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Message

re: Health Insurance Premiums and Deductibles.....

Posted on 12/12/18 at 10:30 am to
Posted by High C
viewing the fall....
Member since Nov 2012
62116 posts
Posted on 12/12/18 at 10:30 am to
quote:

We don't even feel like we can use the damn insurance b/c of the high arse deductible. How is this shite even affordable? The only thing it's good for is if you happen to get hospitalized for an extended amount of time. Outside of that it's basically useless. I feel like I'm just throwing money away. The deductible is getting so damn high, I'm considering getting Gap Health Insurance for my Regular Health Insurance which is insane that I have to even consider buying something like this. Ok, I needed to vent and get that of my chest.


Unless there's a catastrophic illness, you're just giving them $169/month.
Posted by Mingo Was His NameO
Brooklyn
Member since Mar 2016
37536 posts
Posted on 12/12/18 at 10:31 am to
quote:

It’s just not worth the risk to me. One big surgery can frick you without insurance. Or one round of biological drugs - I spent a year having to take twice weekly injections and without insurance they would have been $4200 per month


That's why I said get Obamacare. Find the cheapest plan you can. You are paying $7200 a year in premiums, if you can find something for $100ish a month with a 5k deductible you'll be saving 1k per year.
Posted by oleyeller
Vols, Bitch
Member since Oct 2012
32611 posts
Posted on 12/12/18 at 10:32 am to
$0 month for base plan
$20 month for premium plan ($1000) deductible
Posted by bayouvette
Raceland
Member since Oct 2005
5984 posts
Posted on 12/12/18 at 10:34 am to
biggest scam out there.

family plans including cost to company is over 2k a month. We are paying nearly 800 per month. Deductible single 3k and family 6k.

I don't understand what the hell the 800 per month even goes to. Id be some what ok with it if the 800 per month paid for stuff, but to pay that and still have to pay bills on top of that is ridiculous
Posted by SM6
Georgia
Member since Jul 2008
8972 posts
Posted on 12/12/18 at 10:35 am to
I used to bitch about my salary, which is on the low end for our industry (consulting). But now I have a family and our health plan is stunning, it is probably worth about $10,000 in salary. I really don't understand how we have kept it so long.

Employee monthly premium - $0 (no matter how many people in family)
Deductible - $500 individual/ $1000 family beyond that is 100% covered
Copay - $10

Posted by SlapahoeTribe
Tiger Nation
Member since Jul 2012
12722 posts
Posted on 12/12/18 at 10:39 am to
quote:

That's why I said get Obamacare. Find the cheapest plan you can. You are paying $7200 a year in premiums, if you can find something for $100ish a month with a 5k deductible you'll be saving 1k per year.

I make too much to qualify for a subsidy (and I’m far from an OT baller) so I won’t find anything that cheap.
Posted by TOSOV
Member since Jan 2016
8922 posts
Posted on 12/12/18 at 10:40 am to
quote:

I work in healthcare and bill insurance claims. Since Obamacare it is now very common to see $5000 deductibles, where as before, it was extremely rare. Obamacare did nothing to improve healthcare or it's costs


Exactly. it's nuts. But people are forgetting this, and arent harping on it more.

If anything though, this has forced people to be more conscious about going to the doctor. As long as HSAs improve then people dont need insurance other for catastrophic needs. Though it's so expense still.

Not sure how this will eventually come back to bite insurance companies in the butt, for them to then turn around and find a way to charge us for it or get politicians to f us over.

Btw - anyone who hasnt used those discount cards...needs to. I had a prescription (~$300) that my ins would give me a $50 "discount" on, but the discount card brought it down to ~$125 on my HSA card. I wont ever hit my high deductibles unless something happens to go the ins route.
Posted by GoCrazyAuburn
Member since Feb 2010
41813 posts
Posted on 12/12/18 at 10:42 am to
quote:

Btw - anyone who hasnt used those discount cards...needs to.


Que?
Posted by Janky
Team Primo
Member since Jun 2011
35957 posts
Posted on 12/12/18 at 10:43 am to
My wife's sole purpose for working is to allow us to be on her plan. A family plan for me as self employed would be astronomical.
Posted by Hammond Tiger Fan
Hammond
Member since Oct 2007
16419 posts
Posted on 12/12/18 at 10:45 am to
For those with HDHC plans, have anyone looked into buying Gap Health Insurance to serve as a supplement to your primary health plan?

