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Article Title: Best California Health Insurance Plans
Author: Dennis Jarvis
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We're always a little leery of anyone stating that something is the "best" especially with a complicated product like California health insurance. That being said, 80-90% of the dozens of health plans on the market do not make financial sense. We can safely remove them from our candidates for the "best California health insurance plan". So why is this case and which plans are then left over to consider. Now those are questions we can answer after 20+ years in the health insurance market and 1000's of clients (and health plans). We've seen the best and the worst (always changing by the way) so let's share some insight on how to find the best California health plans and actually list out what they are on the current market.
So how do we define best California health insurance plan?
It's simple and it is consistently what everyone asks for when we speak with them. "The best coverage for the lowest rate". That is literally the answer we get and it's always with a hint of sarcasm as in "duhhhh". Since most people don't deal with health insurance daily, the jump from that simple and concise statement to an actual plan selection leaves people with confusion and doubt. Let's boil down that high level statement to something we can actually use to pick the best health insurance plan in California.
Total potential out of pocket versus total guaranteed out of pocket
This is really the measure we need to look at in order to find the best coverage. How much in guaranteed cost (your annual premium paid) will we pay versus how much is potential total cost (expected medical out of pocket if we get really large bills plus a smaller consideration on what we'll pay for more common smaller bills). That's it! That defines the best health plan choice for you. We want to lower our monthly or annual premium to a point where it doesn't make sense to go lower in case we get really big bills. Let's take an example.
Example of our ideal best health insurance plans
Let's say we're considering a $2000 deductible plan with a $3500 max out of pocket ($5500 real exposure for the big bill). It's $300/monthly. Now let's say we're comparing it with a $3500 deductible plan with a $3500 max out of pocket. True exposure for the big bill is $7K and the premium is $150. The latter exposes us to $2K more if something big happens but we save $1800 annually in premium whether we use the plan or not. That may sound like an extreme example but it isn't on today's market. In that case, we'll save a guaranteed $1800 versus a potential of $2K. That's a smart bet and one of those plans is definitely "better" all other things being equal. So, let's provide you a short cut based on our daily experience. What's the best health plan today for Californians?
Today best California health insurance plan
Individual and Family:
On the individual and family market leading up to health reform changes (we'll address separately when we get the rates), these are the best health plans based on our experience with increasing benefit and cost going down:
More catastrophic coverage:
Health Net Advantage $3500 or $6500 (we like the $3500 better)
Anthem Blue Cross Clear protection (lab, x-ray goes to max out of pocket but pricing is great and carrier network/history is solid)
Mid-level benefits/costs:
Anthem Smart Sense $3500 or Shield Wise $3500 whichever is cheaper for your age/zip
Blue Shield $4000 Savings for low max out of pocket and HSA compatibility
That's it! Yes, 4-5 plans. You'll be hard pressed to justify going up or down the scale from these plans and the catastrophic health plan options are generally the lowest priced plans on the market.. We're happy to run a personalized health quote for you to make sure. You can quote all these plans instantly and side by side at
calhealth.net. The quote page will appear in a separate window so you can reference the above plans. Keep in mind that these plans are all temporary as we'll have to move to the new Health Reform plans in 2014 but these plans will save you considerably as long as we can stay on them. Check out our Health Reform Pump Fake page for how to use this to your advantage.
About The Author: Dennis Jarvis is a licensed California health insurance agent with extensive knowledge of the Individual and Small Group California health insurance market.
http://www.calhealth.net
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