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Started By
Message
Health Ins question: HDPD or PPO type?
Posted on 11/15/12 at 1:10 pm
Posted on 11/15/12 at 1:10 pm
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...
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...
6
Posted on 11/15/12 at 1:13 pm to Coon
Yes. Thats the only answer.
Follow your heart.
Follow your heart.
This post was edited on 11/15/12 at 1:16 pm
Posted on 11/15/12 at 2:44 pm to Coon
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.
Posted on 11/15/12 at 2:53 pm to Coon
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??
What's the premium difference??? And also the total out of pocket??
Posted on 11/15/12 at 2:57 pm to tiger91
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.
Premium is $150/month for HPDP and $210/Month for PPO. Both max out of pocket is $12,000.
Posted on 11/15/12 at 3:06 pm to Coon
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.
PPO flex dollars (if you have them) are use it or lose it every year. That's why I have five pairs of eyeglasses.
Posted on 11/15/12 at 3:15 pm to foshizzle
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.
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.
Posted on 11/15/12 at 3:24 pm to Coon
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.
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.
Posted on 11/15/12 at 3:28 pm to slinger1317
ok, i was wrong. the PPO is $750 for me and $750 for him.
Posted on 11/16/12 at 8:40 am to slinger1317
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 ).
Posted on 11/16/12 at 10:33 am to Coon
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.
Posted on 11/16/12 at 12:49 pm to slinger1317
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.
Posted on 11/16/12 at 4:23 pm to slinger1317
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.
Posted on 11/18/12 at 8:59 am to Coon
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
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 11/18/12 at 9:01 am
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