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re: Open Enrollment 2026 - Health Insurance Increase

Posted on 10/20/25 at 11:47 am to
Posted by Double Oh
Louisiana
Member since Sep 2008
23409 posts
Posted on 10/20/25 at 11:47 am to
Are you self employed?
Posted by 98eagle
Member since Sep 2020
3118 posts
Posted on 10/20/25 at 11:47 am to
Our high deductible BCBS (medical, dental, vision) "Broad" plan for just me and my wife for the same coverage went from $675 to $817 per month. It's gone up approximately $150 per year for the last several years, way outpacing inflation. I guess its for subsidizing all of the extra free loaders.
Posted by Double Oh
Louisiana
Member since Sep 2008
23409 posts
Posted on 10/20/25 at 11:52 am to
I’m self employed also and have BCBS for me and wife. It’s going up to $2100 month in January.

What are my options?

What are you going to do?
Posted by JellyRoll
Member since Apr 2024
1473 posts
Posted on 10/20/25 at 11:52 am to
Ours didn't increase at all. Thankfully
Posted by Weekend Warrior79
Member since Aug 2014
20811 posts
Posted on 10/20/25 at 11:52 am to
quote:

I hear UHC is the worst offender of undercutting BCBS on rates to get companies on their plans and then jacking it up like a mf’er the following year.

We have not experienced that, yet. Our executive team switched from BCBS to UHC 3 years ago in order to reduce costs, while also lowering the employee's deductibles. Our pricing for the 2025/2026 policy period is only 4% higher than BCBS' pricing was for 2023
Posted by Chingon Ag
Member since Nov 2018
3981 posts
Posted on 10/20/25 at 11:54 am to
My Cigna coverage is $855 month for a family of five. Went up about $30/month.
This post was edited on 10/20/25 at 11:57 am
Posted by Areddishfish
The Wild West
Member since Oct 2015
6453 posts
Posted on 10/20/25 at 12:04 pm to
quote:

people are believing it’s a scam, and it’s getting harder and harder to argue it’s not.



I can definitely appreciate that sentiment from a healthy perspective where you may not use health insurance beyond a few primary care visits a year, but from someone who has had catastrophic illnesses between cancer, a stem cell transplant, and a double lung transplant, health insurance is very beneficial. It definitely needs some work, but the system is too large for a simple fix.
Posted by Jim Rockford
Member since May 2011
104406 posts
Posted on 10/20/25 at 12:11 pm to
quote:

Additionally, I do think every single company should shop their benefits or brokers yearly.

I hear stories all the time of companies who just accept the yearly increase and don’t shop their benefits or find brokers who can be creative to help the employees and the company get the best that’s out there.


I hear you but if you're a small outfit with maybe a couple dozen employees you probably dont have a dedicated HR person. That means someone, likely you, has to deal with it and you already dont have enough hours in the day.

Best practices are not always practical.
Posted by LemmyLives
Texas
Member since Mar 2019
13573 posts
Posted on 10/20/25 at 12:11 pm to
quote:

Do a little research on the record profits that some of the big insurance companies are raking in

As opposed to small insurance? Lazy.

UHC reported 14 billion in profit in 2024. On $400 billion in revenue. That's not exactly earth shattering.

Everything about Obamacare was backloaded so that the consequences, and subsequent pressure on Congress to "fix" it with more taxpayer dollars would happen during any administration but his.

frick John McCain, and all the retarded retired veterans who kept voting for him in Arizona because he was "one of them."
Posted by SomewhereDownInTX
Down in Texas, Somewhere
Member since Mar 2010
3476 posts
Posted on 10/20/25 at 12:13 pm to
Thanks Obama
Posted by Crow Pie
Neuro ICU - Tulane Med Center
Member since Feb 2010
27177 posts
Posted on 10/20/25 at 12:22 pm to
Everybody needs to understand that there is no free insurance.

1) Insurance is a fancy financing plan in which everybody pays for everybody. This is true at the micro level (Rates paid by employee) and at the Macro level. (All taxpayers pay for those that cannot pay for themselves -Thanks Obama- Yes, your rates went up because the lazy progressive was too bust protesting and not working).

Yes, employers do offset the cost to the employee but the overall premium for the new year is simply totaling all the cost in the previous year and dividing by the number of employees. That's about it.

