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Traditional insurance vs HSA + HDHP

Posted on 1/31/17 at 12:02 am
Posted by Honky Lips
Member since Dec 2015
2828 posts
Posted on 1/31/17 at 12:02 am
Off the bat, in my 30's, healthy, two healthy kids. Wife (pics available at playboy.com) is fully covered with her job, I'm self employed.

I'm considering ditching traditional insurance for me and the kids and opening an HSA and pairing it with a high deductible plan just for any emergencies. We hardly go to the doctor so I'm sure the HSA would build up enough to cover any routine medical expenses. Also, I feel like since we hardly ever go to the doctor, were just pissing away money on traditional premiums.

Thoughts? Advice?
Posted by fightin tigers
Downtown Prairieville
Member since Mar 2008
79746 posts
Posted on 1/31/17 at 12:08 am to
Have a HSA paired with a High Deductible plan and like it. It requires a little more management than traditional HMO, also, the high deductible will bite you hard if anything goes wrong.

I do like being able to invest the HSA once you get to a certain amount.

(Not to mention they don't audit the HSA accounts so liberal purchases are not exactly frowned upon.)
This post was edited on 1/31/17 at 12:09 am
Posted by foshizzle
Washington DC metro
Member since Mar 2008
40599 posts
Posted on 1/31/17 at 12:11 am to
quote:

Wife (pics available at playboy.com) is fully covered


Not interested in fully covered pics.
Posted by Honky Lips
Member since Dec 2015
2828 posts
Posted on 1/31/17 at 12:13 am to
quote:

Not to mention they don't audit the HSA accounts so liberal purchases are not exactly frowned upon


I thought you had to keep receipts of all 'purchases' to show it was a qualifying medical expense?
Posted by fightin tigers
Downtown Prairieville
Member since Mar 2008
79746 posts
Posted on 1/31/17 at 12:18 am to
I think that is the suggestion.

I just don't think there is anyone to show the receipts to. Have never heard of anyone getting their HSA audited.
Posted by AZTarheeel
Member since Feb 2015
3702 posts
Posted on 1/31/17 at 1:33 am to
Spin off post, for any OT'rs familiar with the individual market.

Is 1/31 the last day to sign up for coverage anywhere or only if purchasing through the Obamacare networks in each state? (Can I buy directly from BCBS on 2/1 for example)

Anybody got a good recommendation for TX in terms of company or plan?

Now that Trump canceled the tax penalty, are there insurance companies that offer old style plans (do not qualify for Obamacare status but provide similar benefits to pre-Obamacare plans?

Thanks for any input.
Posted by southernelite
Houston, TX
Member since Sep 2009
53568 posts
Posted on 1/31/17 at 5:00 am to
quote:


(Not to mention they don't audit the HSA accounts so liberal purchases are not exactly frowned upon.)





This is bad advice.
Posted by Panny Crickets
Fort Worth, TX
Member since Sep 2008
5596 posts
Posted on 1/31/17 at 5:04 am to
Also, be careful when routine diagnostic tests are ordered. Those can drain that HSA quick fast and in a hurry.
Posted by diat150
Louisiana
Member since Jun 2005
48175 posts
Posted on 1/31/17 at 6:06 am to
You can usually order the tests yourself online for much cheaper than if you involve the doctors office.
Posted by summersausage
Member since Jul 2010
2005 posts
Posted on 1/31/17 at 6:14 am to
I did the HSA last year bc I felt we were wasting a lot of money on traditional. Bit me in the arse pretty good. Had one episode with my lil boy that ate up everything and ended up paying a lot more than I had planned out of pocket. Couldn't wait for last year to be over. Back to the traditional now.
Posted by kywildcatfanone
Wildcat Country!
Member since Oct 2012
141081 posts
Posted on 1/31/17 at 6:14 am to
quote:

(Not to mention they don't audit the HSA accounts so liberal purchases are not exactly frowned upon.)


I have a HDHP and HSA. Has worked out well for my wife and I. We have a lot in the HSA now and I think are going to be in good shape for expenses for a few years out of pocket.

But, I'm not sure about the above. I don't think our HSA debit card works for anything but medical coded items, and I can't even buy asprin OTC with it. I guess I've never tried to purchase something outside of qualified medical purchases.
Posted by Volvagia
Fort Worth
Member since Mar 2006
53590 posts
Posted on 1/31/17 at 6:30 am to
That's like swearing off of the stock market because of 2008.

I would be leery of starting off with kids, but overtime you'll win out due to investments and tax treatment.

The hardest point is the transition. If you can make it the first 2-3 years with no major bills, you are golden.
Posted by fightin tigers
Downtown Prairieville
Member since Mar 2008
79746 posts
Posted on 1/31/17 at 7:49 am to
quote:

But, I'm not sure about the above. I don't think our HSA debit card works for anything but medical coded items, and I can't even buy asprin OTC with it. I guess I've never tried to purchase something outside of qualified medical purchases.


I've never used it anywhere but the doctor and pharmacy. I do know people who have made very questionable purchases not even at a pharmacy.

One was a blender at bed bath beyond because the went to a liquid diet.

I'm too paranoid for that. But yeah, our HSA administrator said they don't even really have someone to audit them.
Posted by someLSUdoosh
Baton Rouge
Member since Oct 2016
893 posts
Posted on 1/31/17 at 7:49 am to
Only two years full time working. HDHP + HSA is the way to go if you are like someone as young as me.

The way I did it....year one I contributed as much as I could to the HSA (think max for single individual is around $3300) have enough cash at all times to cover my deductible and have been investing money above a certain amount.

Bite the bullet for one year, contribute the max to have the deductible covered. Golden from there on out.
Posted by baldona
Florida
Member since Feb 2016
24447 posts
Posted on 1/31/17 at 8:06 am to
quote:

I did the HSA last year bc I felt we were wasting a lot of money on traditional. Bit me in the arse pretty good. Had one episode with my lil boy that ate up everything and ended up paying a lot more than I had planned out of pocket. Couldn't wait for last year to be over. Back to the traditional now.


Way to make a wrong statement to blanket cover a subject. How
Much did it cost? You realize ppo's and hmo's have out of pocket costs also right?

Unless you have routine issues like diabetes or regularly hurt yourself, than HDHP is great. One or two years does not make a plan. A broken bone can also be cheaper with a PPO but that's a rare issue.

My wife has given birth twice with HDHP, I did the math both years over the PPO on premium plus cost of maximum out of pocket. The first year it was like $9500 hdpa to $12000 PPO and the second time $10,300 to $13,400 for PPO. So major issues that require hospital stays a HDHP is often better and it's not close.

Wellness visits for everyone including kids are covered 100% by all plans. My kids both under 4 probably go to the doctor 3 times a year combined for being 'sick' those all cost me around $200-250 with my HDHP. The savings in premiums are more than that.

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