Paul Zane Pilzer

  

  




State-by-State Guide to       

Individual/Family Health Insurance

 

Florida Dept of Financial Services
(850) 413-3100 (customer helpline)
www.fldfs.com
Guaranteed Issue   
Community Rated   

FL



 

Average Cost for an Individual Policy Sold in 2004: $148/month*
(single, average age 34, 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 $168 $586 $73 $204
Annual Deductible $750 $1,500 $3,500 $7,500
Annual Out-of-Pocket Max $3,000 $6,000 $3,500 $7,500
Doctor Visit Co-Pay $35 $35 -- --
Prescription Co-Pay $20-50 + $250 ded $20-50 + $250 ded -- --
Lifetime Maximum $3 million $3 million $3 million $3 million pp
*Golden Rule Copay 35; single applicant (M/35); family applicant (M/35), spouse (F/35), children (F/8, M/5) from Tallahassee, FL 32301.
Golden Rule Single/Family HSA Saver; single applicant (M/35); family applicant (M/35), spouse (F/35), children (F/8, M/5) from Tallahassee, FL 32301
.

State-Guaranteed Coverage for

Approximation for an Individual Policy for HIPAA-Eligible Applicant*
Monthly Premiumm Annual Deductible Annual OOP Max Doctor Visit Co-Pay Prescription Co-Pay
$244 $1,000 $4,000 $20 20-40% $2 million

*Blue Cross Blue Shield of Florida PPO Blue Choice Plan 1; single applicant (M/35); quoted 5.12.05 from www.bcbsfl.com and phone call with Keith at 800.766.3737. Without specific health condition disclosures, BCBS cannot provide a HIPAA-eligible quote. Blue Choice benefits are available for HIPAA-eligible plans, and that premium is about two times the normal premium. For specific quotes, please call BCBS directly at 800.766.3737.

HIPAA-eligible individuals: Every insurance company is required to provide applicants with a policy with no exclusions for preexisting conditions.

Florida guarantees coverage only to residents with health issues who are HIPAA-eligible or low-income individuals. Businesses with 1 to 50 employees have access to open enrollment guaranteed-issue plans if they can provide proof of business income in at least one of the two preceding calendar years.

Florida 's state risk pool is not accepting new enrollees pending state funding

Excerpted from The New Health Insurance Solutionn

 


 
  ADDITIONAL RESOURCES FOR THE NEW HEALTH INSURANCE SOLUTION
   



New Health Insurance Solutions for individuals, families, self-employeds, and businesses.

 



View the basic chapter table, expanded topical table, and pdf table of contents.

 



View the html or download a pdf version of the October 2005 press release.

   



Read excerpts on each topic discussed in The New Health Insurance Solution.



Read full reviews of The New Health Insurance Solution by Newsweek, The Wall Street Journal, Forbes, etc.



Read selected portion of reviews by Newsweek, CNN, The Wall Street Journal, Forbes, etc.

   



Read endorsements of The New Health Insurance Solution.

 



View other books written by New York Times best-selling author Paul Zane Pilzer.

 



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