- My Forums
- Tiger Rant
- LSU Recruiting
- SEC Rant
- Saints Talk
- Pelicans Talk
- More Sports Board
- Coaching Changes
- Fantasy Sports
- Golf Board
- Soccer Board
- O-T Lounge
- Tech Board
- Home/Garden Board
- Outdoor Board
- Health/Fitness Board
- Movie/TV Board
- Book Board
- Music Board
- Political Talk
- Money Talk
- Fark Board
- Gaming Board
- Travel Board
- Food/Drink Board
- Ticket Exchange
- TD Help Board
Customize My Forums- View All Forums
- Show Left Links
- Topic Sort Options
- Trending Topics
- Recent Topics
- Active Topics
Started By
Message
1
Posted on 10/31/24 at 3:18 pm to winkchance
I renegotiated the benefits for our company in April of this year and switched us from fully-insured with BCBS to level-funded with Cigna. Was able to get our HSA plan down from $6k deductible to $3,500 deductible with a $500 HSA contribution at the same cost to the employee. The Copay deductible went from $3,500 to $1,500 and cost is the same to the employee as well.
We pay 93% for employee only, 57% for E+Sp, 56% for E+CH, and 44% for FAM.
We pay 93% for employee only, 57% for E+Sp, 56% for E+CH, and 44% for FAM.
Posted on 10/31/24 at 8:44 pm to The Torch
I'm $1850 per month with $6000 deductible. Thanks Obummer. It was $350 per month until he messed with it. Just Mrs 6r12 and me on plan.
Posted on 10/31/24 at 8:48 pm to sjmabry
$90 per biweekly check for entire family, $900 deductible, $4,000 max out of pocket.
It's a hospital. We have really good healthcare.
Needless to say, I do NOT complain.
It's a hospital. We have really good healthcare.
Needless to say, I do NOT complain.
Posted on 10/31/24 at 8:58 pm to The Torch
Got my summary of changes from Blue Cross LA, annual out of pocket deductible going to 8,300 next year for a single person.
Blue Cross must be taking a page out of Property casualty insurance providers, just make deductibles so high you don’t even file a claim and they collect a check each month to haggle with medical providers who make what your co pay is and get little to no money from the insurance company because your deductible is so high.
On the flip side, according to my letter today, blue cross is now mandated to cover erectile treatments like penis pumps, injections, and other treatments.
Blue Cross must be taking a page out of Property casualty insurance providers, just make deductibles so high you don’t even file a claim and they collect a check each month to haggle with medical providers who make what your co pay is and get little to no money from the insurance company because your deductible is so high.
On the flip side, according to my letter today, blue cross is now mandated to cover erectile treatments like penis pumps, injections, and other treatments.
Posted on 10/31/24 at 9:05 pm to Tarps99
quote:
On the flip side, according to my letter today, blue cross is now mandated to cover erectile treatments like penis pumps, injections, and other treatments.
Good news for you, baw! Proud for you.
Posted on 10/31/24 at 9:18 pm to The Torch
Haven't read 5 pages but I'll throw this in.
My wife (nudes on Reddit) broke her knee while jogging in September.
Orthopedist says you need MRI. But not so fast, you need insurance approval first. So she initiates that process. Insurance says you must do physical therapy for six weeks to see if it gets better, before we approve to cover the cost. My wife initiates the process with the insurance company. In the meantime, it's getting worse. She goes to the ortho and say what if I just pay you out of pocket? Ortho says we can get you in tomorrow and it's $500. She's in pain and says frick it. Pays the $500. Gets the MRI.
Here's the punchline- weeks later the insurance company comes back and says yes this is approved, it is $3000 but we negotiated it down to $1000 because of your discount. But you haven't met your deductible so you would still be out $1000.
In the meantime the procedure has already been done and diagnosis and treatment started.
The US healthcare system is totally fricked, by design.
My wife (nudes on Reddit) broke her knee while jogging in September.
Orthopedist says you need MRI. But not so fast, you need insurance approval first. So she initiates that process. Insurance says you must do physical therapy for six weeks to see if it gets better, before we approve to cover the cost. My wife initiates the process with the insurance company. In the meantime, it's getting worse. She goes to the ortho and say what if I just pay you out of pocket? Ortho says we can get you in tomorrow and it's $500. She's in pain and says frick it. Pays the $500. Gets the MRI.
