Does anyone have a policy with this company? I'm trying to find new family health insurance because the premiums through work are very high. This health insurance through Premiere quoted me $459.85 per month (me, husband and son). They give you a drug card for Rx's through BCBS of Oregon and its a $15 copay (which is excellent). They also cover a portion of dental through Aetna Dental. She said something about we would be billed a portion of the pre-negotiated bill for a doctor visit after Fairmont pays. Anyway, does anyone have coverage through Fairmont? Are you satisfied with it? Do you end up paying more than you thought?
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The company may be OK, although the A.M. Best rating is only B+. The plans are hospital certificates, not major medical. This means they are very limited as to what they pay. For example, if you need an ambulance ride they only pay $50. The average ride in my state is $1000 so you pay $950. They only pay $50 for ONE emergency room visit per year. The average in my state is $1500 so you pay $1450. The average hospital stay in my state is 5 days and cost $15,000. They will pay up to $1000 per day which leaves you paying $10,000. The doctor network is very limited. If you sign up with this plan make sure to search a doctor first to verify that they're still on the plan and that they're accepting new patients. My advice would be to visit a local independent agent. This person can compare the plans available in your area to find out the best plan for your situation and budget. They don't charge any extra for the service.
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