2) What the providers charge (Doctor/Hosp etc..) is in the mix and the charges have lawsuits, big pharma, indigents etc.. factored in based on history.

It a complex issue with no easy solution but free healthcare to the lazy, disabled and illegal is paid for by you.
Posted by ithad2bme
Houston transplant from B.R.
Member since Sep 2008
3649 posts
Posted on 10/20/25 at 12:26 pm to
I have BCBS-TX and my rates are going up less than 1% with our company. I wonder if your company had a lot more claims?

Employee -Family plan
$595 with HDHP Gold and company adds $1,400 to our HSA
$2K/$4K deductibles and everything but preventative is %20 after deductible.

$536 for the PPO with $3k/$6K deductible, Primary $25, Specialist $50, Urgent $75, and Emergency $250 + 20% coinsurance.
Posted by deltaland
Member since Mar 2011
100653 posts
Posted on 10/20/25 at 12:53 pm to
quote:

More and more people are just dropping health insurance and doing without and taking their chances.


If you’re young and healthy you’re better off doing this and opening an investment account and putting whatever you’d spend on premiums in there and let it grow. If you need a procedure, use that money. If nothing ever happens you just built up a nice sum of money.

Maybe pay for a cheap plan that covers catastrophic incidents that would otherwise bankrupt you
Posted by T-BRO
Cleveland, TX
Member since Sep 2003
1643 posts
Posted on 10/20/25 at 12:55 pm to
I have BCBS-Tx for my wife and I. Went up $41/month.
Thinking about moving to the ppo -b option that saves $200/month.
We’re healthy now, but worried about the out-of-pocket since we’re getting older. Only takes one major health issue.
Posted by the808bass
The Lou
Member since Oct 2012
125556 posts
Posted on 10/20/25 at 1:13 pm to
quote:

Additionally, I do think every single company should shop their benefits or brokers yearly.


If you change every year, your premiums get that priced in.
Posted by aubie101
Russia
Member since Nov 2010
3601 posts
Posted on 10/20/25 at 1:25 pm to
What a great deal I paid $1400 a month for a family of four
Posted by King
Deep in the backwoods
Member since Sep 2008
18663 posts
Posted on 10/20/25 at 1:33 pm to
My plan is 100% employer paid if you don't get the family plan.
Vision, Dental, and 2x Salary Life Insurance is 100% paid as well.

Rx is $0 for Generic, $20, and $40
$40 Dr visit
$70 Specialist visit
$3k deductible
$350 ER Co-Pay is going to $500 for 2026
Posted by TigerAxeOK
Where I lay my head is home.
Member since Dec 2016
35600 posts
Posted on 10/20/25 at 1:52 pm to
Got really lucky here. My company was bought out by a much bigger corporation and my rates actually fell by 2.5% and the coverage is better.

I feel very blessed and fortunate for it, but it doesn't negate the sympathy and anger I feel for pretty much everyone else who has to pay these exorbitant increases.

If the GOPe doesn't address this in the next year and actually do something about it, they're going to get absolutely (and rightfully) crushed in 2026 and 2028.

All the histrionics and manufactured, faux outrage right now are about ICE and mUh bLuMpF, but the average voter right now sees grocery prices slowly stabilizing, energy costs slowly decreasing, military getting back to itself and the southern border secured. They're not worried about those topics right now. They're worried about increasing healthcare and insurance costs, because that is the main thing affecting the voters that actually decide the future of this nation.

I promise you this, we can almost certainly count on the GOPe to shite the bed and frick the dog at the same time, and intentionally blow this golden opportunity to turn America RED for a generation.
Posted by roguetiger15
Member since Jan 2013
17356 posts
Posted on 10/20/25 at 1:53 pm to
I have to put tubes in my kid’s ears on Thursday. Total cost before insurance is 12k. 3k out of pocket. Totally insane.
Posted by chinhoyang
Member since Jun 2011
25664 posts
Posted on 10/20/25 at 1:57 pm to
In my wife's plan, I have to recertify every year as a family member. If you don't, you are not covered for the next year. It is a trap that sometimes screws people.

When she went full-time, we both enrolled in October. But, she didn't list me again in November because she had just prepared the certification. So, I lost a year of coverage (no big deal, had no big claims).

This year, I have to be careful because I'm in the middle of an 8 dose infusion that runs $200k for each one.
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