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Need Advice with Health Insurance

Posted on 10/24/19 at 6:45 pm
Posted by OakdaleTiger21
Member since Apr 2014
144 posts
Posted on 10/24/19 at 6:45 pm
So my wife is currently a school teacher and we are expecting our first child at the beginning of the year. Right now we have Blue Cross Blue Shield Magnolia plus insurance. The state or parrish (not sure) is now offering a new plan called Pelican HRA 1000. I was hoping somebody here knew the differences between the plans or had a wife who taught also. TIA!
Posted by TigerAlum1982
Member since Sep 2011
1554 posts
Posted on 10/24/19 at 8:57 pm to
I have had the Magnolia Local Plus through State Group Benefits for a long time and I really like it. Broke my wrist about 8 or so years ago and had no problems with coverage and just had my co-pays. I do not know much about the Pelican HRA 100. The co-insurance and deductible scared me off from that one. But if your wife has it through EBR school system, her benefits might be different than state OGB.
Posted by LSUFanHouston
NOLA
Member since Jul 2009
40221 posts
Posted on 10/25/19 at 9:14 am to
My wife teaches in a school system that uses OGB. We have Magnolia Local Plus, family coverage, and it works great.

The important thing to remember about the Pelican HRA 1000 (and any HRA affiliated plan) is that an HRA is NOT an HSA. With an HRA, the employer funds an amount each year to automatically pay bills which apply to your deductible. For a family HRA 1000 plan... it's $2,000 a year. So, year 1, your family deductible is $4,000, of which $2,000 could be covered by the HRA. The next $2,000 would be covered by you, and then you cover your co-insurance once you hit deductible.

The HRA balance can roll over but only until you have enough to satisfy the annual out of pocket max which is $10,000. Also, if you leave an OGB affiliated employer (including if your wife's school system leaves OGB system) then you lose any leftover money.

With a new baby on the way, I'd be tempted to stick with Magnolia Plus. The premiums are a bit higher, but babies have a lot of medical expenses, and the predictibility of the regular plan just makes life easier for you.

HRA affiliated plans are ok if you want to save money and you don't have a lot of regular medical expenses.

OGB also offers an HSA affiliated plan. They put in a base amount per year, and match up to a certain level. Since it's an HSA plan, if your wife leaves, she can take it with her. The deductibles and co-insurance is the same as the HRA plan (prescriptions are different).
Posted by OakdaleTiger21
Member since Apr 2014
144 posts
Posted on 10/25/19 at 10:46 pm to
Man guys, these responses were great! Thanks! Was kinda thinking to stick with the Magnolia Plan just because I feel it's the safer option with the baby and yalls responses confirmed that. I really appreciate the advice!
Posted by adavis
North of I-10
Member since Aug 2007
5944 posts
Posted on 10/26/19 at 11:10 am to
I had the Pelican HRA when I was a teacher. It was great because it was cheap and my school district kicked in $2,000 per year for me to use. Whatever isn't used in a year rolls over to the next year. That said, we didn't have any expensive medical issues in the time I had it. With a child on the way, I'd stick with what you have for now. In the future, the HRA can be great, but it's not good for covering expensive bills.
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