Oxford Health Insurance Plans For Individuals

Oxford Health Insurance Plans For Individuals

Individual health insurance on unemployment? (Not eligible for Medicaid)?

Can I buy a plan for health insurance? Apparently I make 10 dollars over the limit for Medicaid & Family Health Plus & am not eligible. I’m unemployed my dr. told me I should get an MRI of my neck (chronic swollen gland). I could go to an emergency room, but then I would have to pay??

Yes, you can buy an individual plan and depending on the plan you choose, the premium can cost you anywhere from $60 to $400. It is expensive but its better to get it before you get diagnosed with any medical conditions, since they probably won’t be covered under your policy since they’re pre-existing. Just make sure to research it properly, because it is a jungle. Remember to look at things like co-pay for different kinds of doctor’s visits, deductible (how much you’ll have to pay yourself before the insurance starts to pay), prescription coverage, annual check-ups, the maximum amounts they’ll pay for certain things, what they pay for hospital stays, exclusion and if it covers vision, dental and pregnancy (if you’re a woman, obviously.)
If you already need an MRI I would try to get a plan with a low deductible, or no deductible at all. As an example, I have an individual Blue Cross plan and I pay $345 a month. That’s a lot of money. But I have no deductible, meaning BC starts paying the first time I get sick. My co-pay is $20 for a regular office visit, $35 for a specialist (which includes OBGYN’s), $40 for urgent care, $100 for ER visits. The prescription coverage is by tiers, but most meds only run me $4 for a months supply.
So although my premium is relatively high, it pays of since I have a medical condition that in the past year have required 1 surgery, 2 hospital stays, 3 ER visits, more office visits than I could tell you, 2 MRI’s, 1 CT-scan and several monthly prescriptions.
That is why you’ll have to choose based on your individual situation, but just remember that if you get a plan now, it will be a blessing when the unforeseen happens.

BILL MOYERS JOURNAL | Single Payer Health Insurance | PBS

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