California health insurance  -  Understand California health coverage  -  California Health Insurance Deductible

Are High Deductible Plans a good choice for health insurance?


First, what is a deductible in California health plans?




The amount you must pay for medical services each year before your insurance begins paying.


The plan deductible is an amount you will pay first before you get help from the carrier.


Keep in mind that with a PPO plan, you will get discounted PPO rates which can lower the costs by 30%-60% even though you have a deductible to meet.


It's very important to always stay in-network to keep your costs down.


You can always run your quote here:

how to quote Covered California plans

What is a high deductible plan?


Before medical inflation expanded so quickly, we had many no-deductible PPO plans with very rich benefits...even on the individual California health insurance market.


Those plans slowly disappeared from the market as rate increases occurred every 6-12 months at double digit rates.


With this medical inflation, deductibles became more common and they continue to grow in amount over the past ten years.


$1000 was once thought of as being a higher deductible plan.


This is not the case any more.


On average, with individual California health insurance plans, the range of deductible ranges from $500-$5000.


Higher deductible plans are usually thought of as $1500 or $2000 plus.


The Small Group market is different in that benefits tend to be richer but premiums are more expensive.


Since employers are paying part of the premium (if not all), the deductibles tends to be lower.


This usually doesn't make sense in the individual market since a person is essentially paying the premium for his/her own coverage.


The premium savings of going to a higher deductible must be taken into account.


This does not factor into Group health insurance.

When do high deductible plans make the most sense?

When considering high deductible plans, it all comes down to premium savings.

This is primarily driven by age and secondarily by area.


Age is the biggest driver of health insurance costs for California individuals or Small Groups. An estimate showed that medical costs double with each decade of a person's life on average.

As you get older, the annual premium difference between a high deductible and richer plan grows.

At a certain age, the premium savings may pay for all of your deductible (or most of it) whether you use the plan or not.


For example:


Let's say you are comparing a $500 deductible and a $3000 deductible PPO plan.

IF the premium difference in a year's time is $2000, then it might be a good move. If you have a good to average year for medical costs, you pocket the savings. In fact, until you have $2500 in services, it still makes sense since your saving $2000 and the richer plan has a deductible of $500 anyway.


A few points.


High deductible plans (especially HSA plans which we'll discuss later) may apply office visits and/or prescription benefits towards the main deductible.


If you had many office visits or more expensive prescriptions, this might impact you differently since some richer plans will allow copays for these services more quickly (not subject to the main deductible).


There are so many different combinations of plan benefits on the market now that it's important to go through a licensed California health insurance agent like Goodacre Insurance Services to make sure you find the right fit.


There are almost too many options on the market and it can be overwhelming.


We can quickly size up whether there's enough savings in going with a high deductible health plan for your situation.


You can access the online application here:

How to apply for California obamacare

HSA or Health Saving Compatible plans are popular versions of high deductible plans


HSA's or Health Savings Accounts are very popular plans these days and they derive their benefit from the premium savings mentioned above in conjunction with a tax benefit to fund smaller medical bills up to the deductible.


Certain high deductible plans are deemed HSA Compatible which means that you may be able to fund pre-tax money into a separate tax-favored account.


You can then use these funds to pay out-of-pocket eligible medical and dental expense since you have a high deductible plan.


One big difference is that the deductible is cumulative or a family deduction if you have 2 or more family members on one policy.


You are essentially all working towards one deductible where most other health insurance plans apply a deductible for each family member...usually up to a two-member-maximum.

Important Pages:

Guide to Covered California Plans

You can run your California Health Plan Quote here to view rates and plans side by side from the major carriers...Free.

Again, there is absolutely no cost to you for our services.  Call 800-320-6269 Today!

  Follow on social media

Covered Ca tax credit
Call 800-320-6269
Our Services are FREE to You!

Call to Enroll over the Phone in 15 Minutes

enroll in Covered Ca Exchange coverage

Call 800-320-6269

Anthem Blue Cross California
Blue Shield of California under Covered California
Kaiser of California
Molina health through Covered California
Sharp health plan in Covered California
and more
Thousands of Californians
Hundreds of California Companies
Thousands of Californians
Hundreds of California Companies

from SC

"My sincere thanks for making a miracle happen- 2014 health insurance !! Many thanks for your expertise and advice yesterday !!"

from SD

"Thanks again for your help - I had absolutely no idea how to get this done when I got up this morning. You've made it remarkably easier than I expected. I hope you're not stuck at the office all night..."

from KV

"Anyway, I hope you got some time off this past week! Thank you again for your help and efforts on my behalf! I was very lucky to find you."

from EK

"I thank you very much for the time that you have invested in handling everything

from SR

"I truly appreciate the quick response and will think of you in the future if I need to make any changes to my insurance plans."

from VH

"You are awesome... takes a huge worry off my back, thank you for your kind. thanks for your time and kindness. !!"

from SA

"Wow, I can't thank you guys enough for your help...I couldn't imagine trying to tackle this on my own!"

from LM

"You are my new best friend. A HUGE thank you again.

Find out what customers are saying about our services

20 years of experience in the California health insurance market has taught us one thing...Competent and experienced guidance is Invaluable

We can quickly (very important) size up your health insurance needs and clearly explain the options available to you. Our focus is finding the most coverage at the best cost to you.

We are licensed Covered Ca agents with in-depth knowledge of their plans, process, and tax credits.

Call will be Pleasantly Surprised.  800-320-6269

Request a 10 Minute Health Plan Check-up

We'll quickly see if you have the best priced plan available and if you qualify for a tax credit


Our Services are FREE to You is a Goodacre Insurance Services Website

This website is owned and operated by Goodacre Insurance Services, which is solely responsible for its content. This site is not maintained by or associated with Covered California, and Covered California bears no responsibility for its content. The email address and phone numbers that appear throughout the site belong to Goodacre Insurance Services, and cannot be used to contact Covered California.