Paul
Zane Pilzer
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Alabama
Department of Insurance
(334) 269-3550
www.aldoi.org
Guaranteed Issue
Community Rated
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AL |
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Average Cost for an Individual Policy
Sold in 2004: $173/month*
(single, average age 28, healthy) |
*From 82,000 policies sold nationally online in 2004, see first page of Appendix A.
Typical Healthy Individual/Family Coverage
| |
Traditional Co-Pay
Policy* |
HSA/High-Deductible
Policy* |
| |
Single |
Family |
Single |
Family |
| Monthly Premium |
$210 |
$622 |
$118 |
$317 |
| Annual Deductible |
$1,000 |
$3,000 |
$2,600 |
$5,200 |
| Annual Out-of-Pocket
Max |
$2,500 |
$5,000 |
$4,600 |
$9,200 |
| Doctor Visit Co-Pay |
$25/2 visits
then 50% after ded |
$25/2 visits then 50% after ded |
-- |
-- |
| Prescription Co-Pay |
$10-25+20%
after $500 ded |
$10-25+20% after $500 ded |
-- |
-- |
| Lifetime Maximum |
$7 million |
$7 million |
$8 million |
$8 million |
*Fortis
PPO X-tra; single applicant (M/35); family applicant (M/35), spouse
(F/35), children (F/8, M/5) from Montgomery, AL 36104; quoted
5.2.05.
Fortis One Deductible; single applicant (M/35); family applicant
(M/35), spouse (F/35), children (F/8, M/5) from Montgomery, AL
36104; quoted 5.2.05.
State-Guaranteed Coverage for
People with Preexisting Conditions
Alabama Health Insurance Plan for HIPAA-Eligible
Applicants (AHIP)
| Monthly
Premium |
Annual
Deductible |
Annual
OOP Max |
Doctor
Visit Co-Pay |
Prescription Co-Pay |
Lifetime
Maximum |
| $309 |
$1,000 |
$1,500 + hospital ded |
20% |
20% + $500
ded |
$1 million |
*AHIP
Traditional Indemnity Plan C; single applicant (M/35); quoted 5.5.05
from www.seib.state.al.us.
HIPAA-eligible individuals: Applicants are
guaranteed acceptance into AHIP with no exclusions for preexisting
conditions.
Alabama guarantees coverage only to residents with
health issues who are HIPAA-eligible or low-income individuals.
Excerpted from The New Health
Insurance Solution
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