Question:
WHAT IS AN 80/20 PLAN? IS IT SOMETHING REGULAR INSURNCE COMPANIES DONT COVER.

I HAVE HEARD MANY PEOPLE ON THIS WEBSITE METION A 80/20 PLAN. I WANT TO KNOW WHATS THE DIFFENCE BETWEEN THAT AND A PLAN THAT YOU CAN GET FROM BLUECROSS OR HEALTHNET ETC. I ALSO WANT TO KNOW IF IT IS A BETTER BUY.    — [Anonymous] (posted on May 10, 2001)


May 10, 2001
I believe 80/20 refers to how much the insurance company pays. They pay 80% you pay 20%.
   — Cindy H.

May 10, 2001
I have BC/BS that has an 80/20 plan. Insurance will pay 80% and I pay 20% however, my policy has a maximum out of pocket expense for me of $800.00 That means that once my portion of payment exceeds $800.00, it coverage is at 100%. Most all insurances have a % they don't pay. For example, there are BC/BS policies that pay 90/10 or 70/30. It really depends on what policy you have.
   — Margaret B.

May 10, 2001
An 80/20 plan is what is known as a traditional plan in most areas... and yes its where your insurance pays 80% of the usual and customary charges and your copayment due is 20%. This is just one of many kinds of insurance that are available. Its also known as an indemnity plan. Its unlike and HMO where you have a set copayment due.
   — Dawn R.




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