High-quality health care leads to happiness and well-being. A health insurance policy, the contract between an insurance company and a policy holder, is intended to safeguard against high and unexpected health care costs. Although policy holders pay a monthly premium, co-payments, co-insurance, and deductibles, it is expected that the total is far less than what may be required if paid fully out-of-pocket.

Affordable options are often a main concern when comparing health insurance plans. The monthly premium, as well as the payment required when medical services are rendered, are considered when budgeting for a plan. A higher out-of-pocket cost at the time of service generally translates to a lower monthly premium.

Several factors may affect plan affordability:

  • Plan – projected future health care needs
  • Co-insurance – a specified percentage of the cost of medical services that is paid by the insured after a deductible is met
  • Co-payment – a preset fee paid by the insured each time medical care is accessed or medications are purchased
  • Deductible – a specified amount paid by the insured before the insurance company compensates for medical care
  • Exclusions – predetermined services that an insurance company does not pay for
  • Life-time payout – a specified maximum amount an insurance company will pay during the lifetime of the insured
  • Non-covered specialty services – services provided by specialists that are limited or not covered at all
  • Out-of–plan services – necessary specialty services not available from in-plan providers
  • Out-of-pocket maximum – a specified annual limit that is paid by the insured before benefits are paid at 100% by the insurance company
  • Riders – amendments permanently excluding services to a specific condition

RESOURCES How MyChild™ Can Help

Knowing about resources and opportunities can make a difference, but knowing how to find and qualify for those resources is key.

MyChild™ recognizes that families touched by cerebral palsy are busy. Raising a child with mobility impairment requires doctor visits, treatments, therapies, and a host of responsibilities within the home, school, and community. MyChild™ hopes to help. Your time is precious.

Over the years, MyChild™ has expanded our database of contacts, information, and resources, which may be of assistance. We share general information online, but also offer a wealth of state and local information that may be more appropriate to particular circumstances and an individual child’s needs through our call center.

MyChild™ operates a call center to efficiently assist parents and others with questions and concerns. Call 1-800-MyChild (1-800-692-4453) for resources within your community, based on your family’s particular circumstances.