2 ms·
I loved my previous HMO because I was in a union and the (huge) premium was mostly covered by the company however it's really never that simple. Changing jobs a
by ics 3y ago
I loved my previous HMO because I was in a union and the (huge) premium was mostly covered by the company however it's really never that simple. Changing jobs and insurance companies means all of a sudden all of my previous doctors are out of network and now I have to pick and choose which ones are worth sticking with while eating the out-of-network costs and which are replaceable. Multiply that by several family members and it's a nightmare.
Continuing the counterexample, recently my daughter had to be hospitalized literally a month after changing to a PPO. Amazingly, our $175,000 bill ended up costing me just $300 because she was admitted to inpatient care. If I had been on my previous HMO, it likely would have either cost $50k for the out-of-network, out-of-pocket maximum (assuming nothing exempt from that even...) or worse, delayed getting care while attempting to figure out any of that on the spot.
- stevebmark 3y agoWas there some limitation listed with your HMO coverage, or are you just speculating? All insurance plans have emergency coverage regardless of if the hospital is in your network.
- ics 3y agoI would have to dig through the old plan details again but they had a pretty similar example to our situation where they estimated you would owe essentially the entire bill minus some copay amounts, i.e. $100k - $300, which is funny but depressing. Their version of emergency coverage would have come in to play perhaps if one of us had been hit by a car and were bleeding out on the street.