Originally Posted by
OB Pilot
I'm married with 2 kids and we use the Regular Plan and have been very happy with it. It is a PPO plan with a $0 monthly premium and very low individual and family deductibles and out of pocket maximums.
The Regular Plan is considered a 'grandfathered plan' as far as the Affordable Care Act is concerned so all of the new provisions are not required, such as preventable care and wellness checks which are not covered. There are no co-pays for any covered services. All sick visits and ER visits are indeed covered.
Sorry to revive a half dead necro thread, but MammaBear wants more info on the regular plan if you guys don't mind. I go to class in a month.
On the regular plan what would be the following costs?
Child gets sick, you take them to in network primary care phys? Above poster says no copays for sick visits??? So what do you pay? 80% of visit??
Copay = ? Deductible = ?
Child breaks arm playing on swing?
Copay = ? Deductible = ?
Generic prescriptions (I think I read covered 100%)?
Child has a bad year...how much out of pocket maximum?
Thanks much. We scoured over the brochure posted earlier but could not discern the info for the Regular Plan.
Spooky