Buyer's Guide

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Difference in Plans with a Higher or Lower Premium

Manage the trade-offs

You can better meet your budget by managing the differences between premium and benefits.

It’s really about choice

If you're interested more in routine needs:

Some people have mainly routine needs — doctor visits for minor illness and injury — and use low deductible copay plans to pay for them, which makes visits to the doctor's office feel affordable. You’ll pay more for the convenience of knowing what you’ll spend every time you visit the doctor or need a prescription.

If you're interested more in catastrophic needs:
Some people use insurance to pay only for catastrophic events. They pay out of their pocket for the costs associated with everyday health care needs in exchange for the lower premium of a high deductible plan. When you have a significant medical expense, even in the worst case, you’re still likely to save money with a high deductible plan.

Look at an actual premium* comparison between a low-deductible copay plan and a high-deductible plan — then choose what feels right for you.

*Actual premium based on two adults, age 38, and two children.  Rate is for illustration only.

 
Plan A
Plan B

Low-deductible copay plan High-deductible plan
Coinsurance 80/20
(we pay 80%, you pay 20%)
100%
Copay $25 Doctor Office Copay (unlimited) No Copay (subject to coinsurance and deductible)
Deductible $500 $5,000
Out-of-pocket (OOP) Maximum $2,500
(includes deductible and 20% coinsurance to limit)
$5,000
(Deductible is out-of-pocket maximum)
   
   

Compare your premium              Printable Worksheet

Low Deductible Plan annual premium High Deductible Plan annual premium Savings
$5,400
-
$2,556
=
$2,840
 

Compare your out-of-pocket

High Deductible Plan OOP Low Deductible Plan OOP OOP Difference
$5,000
-
$3,500
=
$1,500
Savings (Savings - OOP Difference) $1,340

Summing up the trade-offs

Low-deductible Copay Plan
You're paying a higher monthly premium for the convenience of a lower fixed cost for everyday needs.

High-deductible Plan
You're paying a lower monthly premium for expenses you might incur.

 
Annually, you will save money with a higher deductible even if you use your plan to the fullest.

Contact

Understanding the trade-offs between plans is a good way to see where you can save money. We can show you other options, too.
For more information about Assurant Health's plans, please call 866-884-INFO (866-884-4636) or contact your local insurance agent.

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