10 copayment
Mail Order: $25 copayment for Generic drugs only
Brand name drugs or Non-Preferred drugs are not covered at Pharmacy or through Mail Order.
Generic drugs only: $10 copayment
Mail Order: $25 copayment for Generic drugs only
Brand name drugs or Non-Preferred drugs are not covered at Pharmacy or through Mail Order.
Dental Benefits Preventative: 100% Covered
Basic: 80% Covered
Major: 0% Covered
Preventative: 100% Covered
Basic: 80% Covered
Major: 0% Covered
Benefit Maximums(In-Network)
Plan Name Plan 597 Plan 598
Life Time Maximum (per Individual) $5,000,000 $5,000,000
Annual Maximum (per Individual) Not Applicable Not Applicable
Annual Maximum (per Individual) for Dental Benefits $750 $750
Individual Mental Health Services (Inpatient and Outpatient per calendar year) $2,000 inpatient / $600 outpatient / $10,000 lifetime maximum $2,000 inpatient / $600 outpatient / $10,000 lifetime maximum
Individual Substance Dependency (Inpatient and Outpatient per calendar year) $2,500 lifetime maximum $2,500 lifetime maximum

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