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Is there anything like tiered health insurance?

Posted on 5/2/19 at 11:48 pm
Posted by Kujo
225-911-5736
Member since Dec 2015
6015 posts
Posted on 5/2/19 at 11:48 pm
I've only heard about health insurance differences in the form of HMO vs PPO and/or deductable differences.

I haven't heard about tiered coverage differences. As an example:

Say someone has diabetes tier 1 coverage means you get syringes & vials of insulin. ($4 dollar solution) Tier 5 coverage means you get everything 1 thru 4 could get, but you can also get Appleplay Bluetooth compatible insulin pump ($10k option)

Like tier 1 is for medical treatment that was available in 1970, tier 2 the 80's, tier 3 90's innovations, etc..tier 5 is the state of the art $$$ R&D treatment.

Think food. No person should starve to death, but why do people who don't pay for it deserve filet? Bread/water at your payment level.

Kind of a compromise, "free health care" but not high tier care.
Posted by Winston Cup
Dallas Cowboys Fan
Member since May 2016
65489 posts
Posted on 5/2/19 at 11:49 pm to
So that dickbag Cosmo can pay for his wife and girlfriend to go shopping
Posted by slackster
Houston
Member since Mar 2009
84610 posts
Posted on 5/2/19 at 11:50 pm to
It's not tiered, but every plan typically covers different things.
This post was edited on 5/2/19 at 11:51 pm
Posted by SECdragonmaster
Order of the Dragons
Member since Dec 2013
16174 posts
Posted on 5/3/19 at 5:43 am to
Because the general population can not accept any discussion that does not presume all people should get all things equally.
Posted by FutureMikeVIII
Houston
Member since Sep 2011
1061 posts
Posted on 5/3/19 at 6:12 am to
That’s great and all, but with Today’s pricing Tier 1 is the $10k option, Tier 5 is probably the $10,000,000 option.
Posted by fatboydave
Fat boy land
Member since Aug 2004
17979 posts
Posted on 5/3/19 at 7:09 am to
Obama and the Democrats fudged us all
Posted by Spasweezy
Unfortunately, Louisiana
Member since Jan 2014
6605 posts
Posted on 5/3/19 at 7:10 am to
Yes. It’s what is used today.
Posted by Macavity92
Member since Dec 2004
5981 posts
Posted on 5/3/19 at 7:12 am to
I think you can get some version of this, but if it is employer sponsored you pay taxes on the premium above other tiers and Obamacare still limits what treatment and diagnostics are available. Google “Cadillac plan”
Posted by Wasp
Off Highland rd.
Member since Sep 2012
1483 posts
Posted on 5/3/19 at 7:37 am to
What your kind of describing is our current set up although not exactly.

What’s more interesting is tiering providers and basing co-pays on those tiers. Take labs for example:
Tier 1 might be labcorp and labquest. Those are free.
Tier 2 might be independent labs. Those have a low co-pay.
Tier 3 might be labs located at clinics or hospitals. Those have a high co-pay.

The idea is to steer members to the lowest cost providers for routine services.
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