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What Plan Should I Buy in Tampa, Hillsborough County
Tampa/Hillsborough County health insurance plans are a little less complicated then South Florida health insurance plans by the simple fact that there is 2 less choices! There are only 6 health insurance companies in Tampa which makes my job so much simpler. The six companies are (in no particular order) Aetna, Blue Cross Blue Shield, Cigna, Coventry, Humana, and United Health Care. Of course there are more then five health insurance companies in Tampa but the other ones are simply not competitive in the best situation with these five companies. But at worst they are (in 90% of cases) trying to rip you off.
I would not in any situation (unless it is future) buy any health insurance plan in Tampa besides the five companies above. First up is the first six companies to review. It seems they are ordered by the least expensive health insurance company to the most expensive. United Health Care is number one and as a health insurance broker is the company that I have personally. However, (and this is a big however) United Health Care/ Golden Rule is an association based health insurance company.
As a matter of comparison I used a $2500 deductible and a 34 year old male/female for the sample. The maximum out of pocket is around $4500 per year which includes Coventry and Humana. United, Cigna, Aetna, are $5000 out of pocket examples. Of these five companies I would usually pick the least expensive but Coventry for $8 offers an emergency room copay.
And The Winner for the Most Affordable Health Insurance with The Most Benefits Goes To..
United Health One wins but for my money I would choose Coventry every time in the Orlando health insurance market.
It seems in Tampa that Blue Cross Blue Shield is too expensive which is strange. Of course this is a specific proposal for a 34 year old married couple. Your own demographic might be very different. I have also included the Blue Cross Blue Shield of Florida health insurance plans in Tampa.
Compare Plans
| Company | Plan Type | Deductible | Coinsurance | Copay | Premium |
|
PPO | $2,500 ( I ) $5,000 ( F ) |
20% | $30 |
$250.80Monthly Cost |
| Company | Plan Type | Deductible | Coinsurance | Copay | Premium |
|
PPO | $2,500 ( I ) $5,000 ( F ) |
20% | $35 |
$272.50Monthly Cost |
| Company | Plan Type | Deductible | Coinsurance | Copay | Premium |
|
PPO | $2,000 ( I ) $4,000 ( F ) |
20% | $25 |
$305.00Monthly Cost |
| BlueOptions 504 | Blue Cross Blue Shield of Florida Plan 598 | BlueOptions 621 | ||
| Monthly Premium
|
$338.00 | $284.00 | $236.00
|
|
| Integrated Rx
|
Not Available | Not Available | $27.00 | |
|
Total Monthly Cost:
|
$338.00 | $284.00 | $263.00 | |
| Calendar Year Deductible (CYD) (per person / family aggregate)
|
$2,500 / $7,500 | $3,000 per Individual | $3,000 per Family | |
| Coinsurance (Amount you pay)
|
0% of the Allowed Amount | 25% of the Allowed Amount | 0% of the Allowed
Amount |
|
| Out-of-Pocket Maximum (per person / family aggregate)
|
$2,500/ $7,500 | $7,500 / $15,000 | $3,000 per Family | |
| Calendar Year Deductible (CYD) for Dental Benefits (per person / family aggregate)
|
Not Available | $75 / $225 | Not Available | |
| Other Benefits | ||||
| Physician Services
|
Family Physician: $35 Copayment Specialist: $50 Copayment | Family Physician: $35 copayment Specialist: $50 copayment | Family Physician and Specialist: CYD | |
| Well Child
|
Family Physician: $35 copayment Specialist: $50 copayment | Family Physician: $35 copayment Specialist: $50 copayment | Family Physician: $0 copayment Specialist: $0 copayment | |
| E-visits
|
$10 copayment | $10 copayment | CYD | |
| Urgent Care Centers
|
$60 copayment | $55 copayment | CYD | |
| Rx Benefits – Retail
|
Generic: $10 copay Brand: $300 Brand Deductible + 40% Coinsurance Non-Preferred: 50% Coinsurance Diabetic equipment and supplies covered under pharmacy benefit | Generic: $10 Copay Brand: Not covered Non Preferred: Not covered Diabetic equipment and supplies covered under pharmacy benefit | $0 after INN CYD Applies to INN OOP Maximum or BlueRx Discounts (Rx discounts at participating pharmacies) Diabetic equipment and supplies covered under pharmacy benefit | |
| Rx Benefits – Mail Order
|
Mail Order (90 day supply): Generic: $25 Copay Brand: $300 Brand Deductible + $125 Copay Non-Preferred: $300 Brand Deductible + $200 Copay | Mail Order (90 day supply): Generic: $25 Copay Brand: Not Covered Non-Preferred: Not Covered | Mail Order (90 day supply): $0 after INN CYD | |
| Inpatient Hospital Facility Services (per admission)
|
Option 1 = CYD Option 2 = CYD | Option 1 = CYD + 25% Coinsurance Option 2 = CYD + 25% Coinsurance | Option 1 = CYD Option 2 = CYD | |
| Physician Services at Hospital & ER
|
CYD | CYD + 25% Coinsurance | CYD | |
| Independent Clinical Lab
|
$0 | $0 | CYD | |
| Outpatient Hospital Facility Services (per visit)
|
Option 1 = CYD Option 2 = CYD | Option 1 = CYD + 25% Coinsurance Option 2 = CYD + 25% Coinsurance | Option 1 = CYD Option 2 = CYD | |
| Dental Benefits
|
Not Available | Preventative: 100% Covered/Basic: 80% covered/ Major: Not Covered | Not Available | |
| Emergency Room Facility Services (per Visit)
|
CYD | $300 Copayment (waived if admitted) | CYD | |
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