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re: Is anyone else's medical insurance plan as crappy as mine?

Posted on 9/15/19 at 9:18 am to
Posted by SLafourche07
Member since Feb 2008
9928 posts
Posted on 9/15/19 at 9:18 am to
I would love to be able to have that plan.


Cheap as shite per month and you can sock away $7,000 per year into an HSA.
Posted by Hammond Tiger Fan
Hammond
Member since Oct 2007
16216 posts
Posted on 9/15/19 at 9:22 am to
quote:

I would love to be able to have that plan.


Cheap as shite per month and you can sock away $7,000 per year into an HSA


That is until something happens and you are shelling out thousands and it wipes out your HSA. It's great as long as you don't need to use it especially with routine visits costing at least $200 a pop. With a family of four that adds up quickly.
This post was edited on 9/15/19 at 9:54 am
Posted by cleeveclever
Baton Rouge
Member since Aug 2008
2046 posts
Posted on 9/15/19 at 9:26 am to
(no message)
This post was edited on 6/30/20 at 10:46 pm
Posted by SLafourche07
Member since Feb 2008
9928 posts
Posted on 9/15/19 at 9:33 am to
quote:

That is until something happens and you are shelling out thousands and it wipes out your HSA. It's great as long as you don't need to use it.



Yup. And that's exactly what I want from an insurance plan. Cheap as possible on a monthly basis when you don't need it and has you covered when shite hits the fan.


I'm self employed and my wife is about to go back to school so I've recently looked at insurance plans on the individual market and a very similar plan to yours with crazy high deductibles and MOOP would cost my family of 4 ~$1,000/month.
Posted by hubreb
Member since Nov 2008
1845 posts
Posted on 9/15/19 at 9:35 am to
Your not putting enough into HSA if your only paying 92 every two weeks
Posted by Hammond Tiger Fan
Hammond
Member since Oct 2007
16216 posts
Posted on 9/15/19 at 9:55 am to
quote:

Your not putting enough into HSA if your only paying 92 every two weeks



You didn't read it correctly. $92 is the premium. I max out my HSA annually.
Posted by tiger91
In my own little world
Member since Nov 2005
36707 posts
Posted on 9/15/19 at 10:02 am to
quote:

That's not that bad actually. Your premium is low enough to where you shouldn't hurt too much contributing to your HSA.
And the HSA offers insane tax benefits that you're obviously not accounting for.


But what sucks is that ONE person has to meet the deductible -- where as with mine, we ALL (all 4 of us) go toward that one deductible. To me that's the weird part that I've not heard of before.
Posted by tiger91
In my own little world
Member since Nov 2005
36707 posts
Posted on 9/15/19 at 10:09 am to
quote:

but they are subject to underwriters, meaning they look at you In LA, Blue Cross (not sure of other insurers) started selling short term policies which are closer to the plans before Obamacare. Sometimes, Cheaper premiums and no subsidy, and your family’s medical history. I do believe but I’m not positive on this last point that these “short term” plans are NOT subject to special enrollment periods, meaning that you can opt into them at anytime of year under any circumstances


Our plan is NOT under Obamacare or so at least our paperwork says that -- we're grandfathered in. It also states that if we change anything we lose grandfathered status and will be under Obamacare. One time I asked the BCBS rep I was speaking with what advantages we'd have being under Ocare. She said several that didn't apply to us and so I asked what the downside was. "Your premium will be higher".

Yeah, no.
Posted by hubreb
Member since Nov 2008
1845 posts
Posted on 9/15/19 at 10:14 am to
I work at a large company - 30k employees - prior to Obama plan was on a good plan that was around 500 a month with relatively small deductable...after it went to HDHCP that was 250ish...I now pay that plus the HSA...have been carrying over around 500 a year... eventually it should build to where HSA is big enough to cover all deductables...if no kids we'd probably already be there
Posted by LSUFootballLover
BR
Member since Oct 2008
3590 posts
Posted on 9/15/19 at 10:19 am to
Obamacare systematically transformed all plans into very high deductibles to keep premiums from being astronomical. So now insurance has become almost catastrophic where it can only be used if you are hospitalized, accident, major surgery, etc.