LINK
Posted by 50_Tiger
Arlington TX
Member since Jan 2016
43530 posts
Posted on 12/12/18 at 10:49 am to
quote:

I’m married and my company won’t let us be on the same plan. So we each pay $65ish a month for the same coverage. $300 deductible, $3k max oop



Idky they are downvoting you, I think we compared our plans in another thread and mine was $0 deductible, out of pocket max 1600.

quote:

Annual deductible In Network
$0 Individual; $0 Family
Out of Network
$650 Individual; $1,300 Two-person; $1,950 Family
Out-of-pocket maximum In Network
$1,600 Individual; $3,200 Two-person; $4,800 Family
Out of Network
$4,000 Individual; $8,000 Two-person; $12,000 Family; excludes deductible
Primary doctor office visit In Network
$30 copay
Out of Network
70% of the allowable amount covered after annual deductible is met
Specialist office visit In Network
$30 copay
Out of Network
70% of the allowable amount covered after annual deductible is met
Inpatient physician and surgeon services In Network
90% covered
Out of Network
Inpatient physician: 70%of allowable amt covered after annual ded is met; inpatient surgery: 70% covered after $250 copay
Hospital copay In Network
90% covered
Out of Network
70% of the allowable amount covered after annual deductible is met and you pay $250 copay per admission
Outpatient surgery In Network
90% covered
Out of Network
70% of the allowable amount covered after annual deductible is met
Outpatient laboratory services In Network
90% covered (or you pay $30 copayment when included as part of office visit)
Out of Network
70% of the allowable amount covered after annual deductible is met
Outpatient X-ray In Network
90% covered (or you pay $30 copayment when included as part of office visit)
Out of Network
70% of the allowable amount covered after annual deductible is met
Emergency room In Network
If emergency, $65 copay (waived if followed by hospital admission); if non-emergency, 70% of the allowable amount covered after $65 copay
Out of Network
If emergency, $65 copay (waived if followed by hospital admission); if non-emergency, 70% of the allowable amount covered after $65 copay


I guess working for a corporation has its perks?

quote:

Costs
UHC Enhanced Medical
You Alone $70.00


This post was edited on 12/12/18 at 10:51 am
Posted by Bullfrog
Running Through the Wet Grass
Member since Jul 2010
61780 posts
Posted on 12/12/18 at 11:04 am to
I canceled all mine and pay providers out of pocket. Much cheaper.

Instead of $6000 a year premium and $8500 deductible before coverage kicks in, my heath costs were under $1000 for the year.
Posted by Volvagia
Fort Worth
Member since Mar 2006
53590 posts
Posted on 12/12/18 at 11:08 am to
Do they not offer a PPO plan? Or is it just the high deductible plan?
Posted by Norbert
Member since Oct 2018
3760 posts
Posted on 12/12/18 at 11:13 am to
I think it’s funny that young people who are frustrated with having to pay high premiums for rare doctor visits are so pro-socialism and Medicare for all (as a group).

Medicare for all is literally a program designed to be funded primarily by younger, healthier, working people and withdrawn by older, unemployed or no longer employed, sick people.

You will still be paying out the arse for care you don’t use, but now you’ll be forced to do so - with the pinky swear that when you’re old, useless, and decaying there will be money around to pay for your dying arse
Posted by greygoose
Member since Aug 2013
15162 posts
Posted on 12/12/18 at 11:16 am to
quote:

I canceled all mine and pay providers out of pocket. Much cheaper.


Hope you don't have to stay in the hospital, or require any type of surgery. You are gonna get raped....
Posted by High C
viewing the fall....
Member since Nov 2012
62116 posts
Posted on 12/12/18 at 11:17 am to
quote:

Employee monthly premium - $0 (no matter how many people in family) Deductible - $500 individual/ $1000 family beyond that is 100% covered Copay - $10


That's incredible. Must be a gigantic group.
Posted by greygoose
Member since Aug 2013
15162 posts
Posted on 12/12/18 at 11:19 am to
quote:

Medicare for all is literally a program designed to be funded primarily by younger, healthier, working people and withdrawn by older, unemployed or no longer employed, sick people.


Medicare, as we know it, won't be around when millenials are old enough to go on it. It's unsustainable, just like social security. Both are ponzi schemes and sooner or later, somebody get left holding the bag.
Posted by Norbert
Member since Oct 2018
3760 posts
Posted on 12/12/18 at 11:33 am to
quote:

Medicare, as we know it, won't be around when millenials are old enough to go on it. It's unsustainable, just like social security. Both are ponzi schemes and sooner or later, somebody get left holding the bag.


I love how they think that they can reasonably estimate the cost of universal care when human behavior will change dramatically upon implementation.

Posted by Areddishfish
The Wild West
Member since Oct 2015
6538 posts
Posted on 12/12/18 at 11:37 am to
quote:

Must be nice to be single and have zero responsibility



Could be, or it's just more cost effective to have spouse and family on separate plans. In being on my company's insurance and my wife and daughter are on her company's insurance, it saves us $300 a month versus all being on one.
Posted by seawolf06
NH
Member since Oct 2007
8159 posts
Posted on 12/12/18 at 11:38 am to
Slight increase in premiums, less than 5%.
Added an "economical" plan which has lower premiums and higher deductible like yours, but we have 3 total options to choose from.

The big news for us was an updated Parental Leave Policy of 6 weeks leave for any birth or adoption. This was huge for many people, but I worry how it will affect our hiring practices.
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