The basics are the same as most major medical plans.
- The deductible can be as low as $500 but this is not recommended. A $500 deductible adds too much to the premium.
- Coinsurance - This is the amount that you have to pay after you've met the deductible. Suppose you get hurt and are in the hospital.
Less your deductible: $1000
$4000 of which you pay 20% or $800
Your total out of pocket is the deductible plus the coinsurance or $1800.
Benefits are not overly rich but adequate.
- You'll pay $35 each time you go to the doctor's office for an illness or injury. Even an annual exam is covered at $35. But buyer beware: Women: You'll have to pay 20% of the cost of your mammography and pap smear. And if you need any lab work completed or x-rays, then you'll be on the hook for pretty much all of those charges since the doctor's office copay with Golden Rule doesn't cover them.
- Don't go to the emergency room if you can go to an Urgent Care clinic or your doctor's office. If you use the emergency room and are not admitted, you hit a $100 penalty.
- Prescriptions - $15 for generic drugs. Try to stay away from name brands if you have this plan. Name brand drugs will cost you a $150 deductible ( that means you pay the first $150 of any prescription bill ) then either $30 or $60 for most name brands. For the really expensive ones, you'll have to fork over 25% of the cost!
On my 5 star scale( 5 being the best), I give the Golden Rule Copay Select 3 stars.***
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