Thanks Obama
Posted by ELVIS U
Member since Feb 2007
9928 posts
Posted on 9/15/19 at 10:38 am to
Thank Obama for your great policy
Posted by HoustonChick86
Catalina Wine Mixer
Member since Dec 2009
57304 posts
Posted on 9/15/19 at 10:53 am to
My insurance is awesome. My new employer is paying for me to stay on Cobra through the end of the year, until they get their new group insurance. Costing them $824 per month. I really hope the next plan is as good. Costs me like $5 to go to a primary care doctor.
Posted by Anaximander
3524 Third St New Orleans, LA
Member since Jun 2018
3412 posts
Posted on 9/15/19 at 10:55 am to
quote:

Thank Obama for your great policy


While he gets the lion's share of blame, Republican cowardice and corruption allowed the bill to pass. Some GOP backbone disappeared when their friends in Big Pharma and other industries got what they wanted in the final bill written in secret in reconciliation.
Posted by Libertariantiger
Member since Nov 2012
981 posts
Posted on 9/15/19 at 11:06 am to
I am shopping health care options for our company right now and can give you what I'm facing.
First, costs are very high and going up. The plan you are describing is basically the worst plan that qualifies for employers. But with the cost going up, we took 20% two years in a row, they are looking more normal. 6kish deductible with 13k out of pocket plan I priced ran from 400-500 depending on carrier.
My advice would be talk to your employer. I dont understand why they would only give one option and then do a HSA. It sounds like lazy HR work.
What I think I'm going to go with our company is 2 plans, one a buy up for our older pop, and one that mirrors this plan. We are then going to buy a reinsurance against the deductible that wont cover scripts but would cover hospital stays, emergency room visits, etc etc. The employee would be responsible for scripts and the first 1200 of deductible. Subbig the reinsurance for HSA would cost your company less than the 1,000 in the HSA and give the employees more peace of mind.
This post was edited on 9/15/19 at 11:08 am
Posted by TheOcean
#honeyfriedchicken
Member since Aug 2004
42483 posts
Posted on 9/15/19 at 11:10 am to
That's also why I joined the military. I pay $40/mo for tricare
Posted by Libertariantiger
Member since Nov 2012
981 posts
Posted on 9/15/19 at 11:11 am to
Just to be clear also, that plan isnt 92/pay period. That is prolly half the cost for you paid by the employer, plus them putting 1k a yr in HSA. That is close to 400/mo based on my quotes for 60 employees. Like I said previous, whoever handles buying the plans probably isnt trying hard enough to find the best solution and just taking what is offered.
Posted by arcalades
USA
Member since Feb 2014
19276 posts
Posted on 9/15/19 at 11:56 am to
quote:

my wife's insurance option is worse than mine
doesnt that answer your own question?
Posted by supadave3
Houston, TX
Member since Dec 2005
30259 posts
Posted on 9/15/19 at 12:22 pm to
I'm sure I'll take some personal hits for this, but I don't really care. This will piss some people off.

In 2015-16, I went through a personal hell and was unemployed for a year. When I became eligible, I signed up for Medicaid and got it. It was by far the best insurance I've ever had in my life. I've worked my entire life and always had insurance through my employer, and always felt it was pretty good. I'm a pretty healthy guy so no big things to worry about. I received Medicaid and in the following 12 months had to have nasal surgery and surgery and treatment for a broken leg (3 places). I never paid a dime. Not a dime. Sure, i had limited access to providers and had to drive some distance occasionally, but again, 2 major incidents and didn't pay a cent.

Now, I'm employed with a company that has 250,000 employees and has what is considered pretty good insurance. I don't know the deductibles offhand, but I know I pay $180/month for just me and it's no where near as good as what I had with Medicaid. Prescriptions are $5-$20 for generics, doctor visits are usually around $50, with X-rays was $300, etc.

A LOT of people are getting amazing insurance at no cost to them. Sure, I needed it and used it but got off of it as soon as I was able, but looking back on the whole situation, it's really frustrating to see how backwards the system is.
Posted by TigerstuckinMS
Member since Nov 2005
33687 posts
Posted on 9/15/19 at 12:24 pm to
quote:

I'm self employed and my wife is about to go back to school so I've recently looked at insurance plans on the individual market and a very similar plan to yours with crazy high deductibles and MOOP would cost my family of 4 ~$1,000/month.

Posted by TigerstuckinMS
Member since Nov 2005
33687 posts
Posted on 9/15/19 at 12:27 pm to
quote:

My new employer is paying for me to stay on Cobra through the end of the year, until they get their new group insurance. Costing them $824 per month. I really hope the next plan is as good. Costs me like $5 to go to a primary care doctor.

No, it costs you $9,888 per year to go to a primary care doctor.

Plus $5.
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