Understanding and Comparing Health Insurance in California

another item listed when you request your California health quote. The average deductible amounts run from no deductible up to 00 on average. The deductible is typically per person (usually up to two people a family) and it resets January 1st as well. When you see “2 member max”, this means that if two people meet their deductible in a calendar year, the other family members do not need to.

One note…HSA Health Savings Account plan deductibles are cumulative. This means that the family deductible (for two or more people on one policy) is not met for any individual on the policy until the family deductible is met. For example, if the individual deductible is 00 and the family deductible is 00, one individual on the family plan would not meet the deductible till the 00 was met. Other family members would have their deductible satisfied as well. Essentially, all individuals on the family plan are working towards one 00 deductible.

Once you meet the deductible you either go into a co-insurance sharing percentage or the carrier takes over 100%. For example, if your deductible 00, and the co-insurance percentage is 30%, with a max out of pocket of 00. Let’s say you have an ,000 hospital charge (in-network for covered benefits). You would pay the first 00, then you would pay 30% until you hit another 00 out of pocket. Essentially, you will pay 00 (max out of pocket) and the carrier will pay the ,500. With some