The catastrophic I have covers:
~a yearly mammography, which is a positive factor to this plan. (if I would actually take advantage of it; its a positive thing because I am 44yrs old, may not be a big deal for a younger person)
~hospital care: I was advised, if I needed physical therapy for instance, if one goes to the hospital for this the insurance will cover it, if you go to a clinic, you will have to pay.
~sense of ...security.
~I have used the insurance once, when I butchered my finger in a blender (dumb). The insurance covered the emergency/hospital visit...
~...I first went to prompt care (for that dumb incident), and they sent me over to emergency where the health insurance would cover it. That was a 4 hour wait for something that could have been taken care of in an hour. And I was told that would have been an $80 dollar visit ... which to me, is a manageable price to pay out of pocket. Which is why I am reconsidering this product. But maybe I would not have gone in the first place if I had to pay and didn't know how much it cost.
~My catastrophic costs 650/mth. (it already went up 50 dollars since I had the insurance, and I anticipate a yearly increase of this amount. Paying for it is starting to suck ... I would rather save this amount and renovate my kitchen.
~it doesn't cover well visits (or sick visits) - which is why it is called a catastrophic plan; so if one decides to go to a well or sick visit it is another $150-$500 (basic) out of pocket.
~I dropped my full coverage health insurance for the catastrophic option as the health insurance was a ridiculous amount ($1300/mth w/ a 200/mth dollar increase yearly (when I first got it, it was 900/mth). The deductible plan wasnt worth the montly payment (approx 900/mth PLUS the 2500 deductible)
For kids, I feel it is important (less stressful) having regular health insurance. Thankfully we live in a state that covers all children (on a sliding scale, I still pay 360/mth for this)
For an adult, I am weighing the difference between catastrophic (650/mth) (covered just in case (I get cancer?)) and not going to regular visits VS regular health insurance (950+ high deductible): going to regular visits + coverage in case..., but paying a ridiculous amount VS no health insurance (savings of 650+ / mth) and paying out of pocket 600 / yr. (for regular appointments) but not being covered just in case.
In general insurance gives me the push that I need to go get care, where no insurance becomes stressful, although paying 1000 / mth also becomes stressful.
Hopefully some of this is helpful; sorry for the winging parts but I find it hard to talk health insurance without "woeing" just a bit.
postscript: IT really amazes me the different prices people pay for health insurance, across the states. These are CNY prices. Outrageous.
Edited by SunRise - 8/12/11 at 9:07am