Aetna Century health care Cigna Star HRG Essential Care, BCS1 AmWINS Group Benefits division
Benefits Plans offered pay from $2,000 to $20,000 a year toward medical care. The $2,000 plan mainly covers hospital care and limits emergency room payments $1,000. An additional $400 would be paid for diagnostic tests and $200 for prescription drugs. Five doctor visits are covered. The $20,000 plan limits outpatient care to $2,000 annually. No daily cap on hospital room costs, but $2,000 limit on hospital services, such as X-rays, drugs and surgical supplies. The company does not set annual payout caps, but policies do limit payments for individual services: Depending on policy chosen, insurer pays from $20 to $125 per doctor visit; $20 to $1,000 per test; $100 to $5,000 a day in hospital; $500 to $5,000 per in-hospital surgery; $50 to $500 per emergency room visit. Coverage ranges from $25,000 to $100,000 a year. Hospital payments subject to a per day maximum of $750 a day, or in the intensive care unit, $2,000 a day. Co-pay is $25 to see a doctor. Some plans limit doctor visits to 5 annually for adults or 7 per child. Plans vary, but generally range in coverage from $2,500 to $10,000 per year. No limit on daily maximum payment for in-hospital care, although patient pays 70% co-insurance for hospitalization. There are annual limits below the year's total for outpatient care: A $5,000 annual limit plan, for example, allows up to $1,250 in outpatient care each year, which includes doctor visits, emergency care, drugs and tests. The remaining $3,750 for in-hospital care. Plans limit benefit to a dollar amount ranging from $10,000 to $30,000, without separate limits on hospital and outpatient care. After reaching the annual maximum, payment stop until patients' medical bills reach a pre-set amount, ranging from $25,000 to $100,00, when insurance payments then resume.
Number of policyholders
200,000
67,000
200,000
67,000
NA
Offered in how many states?
46
50
50
42
38
1 -- subsidiary of Blue Cross Blue Shield of South Carolina Source: USA TODAY research