Health Ins question: HDPD or PPO type? | TigerDroppings.com

Posted byMessage
Coon
Nicholls St. Fan
La 56 Southbound
Member since Feb 2005
16053 posts

Health Ins question: HDPD or PPO type?



I've always went with HDPD because i never go to the DR. Last year my son was born and we put him on my insurance. It's open enrollment so I'm trying to figure out: is HDPD still the best choice or should I go with PPO?

HDPD deductable for both of us is $3000, PPO is $2250.
Dr's visits are 20% (after ded) with HDPD and $30 copay with PPO.
Prescriptions are 20% (after ded) for HDPD and $15 to $45 copay with PPO.

He's not a sickly kid (so far). Also, company pays $500 into the HSA account with HDPD.

Thanks...







Back to top
Share:
NattyLite
LSU Fan
St. Charles Community
Member since Jan 2010
1596 posts

re: Health Ins question: HDPD or PPO type?


Yes. Thats the only answer.
Follow your heart.



This post was edited on 11/15 at 1:16 pm


Back to top
  Replies (0)
CHSBears
Texas A&M Fan
Baton Rouge
Member since Aug 2007
523 posts

re: Health Ins question: HDPD or PPO type?


I have a HDHP with a HSA and the thing to compare with other policies is the total out of pocket annually. My exposure (out of pocket) with HDPD is 4,000 annually, company options with PPO is 5,500 and HMO is 6,000. HDHP is a no-brainer.





Back to top
  Replies (0)
tiger91
LSU Fan
South of Lafayette
Member since Nov 2005
13446 posts

re: Health Ins question: HDPD or PPO type?


Put Is the PPO a per person ded? I know that often times they are.

What's the premium difference??? And also the total out of pocket??






Back to top
Coon
Nicholls St. Fan
La 56 Southbound
Member since Feb 2005
16053 posts

re: Health Ins question: HDPD or PPO type?


No, PPO ded is $2250 for "family"...

Premium is $150/month for HPDP and $210/Month for PPO. Both max out of pocket is $12,000.






Back to top
  Replies (0)
foshizzle
LSU Fan
Washington DC metro
Member since Mar 2008
30514 posts

re: Health Ins question: HDPD or PPO type?


Keep in mind that your HDPD deductions roll over year to year, and when you turn 59 1/2 it becomes effectively a second IRA.

PPO flex dollars (if you have them) are use it or lose it every year. That's why I have five pairs of eyeglasses.






Back to top
Coon
Nicholls St. Fan
La 56 Southbound
Member since Feb 2005
16053 posts

re: Health Ins question: HDPD or PPO type?


basically it boils down to:

HDPD is $3000 deductible less $500 company contribution then 20% for dr's visits and prescriptions.

PPO is $2250 deductible plus $720 extra premium per year with $30 copays for dr's visits and prescriptions.







Back to top
slinger1317
Louisiana
Member since Sep 2005
1712 posts

re: Health Ins question: HDPD or PPO type?


Most HDHP are 100% covered after deductible. Why would your Dr. visits still have you paying 20%?

Is this common? I have an HDHP and as long as I stay in network, once the deductible is met, there is no charge for any service. I have 2 young kids and we have no problem meeting the deductible every year, sometimes with 6 months to spare.






Back to top
Coon
Nicholls St. Fan
La 56 Southbound
Member since Feb 2005
16053 posts

re: Health Ins question: HDPD or PPO type?


ok, i was wrong. the PPO is $750 for me and $750 for him.





Back to top
  Replies (0)
CHSBears
Texas A&M Fan
Baton Rouge
Member since Aug 2007
523 posts

re: Health Ins question: HDPD or PPO type?


Correct about the HDHP and deductable. Mine is a 2,000 individual/4,000 family deductable. Once deductable met, 0 co-pay, 100% insurance. This is why I believe the comparison is exposure to catastrophic event ( out of pocket cost ).





Back to top
  Replies (0)
CajunAlum Tiger Fan
LSU Fan
The Great State of Louisiana
Member since Jan 2008
3213 posts

re: Health Ins question: HDPD or PPO type?


My company provided a calculator to run scenarios through to help us choose and there was no scenario for my family (wife and 2 3 year old kids) where the HSA wasn't a better option. I've been on HSA for 3 years now and have over $14K in the account (half of that deposited by the company) that $$ would have gone to an insurance company.





Back to top
  Replies (0)
medtiger
LSU Fan
Cubs Fan
Member since Sep 2003
17746 posts

re: Health Ins question: HDPD or PPO type?


quote:

Most HDHP are 100% covered after deductible. Why would your Dr. visits still have you paying 20%?


Mine is deductible then out of pocket max which is about 2x the deductible. I pay 20% after the deductible until I reach the out of pocket max.






Back to top
  Replies (0)
tiger91
LSU Fan
South of Lafayette
Member since Nov 2005
13446 posts

re: Health Ins question: HDPD or PPO type?


quote:

Most HDHP are 100% covered after deductible. Why would your Dr. visits still have you paying 20%?


Because for us the premium was too much to keep the coverage 100% after ded was met. We were comfortable with going 80/20 meaning the 20% is our part until we reach the oop max.

It worked for us.






Back to top
  Replies (0)
Siderophore
LSU Fan
Member since Nov 2010
3335 posts

re: Health Ins question: HDPD or PPO type?


HSA plans will win by far in the long run, especially if given a serious opportunity to grow.

The way I see it, it allows you to self insure for the same pocket cost as a family PPO plan.

That way, if the insurance company says no to something, you aren't completely screwed.....

Also, if you are REALLY lucky health wise, you are free to withdraw from it as if it was an IRA after your hit 65



This post was edited on 11/18 at 9:01 am


Back to top
  Replies (0)


Back to top