Autumn is an exciting time of year. The leaves are changing—and open enrollment period is almost here. This is your opportunity to enroll in a new health insurance plan (or make changes to an existing plan).
Back to fall for a minute though – when it comes to fall sports, families need to be prepared.
Here’s Alex, who was playing backyard football when he fell down. His parents took him to the closest urgent care clinic, where they got a referral to an orthopedist. It looked like Alex had torn his ACL. Luckily his parents had purchased family coverage through a Hooray Health plan offered through his father’s gig platform.
At the time, Alex’s family was not even close to meeting their ACA Marketplace plan deductible of $14,000. This meant that all of the treatment costs up to that amount would be 100% out-of-pocket. Consider the typical cost of treating a torn ACL without surgery:
| Procedure | National Average Cost |
|---|---|
| Urgent Care Visit | $200 |
| Orthopedist Visit | $300 |
| Follow-Up Orthopedist Visit | $150 |
| MRI (Imaging Facility) | $650 |
| Brace | $500 |
| Crutches | $500 |
| Physical Therapy (10 Visits) | $1,500 |
| Total Out-of-Pocket | $3,800 |
November 1st – Open Enrollment begins
December 15th – Last day to enroll or change plans for January 1st coverage
January 1st – Coverage begins for plans with enrollment completed by December 15th
January 15th – Open enrollment ends
February 1st – Coverage begins for plans with enrollment completed by January 15th
November 1st – Open Enrollment begins
December 15th – Last day to enroll or change plans for January 1st coverage
January 1st – Coverage begins for plans with enrollment completed by December 15th
January 15th – Open enrollment ends
February 1st – Coverage begins for plans with enrollment completed by January 15th
Autumn is an exciting time of year. The leaves are changing—and open enrollment period is almost here. This is your opportunity to enroll in a new health insurance plan (or make changes to an existing plan).
Back to fall for a minute though – when it comes to fall sports, families need to be prepared.
Here’s Alex, who was playing backyard football when he fell down. His parents took him to the closest urgent care clinic, where they got a referral to an orthopedist. It looked like Alex had torn his ACL. Luckily his parents had purchased family coverage through a Hooray Health plan offered through his father’s gig platform.
At the time, Alex’s family was not even close to meeting their ACA Marketplace plan deductible of $14,000. This meant that all of the treatment costs up to that amount would be 100% out-of-pocket. Consider the typical cost of treating a torn ACL without surgery:
| Procedure | National Average Cost |
|---|---|
| Urgent Care Visit | $200 |
| Orthopedist Visit | $300 |
| Follow-Up Orthopedist Visit | $150 |
| MRI (Imaging Facility) | $650 |
| Brace | $500 |
| Crutches | $500 |
| Physical Therapy (10 Visits) | $1,500 |
| Total Out-of-Pocket | $3,800 |
Alex doesn’t require surgery but does require a few follow-up appointments—plus a brace, crutches, and physical therapy.
Hooray Health helps protect individuals and families with up to $7,500 of accidental injury coverage in its plans.
Let’s look at his family’s out-of-pocket costs with and without a Hooray Health plan:
| Total Cost of Treatment | ACA Silver Plan with $14,000 Deductible (Unmet) | Hooray Health Plan |
|---|---|---|
| $3,800 | $3,800 | $25 |
With a Hooray Health plan alongside their ACA Marketplace health insurance plan, Alex’s treatment would be 100% covered. Available for about $40/month for an individual and $86.98 for families, this coverage helps families like his protect both their health and their bank accounts.
Take a look at Hooray Health’s supplemental insurance offering.
Sources:
https://americanhealthimaging.com/cost-comparison/
https://health.costhelper.com/acl-reconstruction.html
https://spendonhealth.com/acl-surgery-cost/
https://afcurgentcare.com/blog/cost-of-urgent-care-vs-cost-of-er-visit/
https://mdsave.com/procedures/orthopedic-established-patient-office-visit/d784f8ca