Here's the punchline- weeks later the insurance company comes back and says yes this is approved, it is $3000 but we negotiated it down to $1000 because of your discount. But you haven't met your deductible so you would still be out $1000.
In the meantime the procedure has already been done and diagnosis and treatment started.
The US healthcare system is totally fricked, by design.
Posted on 10/31/24 at 9:22 pm to Trapped in time
quote:
Single payer would be better and cheaper but we fight to make sure insurance companies have record profits. If other countries can provide better coverage for less $ I can’t figure out why we can’t.
Nothing has a more shittier outcome than paying other people's money for other people's healthcare. Our healthcare system is completely f'd too.
Posted on 10/31/24 at 11:25 pm to danilo
A deductible says “we won’t pay a penny until you’ve spent this amount out of your pocket”. ex: $5000
A MOOP says “we will keep track of your out of pocket expenses ( which includes the deductible) and if you spend this amount out of your pocket, ex: $11,000, we will then pay 100% for the rest of the year.”
The MOOP is like a safety net. It puts a cap on your annual out of pocket spending.
Does that help you understand it?
That’s how I explain it.
A MOOP says “we will keep track of your out of pocket expenses ( which includes the deductible) and if you spend this amount out of your pocket, ex: $11,000, we will then pay 100% for the rest of the year.”
The MOOP is like a safety net. It puts a cap on your annual out of pocket spending.
Does that help you understand it?
That’s how I explain it.
Posted on 11/1/24 at 12:25 am to The Torch
But Obama speaks so well and does so much for the blacks lol
Posted on 11/1/24 at 6:18 am to deeprig9
quote:
Orthopedist says you need MRI. But not so fast, you need insurance approval first. So she initiates that process. Insurance says you must do physical therapy for six weeks to see if it gets better, before we approve to cover the cost. My wife initiates the process with the insurance company. In the meantime, it's getting worse. She goes to the ortho and say what if I just pay you out of pocket? Ortho says we can get you in tomorrow and it's $500. She's in pain and says frick it. Pays the $500. Gets the MRI.
Here's the punchline- weeks later the insurance company comes back and says yes this is approved, it is $3000 but we negotiated it down to $1000 because of your discount. But you haven't met your deductible so you would still be out $1000.
In the meantime the procedure has already been done and diagnosis and treatment started.
I know they have high deductible plans, but how about a plan that creates an HSA with no caps and no use it or lose it annual spending requirements (it sits in a growth account building cash and is transportable between jobs or insurance companies for future medical costs), at a premium price where the HSA contributions are equal to the annual deductible and insurance for costs beyond the deductible. If I am going to drop 20 grand for insurance and have to meet another 10,000 deductible, at least steer me into saving that 10k a year and use the HSA for prescriptions and Copays. In the early years with no major heath issues, it could grow into a nice medical nest egg to pay cash rates for most procedures and services. But one major hospital stay or cancer diagnosis will wipe that nest egg out in treatment costs. Which is why you still have the insurance component for that level of care.
This post was edited on 11/1/24 at 7:23 am
Posted on 11/1/24 at 6:52 am to Aubie Spr96
Profits over people and corrupt greed.
Posted on 11/1/24 at 6:55 am to The Torch
The good thing about turning 55 this year...now I can invest an extra $1,000 tax free into my HSA, and invest however much of the $9,550 total that I want.
Posted on 11/1/24 at 9:58 am to The Torch
thats pretty cheap for you and a child
Posted on 11/5/24 at 10:15 am to The Torch
Just had our open enrollment meeting
Employee cost went up 88%.
Our company pays 75% of the premium and they were selling our plan to the employees by saying that our company is better than most of the other companies out there. All I took from it was most companies suck and healthcare is getting out of hand.
Employee cost went up 88%.
Our company pays 75% of the premium and they were selling our plan to the employees by saying that our company is better than most of the other companies out there. All I took from it was most companies suck and healthcare is getting out of hand.
This post was edited on 11/5/24 at 10:17 am
Page 5 of 5
Popular
Back to top
Follow TigerDroppings for LSU Football News