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Health insurance is changing at my job and curious if the new plans are as awful as I feel

Posted on 8/11/21 at 3:37 pm
Posted by CatfishJohn
Member since Jun 2020
13337 posts
Posted on 8/11/21 at 3:37 pm
2 options, but with a bunch of kids and me being accident prone I figured I'd go for the lower deductible, higher premium (putting high ded. plan option in parentheses):

Deductible: $6,600 ($11,600)
Out of Pocket Maximum: $9,000 ($14,000)
Premium: $968 ($764)

Coverage-
Preventive Services: 100%
Everything else: 80% after deductible (50% after deductible)

They do contribute $100 of match per month to an HSA and $250 one time deposit for new enrolls.



This seems fricking awful. Am I off-base? Previous plan was FREE after deductible, the deductible was lower, and the premium was lower. Tough times I guess.

Posted by Vrai
Baton Rouge
Member since Nov 2003
3891 posts
Posted on 8/11/21 at 3:45 pm to
It's pretty fricking awful for a company sponsored plan
Posted by Bestbank Tiger
Premium Member
Member since Jan 2005
70896 posts
Posted on 8/11/21 at 3:56 pm to
quote:

Deductible: $6,600 ($11,600)
Out of Pocket Maximum: $9,000 ($14,000)
Premium: $968 ($764)


You're out $18k before insurance pays anything, assuming they don't weasel out. That's terrible.

Might want to look into a sharing ministry.
Posted by CatfishJohn
Member since Jun 2020
13337 posts
Posted on 8/11/21 at 4:03 pm to
What is a sharing ministry?

Also, does anyone know how this compares to just getting your own plan for the family outside of work? Never been in this situation before.

Posted by Bestbank Tiger
Premium Member
Member since Jan 2005
70896 posts
Posted on 8/11/21 at 4:08 pm to
quote:

What is a sharing ministry?

Also, does anyone know how this compares to just getting your own plan for the family outside of work? Never been in this situation before.


Mutual aid society. The largest ones are Medi-Share, Samaritan, Liberty Healthshare, and Christian Healthcare Ministries.

Nothing to lose by investigating (except your time, if you decide they're not for you).
Posted by CatfishJohn
Member since Jun 2020
13337 posts
Posted on 8/11/21 at 4:14 pm to
Thanks

I love my company and my work, but this completely negates the raise I just got. Pretty infuriating. I know they're trying to cut costs, but frick.

Posted by Tshiz
Idaho
Member since Jul 2013
7545 posts
Posted on 8/11/21 at 4:25 pm to
Dwight picked that plan
Posted by castorinho
13623 posts
Member since Nov 2010
82010 posts
Posted on 8/11/21 at 4:25 pm to
quote:

You're out $18k before insurance pays anything,
That's just not accurate
Posted by WDE24
Member since Oct 2010
54132 posts
Posted on 8/11/21 at 4:28 pm to
Well the premium is low compared to what I pay. The coverage is terrible though.
Posted by Bestbank Tiger
Premium Member
Member since Jan 2005
70896 posts
Posted on 8/11/21 at 4:47 pm to
quote:

quote:
You're out $18k before insurance pays anything,
That's just not accurate



$12k in premiums + $6k in deductibles.
Posted by Michael Scotch
Member since Oct 2020
64 posts
Posted on 8/11/21 at 4:55 pm to
quote:

Dwight picked that plan


He did. Blame him

OP - sorry to hear on the new lack of coverage. As others mentioned, look into a medishare plan. I’ve heard good things but not incredibly familiar with them myself
Posted by LSUFanHouston
NOLA
Member since Jul 2009
37034 posts
Posted on 8/11/21 at 5:03 pm to
Looks like those are both technically "high deductible plans"

Is the $100 match/month available on both plans?

The difference between the deductible and out of pocket is only $2,400 on both plans, and then it will pay at 100 percent after.

So that's basically $12,000 worth of cost at 20% co-insurance, and then 100 percent afterwards.

It's not good... that's for sure.

Private health insurance is also stupid expensive.

Wonder how mucu COVID is having to do with these increases.
Posted by lynxcat
Member since Jan 2008
24131 posts
Posted on 8/11/21 at 5:04 pm to
quote:

You're out $18k before insurance pays anything,


That is not correct.
Posted by lynxcat
Member since Jan 2008
24131 posts
Posted on 8/11/21 at 5:05 pm to
quote:

$12k in premiums + $6k in deductibles.



That premium should be for the year, not monthly.
Posted by Pendulum
Member since Jan 2009
7042 posts
Posted on 8/11/21 at 5:09 pm to
Is this employee+spouse+kids (family)?
Or Employee+kids only?

That does not seem that awful to me for a family plan honestly; my company does not even offer a family plan with a monthly premium that low. You are paying over 1g to get any coverage worth a shite; and we have 3 tiers. Cheapest family tier is a $1500 monthly premium (company pays $350 of that, so employee sees $1150) deductible is 12700 for family then 50% coinsurance. MAX out of pocket 15800...it's basically a catastrophe protection plan for more than the premium you are concerned about. (Best tier is $2200 (empl portion is $1650 monthly, but awesome plan = no deductible, max out of pocket is 2500) all bcbs plans

We are getting 8-12% increases annually for our group plans, it's retarded. I'm guessing eventually it wont be feasible anymore unless you have a million employees, and that's probably the plan.
This post was edited on 8/11/21 at 5:36 pm
Posted by tiger91
In my own little world
Member since Nov 2005
36703 posts
Posted on 8/11/21 at 5:18 pm to
We're out 20,600 between premium/ded with our BCBS individual policy. F'ing sucks.
Posted by CatfishJohn
Member since Jun 2020
13337 posts
Posted on 8/11/21 at 5:24 pm to
quote:

Is this employee+spouse+kids (family)?
Or Employee+kids only?



Spouse and kids (family)

The plan for me and my kids is like half on the premium. Why is the addition of my spouse so much? We're done having kids, but that is the only guess I have because that is expensive.

Posted by Pendulum
Member since Jan 2009
7042 posts
Posted on 8/11/21 at 5:25 pm to
because your kids wont have medical issues; your spouse is closer to your age, thus more expensive. It's all just odds.
Posted by CatfishJohn
Member since Jun 2020
13337 posts
Posted on 8/11/21 at 5:27 pm to
Gotcha - that makes sense.

The insurance company hasn't met my sons obviously

Caught them jumping off the top of their dresser onto a pile of rigid plastic toy trucks the other day. All cover in bruises and cuts and laughing.

Part of the reason I'm scared of future ER bills with this plan

Posted by zephry801
Member since Dec 2017
434 posts
Posted on 8/11/21 at 6:52 pm to
Delete this post or they'll find it and raise the rates
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