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NWR: help me with HEALTH INSURANCE

MerSaysEh Posted:

NWR: help me with HEALTH INSURANCE

Ok. So I'm Canadian. til now I was on my student insurance but this month my 90 day probationary period is up at work. this is the plan work offers:

empire blue cross blue shield

need a primary care physician but its a 'no gatekeeper' plan, so referrals to specialists are NOT needed

copay at the primary dr is $30/visit, specialist is $50/visit

my monthly contribution is $98, and in nov. when I can add FH its $192 for both of us

does this sound good? middle of the road? bad? I'm CLUELESS!!!!
rosiegirl565 Posted:

Re: NWR: help me with HEALTH INSURANCE

Sounds kind of like what I have only a different provider and I think I pay about $ 25 more a month than you.

AwaitingAugust Posted:

Re: NWR: help me with HEALTH INSURANCE

it's good

i know a lot of people who pay much more than that ...!
grkbarbie Posted:

Re: NWR: help me with HEALTH INSURANCE

being that you only pay 98$ a month, its great. the specialist copay is the highest out there @ 50$ a visit.


Do you have an in network deductible??

keep in mind that plan probd doesnt cover vision and def not dental.


do you go to the Dr. often?? what are your other options?
jhines4684 Posted:

Re: NWR: help me with HEALTH INSURANCE

i have the same insurance, same plan, no complaints!!!

allornil Posted:

Re: NWR: help me with HEALTH INSURANCE

i pay way more than that alone per month. more like $250. although my copay is $25 reg, $40 specialist and i need referrals.

MerSaysEh Posted:

Re: NWR: help me with HEALTH INSURANCE


Posted by grkbarbie

being that you only pay 98$ a month, its great. the specialist copay is the highest out there @ 50$ a visit.


Do you have an in network deductible??

keep in mind that plan probd doesnt cover vision and def not dental.


do you go to the Dr. often?? what are your other options?



i have to ask about deductible

it doesnt cover dental or vision - although it does apparently cover one eye dr visit a year i think?

i'm strange with the dr - soemtimes i have to go ALOT and sometimes not for months, i think so far this year (2010) i've gone once or twice
MerSaysEh Posted:

Re: NWR: help me with HEALTH INSURANCE


Posted by jhines4684

i have the same insurance, same plan, no complaints!!!




really?? whats your deductible if you dont mind my asking? so good to have someone who is in the know! I've heard empire is a good company, that lots of drs accept it....
dctead Posted:

Re: NWR: help me with HEALTH INSURANCE

While my copay is only 25/35... I pay 130 for me.. and 210 for my FH..... so I think you're paying a decent rate!

jhines4684 Posted:

Re: NWR: help me with HEALTH INSURANCE


Posted by MerSaysEh


Posted by jhines4684

i have the same insurance, same plan, no complaints!!!




really?? whats your deductible if you dont mind my asking? so good to have someone who is in the know! I've heard empire is a good company, that lots of drs accept it....



i only have a deductible on my prescriptions, it's $100 and than after i pay that it's 10/35/75

100 emergency

35 for all copays (including specialists)....however I believe we just got a letter saying the specialists fees went up to 50, but it wont effect me because I'll be on FH's by then.

no vision or dental either.
vv117 Posted:

Re: NWR: help me with HEALTH INSURANCE

what happens/what's the cost if you go out of network? that's an important factor in choosing insurance.

christine2010 Posted:

Re: NWR: help me with HEALTH INSURANCE

I also have Empire Blue Cross Blue Shield at work. My employeer pays in full for us. However our co-pay is high, $45 for primary & specialist. Our prescription plan is $10/35/70.

We where also told that we do not need a referral & that is a load of crap. My parents also have Empire & they have such issues when it comes to referrals. If I was you, I would double check that.

julesrbf Posted:

Re: NWR: help me with HEALTH INSURANCE


Posted by christine2010


We where also told that we do not need a referral & that is a load of crap. My parents also have Empire & they have such issues when it comes to referrals. If I was you, I would double check that.




It depends on which Empire plan you have. I have a PPO and I don't need any referrals (except for the chiropractor, when I used to go). But I work in a hospital, and one of our patients needs them for EVERY LITTLE THING.

Certainly, you will always want to check with your insurance company for specifics like referrals, pre-authorizations, etc. Empire is a great insurance company to have and in my experience is almost universally accepted ... I have never had a problem personally and again, I know that with our patients, Empire is the easiest company to deal with.
01ELLIE Posted:

Re: NWR: help me with HEALTH INSURANCE

That sounds good! You're not paying that much a month!

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