Consider and Compare Your Health Plan Options
When choosing a health plan, it’s critical that you understand which expenses will be covered and which ones you will have to pay for out of pocket. Your out of pocket amount will depend on whether or not you use a provider who is “In Network” compared to one who is “Out of Network.”
On top of that, you need to clearly understand which, if any, of your child’s medical needs will not be covered at all.
Use the following checklist to help you choose the most appropriate health coverage for your child:
| Pediatric Services Covered | Extent of Coverage | In-Plan Cost Sharing | Out-of-Plan Cost Sharing |
|---|---|---|---|
| Well Child and adolescent visits, including developmental screening | |||
| Immunizations | |||
| Visions and hearing | |||
| Dental Care | |||
| Health Education |
| Pediatric Services Covered | Extent of Coverage | In-Plan Cost Sharing | Out-of-Plan Cost Sharing |
|---|---|---|---|
| Physician Services | |||
| Hospital Services | |||
| Emergency Services | |||
| Surgical care | |||
| Prescription medications | |||
| Lab and x-ray services |
| Pediatric Services Covered | Extent of Coverage | In-Plan Cost Sharing | Out-of-Plan Cost Sharing |
|---|---|---|---|
| Medical subspecialists and surgical specialty services | |||
| Occupational, physical, speech, and respiratory therapy services | |||
| Mental health and chemical dependency services | |||
| Durable medical equipment, supplies and assistive technology devices | |||
| Home health care | |||
| Nutrition services and products | |||
| Care coordination services | |||
| Other |
| Pediatric Services Covered | Amount |
|---|---|
| Annual Premium | |
| Annual deductible | |
| Annual out-of-pocket cost limit | |
| Lifetime out-of-pocket cost limit |
Download Health Plan checklist in PDF
If you are concerned about the cost of health care, and if your doctor failed you and your baby in any way, then you might be entitled to financial help. Contact 4MyChild today to see if your child is eligible for Benefits4Life.
