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公爵府

積分: 28237


1#
發表於 12-4-25 18:15 |只看該作者
計劃一兩年後陪仔過來讀書,想問問關於醫療保險。

假設我不工作,醫療保險要自己買:
1. 會住加州Bay Area 或者Seattle,請問有那些大的保險providers?Blue Cross?Group Health? 他們各自有些甚麼不同?
2. 香港的住院和醫生收費是根據病房type,同一個手術,住私家房醫生會收得貴過大房好多。美國也是這樣嗎?
3. 香港的醫療保險是根據病房type而分的,例如這個保費是保你住二等房,各類手術賠這個數目,美國也是這樣嗎?
4. 香港的醫療保險通常不包門診,或者有包的也很很貴,美國的醫療保險也是通常只包住院還是通常包括門診?
5. 請問要自己買醫保的媽咪們,你們每年保費要多少?保甚麼?Deductible是多少?

對不起問題比較空泛,因為完全沒有概念,希望從各位媽咪的答覆中先得到一些idea,然後再慢慢搞清楚。謝謝


大宅

積分: 4575


2#
發表於 12-4-25 21:52 |只看該作者

回覆:醫療保險一問

你可以上d health insurance既website睇。美國的health insurance包門診,價錢分別於你選擇HMO (即health group, you need a referral from your primary care doctor to see a specialist), POS (you can choose anyone within your designated health group) or PPO ( you can go to anyone in you network). Prices also vary by how much deductible, copayment and co-insurance amount you have in your policy.

Bay area has Kaiser Permanante health group who have their own HMO insurance. Other insurances are BCBS CA, BC Anthem. You cannot buy insurance directly from the companies, you would have to go through a broker. eHealthinsurance website is reliable. I have bought from them. They also list all the options.

I now have insurance through work, insurance for myself is free, but I have to pay to get my husband and children covered. I have a PPO because my children's doc is not in my HMO plan. I pay 700 a month for my family, but I have a low deductible and coinsurance amount. I am in LA. I know that KP HMO maybe cheapest in bay area.

If your son goes to college , you may be able to get insurance through their student office there. Take a look




大宅

積分: 4575


3#
發表於 12-4-25 21:53 |只看該作者

回覆:醫療保險一問

Oh... And hospitals are all private rooms or semi/private here. You don't really get a choice. They roll you on depending on availability.




公爵府

積分: 28237


4#
發表於 12-4-26 22:43 |只看該作者
Are outpatient visits expensive in US? A typical visit to a family doctor in Hong Kong for common illness such as a flu or sore throat would cost about HK$500 (around US$65) including 3 days of medicine. How much would such visit typically cost in US?

There are insurance policies in Hong Kong that offers international coverage on hospitalization. Outpatient is however not covered. Is there any health plan in US that covers outpatient visits only?

The kids are still in high school and middle school. I don't think schools offer any health insurance?


大宅

積分: 4575


5#
發表於 12-4-27 11:33 |只看該作者

回覆:醫療保險一問

Do not use HK insurance for US care. Your best bet is to use local US insurance. Office visits are US65-300. General docs are usually 65. My Son's pediatric surgeon charged 225. Local insurance have adjusted rate and then your part to pay. It is much better that way.

Meds are separate from medical consults. That is another reason to get insurance. Look at the websites n you will find the covered benefits, expected coinsurance amount, deductible etc




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