Major Medical Insurance
Denver, Colorado Springs, Front Range
Colorado

What is Major Medical Insurance?

Major Medical Insurance is health insurance that offers comprehensive coverage for catastrophic healthcare expenses.  Coverage tends to be more comprehensive for "big things" than for "little things".  There are many different  types of health insurance, but major medical insurance typically offers a higher deductible than full coverage health insurance, and therefore, premiums tend to be lower.  Major Medical Health Insurance   Plans DO NOT limit coverage for catastrophic care, except as subject to the health plan's lifetime maximum.  Major Medical health insurance comes in two different categories:

• HSA Compatible Major Medical Plans
• Traditional Major Medical Plans

HSA Compatible Major Medical Plans

HSA Compatible Major Medical Plans are health plans that pay 50%,70%,80% or 100% after a high deductible until you reach the plan's maximum out of pocket responsibility, at which time, the plan pays 100% for all covered benefits.  Deductibles for HSA Compatible plans usually start at:

• $1500 for an individual
• $3000 for a family

HSA Compatible plans, also known as HDHPs, allow you to save dollars in a tax-advantaged health savings account (HSA) that you can use to pay for deductible or out-of-pocket health care expenses.  For more information about HSAs, visit our HSA webpage. 

Typically, HSA compatible plans offer preventive care coverage immediately.  In other words, you do not have to meet your plan deductible before coverage begins for preventive care services, such as pap smears, mammograms, checkups, well-child exams and immunizations.  Other preventive benefits that could be covered without being subject to the plan deductible are cholesterol tests, bone density screenings and colonoscopies.  However, these services are not typically exempt from the plan deductible, unless you purchase an Anthem Blue Cross and Blue Shield Lumenos HSA Plan.  Other HSA compatible plans that are priced very competitively in Denver, Colorado Springs, and along the Front Range include:

• Humana One Total Plus Rx HSA Plan
• Aetna Managed Choice Open Access (HSA) Plans
• Kaiser Permanente (Denver/Boulder area only)

Tip:  Add an accident rider to your HSA plan to receive first-dollar coverage per person per accident in PLACE of your plan deductible.  This is a great benefit to add to your policy if you are very active or if you have little children.  It is inexpensive and will save you money if you are injured due to an accident.  The accident plan that we recommend is WBA AccidentShield Accident Injury Insurance.


Traditional Major Medical Plans

Traditional Major Medical Plans are health insurance plans that offer copay coverage for routine "sick" visits and also for prescription drugs in combination with high deductible major medical coverage.   These plans are NOT HSA compatible.  A few plans that offer very competitive rates in Denver, Colorado Springs, and along the Front Range include:

• Anthem Blue Cross and Blue Shield SmartSense Plans
• Humana One Autograph Share 80 Plus Rx and Copay
• Aetna Managed Choice Open Access 2500 Plan
• Kaiser Permanente
• Assurant Health CoreMed Plan

For more information about Colorado Health Insurance for Individuals and Families, visit our Individual Health Insurance webpage.