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Let's compare 2 plan designs.
Out of Pocket Max
Plan 1: family out of pocket is 2x individual (individual is $2000), so if I enroll as a family our out of pocket max is $4000
Plan 2: aggregate amount of $4000
Using coverage-what do you pay?
Plan 1: only one member of the family gets sick and uses coverage, even though we enrolled as a family, we pay only $2000 max for the one sick person.
Plan 2: only one member of the family gets sick and uses coverage, even though we enrolled as a family, we pay up to the agg $4000 max for the one sick person.
TDizzle
Wiki User
∙ 13y ago
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