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Health insurance question

Posted on 4/12/21 at 5:09 pm
Posted by jimbeam
University of LSU
Member since Oct 2011
75703 posts
Posted on 4/12/21 at 5:09 pm
I’ve always had HDHP and an HSA. I file taxes single. This year our options have changed.

One option has a 3k ded, 6k max OOP
Option two has 5k ded, 7,150 max OOP

Option two is $900 less per year. Based on the max OOP it appears that option 2 isn’t HSA eligible, but option 1 is. Assuming this is correct, is the $900 premium worth it to be able to fund an HSA? I was under the impression that HSA eligible HPs were typically cheaper than the alternative.
Posted by BayouBlue
Austin
Member since Nov 2003
1940 posts
Posted on 4/12/21 at 8:21 pm to
How often do you go to the doctor or pick up a script? Does your employer contribute to the HSA?

If you routinely require access to care, you might be best suited for the copay plan. If you seldom access your providers and if it does not break the bank or if you know you will satisfy your deductible then it’s a no brainer to pay the additional $900 to be able to set aside pre-tax dollars. My 2cents
Posted by meansonny
ATL
Member since Sep 2012
25597 posts
Posted on 4/12/21 at 8:29 pm to
Both plans look like high deductible plans to me and both should be hsa elitible.
Posted by dovehunter
Baton Rouge
Member since Sep 2014
1222 posts
Posted on 4/12/21 at 9:12 pm to
Agree. Both look like HSA plans. Get a 100% pay after deductible is satisfied. Those 80/20 plans can still bankrupt you. HSA plans are the best deals out there. Get a high deductible plan and max out your contribution. Never look back.
Posted by el Gaucho
He/They
Member since Dec 2010
52973 posts
Posted on 4/12/21 at 9:22 pm to
If you’re a man you don’t need insurance

I’ve regretted having insurance every time I’ve had it and when I had something go wrong and had insurance I ended up paying most of it out of pocket and what the insurance covered wasn’t worth what I paid in premiums. Welcome to blue cross

Just drink if you’re sad and lose weight if you’re fat baw. That’s probably what’s wrong with you. Women go to the doctor every Day but you’re a real man right? Tough it out
Posted by TigerGrl73
Nola
Member since Jan 2004
21278 posts
Posted on 4/13/21 at 7:13 am to
quote:

Both plans look like high deductible plans to me and both should be hsa elitible.

The max OOP is too high (barely) for individual coverage on Option 2 to qualify.
Posted by castorinho
13623 posts
Member since Nov 2010
82026 posts
Posted on 4/13/21 at 8:07 am to
Does your company match anything for the HSA?
Posted by slackster
Houston
Member since Mar 2009
84871 posts
Posted on 4/13/21 at 8:10 am to
This is a pretty tough call.

HSAs are so superior that I tend to think it is still worth it here.
Posted by slackster
Houston
Member since Mar 2009
84871 posts
Posted on 4/13/21 at 8:15 am to
quote:

7,150 max OOP


That’s such a shitty OOP deductible. It’s like it was intentionally designed to avoid an HSA.
Posted by castorinho
13623 posts
Member since Nov 2010
82026 posts
Posted on 4/13/21 at 8:15 am to
I have the break-even at a little over 4k of my medical expenses in a year. Cdhp being cheaper below that threshold.
That's not counting for the obvious HSA tax advantages and is based on the limited info he's posted so far
Posted by AndyJ
Member since Jul 2008
2755 posts
Posted on 4/13/21 at 8:16 am to
Stupid question... I have a hernia surgery I have been putting off. I assume I should wait for the surgery before I go high deductible plan...?
Posted by slackster
Houston
Member since Mar 2009
84871 posts
Posted on 4/13/21 at 8:18 am to
quote:

assume I should wait for the surgery before I go high deductible plan...?


The way you worded this is weird. You should have the surgery whenever it is cheapest for you. A lower deductible plan could provide that savings.
Posted by castorinho
13623 posts
Member since Nov 2010
82026 posts
Posted on 4/13/21 at 8:20 am to
Can't make that blanket statement. You have to do the math.
Posted by jimbeam
University of LSU
Member since Oct 2011
75703 posts
Posted on 4/13/21 at 8:21 am to
quote:

That’s such a shitty OOP deductible. It’s like it was intentionally designed to avoid an HSA.
It sure as heck seems that way.
Posted by slackster
Houston
Member since Mar 2009
84871 posts
Posted on 4/13/21 at 8:29 am to
What’s your marginal tax rate?

I think maxing the HSA is worth it here. Worst case is you are out $900 per year to do so, but the immediate tax savings are probably similar and the future tax savings could be incredible. Also, it’s entirely possible the lower deductible plan saves you money above and beyond the $900 premium cost.
Posted by slackster
Houston
Member since Mar 2009
84871 posts
Posted on 4/13/21 at 8:30 am to
While we’re on this topic, do you all save your HSA for the future or use it as you go?
Posted by castorinho
13623 posts
Member since Nov 2010
82026 posts
Posted on 4/13/21 at 8:35 am to
We were.



And then we had kids
Posted by slackster
Houston
Member since Mar 2009
84871 posts
Posted on 4/13/21 at 8:39 am to
quote:

We were.



And then we had kids



That’s been my play so far. Cash for everyday stuff and HSA for anything “major”. I probably need to spend more time weighing the options though. An HSA in retirement is huge, especially if you anticipate having large pre-tax balances elsewhere.
This post was edited on 4/13/21 at 8:42 am
Posted by thunderbird1100
GSU Eagles fan
Member since Oct 2007
68316 posts
Posted on 4/13/21 at 8:58 am to
Power of HSA investments is what still leads me to take it and spend the extra $900 a year for it even in this instance. Especially if you have an employer that contributes to it (free money). But be disciplined there and max that thing out and invest it, dont just use to use it.

That 2nd plan is extremely weird to have a setup with such a high deductible but a max OOP that puts it just out of range of having an HSA.
This post was edited on 4/13/21 at 8:59 am
Posted by OysterPoBoy
City of St. George
Member since Jul 2013
35088 posts
Posted on 4/13/21 at 9:48 am to
quote:

If you’re a man you don’t need insurance


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