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Understanding medical / health insurance quote?

I recently got a quote for a health insurnace, but I am not sure I have a proper understanding what they mean... IN NETWORK: Deductible Ind / Fam - 2500/5000 Co-Insurance - 80% Maximum Out-Of-Pocket - 5000/10000 then some co-pays for Office, Labs, Specialists (I'm OK with that) Hospital 2500/5000 In/Out Net So, the QUESTION IS: If I am taken to hospital for 10 days (say, I am Ind, not Fam; and the bill, say, is 18000): - I first pay Deductible 2500; - then I pay 80% of the amount up to 5000 Max Out-of-Pocket; - and then Insurance covers the remaining part of the bill? How it works if the Hospital part In Net looks like 500D/5D/admit after Ded - who pays if it is over 5 days and how much? 100% or Co-Insurance part? Thank you for your help, as I got confused even after reading all the helps on insurance web-sites.

Public Comments

1. You should be buying through a local agent, instead of trying to do "do it yourself" insurance - they can explain how all this works. Your abbreviations aren't clear - if you have a five day deductible, the first five days of care aren't covered. If you have a limit of coverage, to five days, then YOU pay every day over five days.
2. If you are going to do it yourself get quotes from different life insurance companies first. Agents will cost you $. If it is too much trouble then consider getting a non term life insurance plan for say like $50,000 without a medical exam.
3. I'm not an expert on this, however I would suggest you take a tour here http://www.HealthInsuranceIdeas.info/free-online-health-insurance.htm ,there are expert's tips there.
4. Is your deductible included in your out of pocket max ? sometimes it is, sometimes it isn't. you pay your deductible of 2500$ ... then you pay your co-insurance of 80% up to 5000$ (oop max) then insurance pays 100% of covered services for the calendar yr.