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    Understanding Medical Insurance

    Scheduled Pinned Locked Moved Water Closet
    44 Posts 12 Posters 5.6k Views
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    • coliverC
      coliver @IRJ
      last edited by

      @IRJ said:

      @MattSpeller said:

      0_1457631316059_upload-a067e53b-e8d6-4318-a778-41f33d538f24

      ?

      @MattSpeller is Canadian. This looks like some kind of torture device to him.

      1 Reply Last reply Reply Quote 2
      • coliverC
        coliver @MattSpeller
        last edited by coliver

        @MattSpeller said:

        @IRJ said:

        @MattSpeller said:

        ?

        Half of this is flat out strange. What's "out of network"? Do you have to only visit specific places to get help? wtf is that?

        "out of network" is exactly what you describe. We are limited to whatever providers the insurance company can cut a deal with.

        MattSpellerM Minion QueenM 2 Replies Last reply Reply Quote 0
        • MattSpellerM
          MattSpeller @coliver
          last edited by MattSpeller

          @coliver said:

          @MattSpeller said:

          @IRJ said:

          @MattSpeller said:

          ?

          Half of this is flat out strange. What's "out of network"? Do you have to only visit specific places to get help? wtf is that?

          "out of network" is exactly what you describe. We are limited to whatever providers the insurance company can cut a deal with.

          But if you go to one you'll still get help though right? It'll just cost you differently?

          coliverC 1 Reply Last reply Reply Quote 0
          • Minion QueenM
            Minion Queen @coliver
            last edited by

            @coliver And have fun finding a dr that actually takes some of the ACA insurance options these days.

            IRJI coliverC A 3 Replies Last reply Reply Quote 1
            • coliverC
              coliver @MattSpeller
              last edited by

              @MattSpeller said:

              @coliver said:

              @MattSpeller said:

              @IRJ said:

              @MattSpeller said:

              ?

              Half of this is flat out strange. What's "out of network"? Do you have to only visit specific places to get help? wtf is that?

              "out of network" is exactly what you describe. We are limited to whatever providers the insurance company can cut a deal with.

              But if you go to one you'll still get help though right? It'll just cost you differently

              Correct. In this case 20% of the cost would come out of pocket, up to a maximum of $5,000.

              MattSpellerM 1 Reply Last reply Reply Quote 0
              • MattSpellerM
                MattSpeller @coliver
                last edited by

                @coliver Ohhhhh because they're all run like little companies and insurance has to.... oh good grief.

                coliverC 1 Reply Last reply Reply Quote 0
                • IRJI
                  IRJ @Minion Queen
                  last edited by

                  @Minion-Queen said:

                  @coliver And have fun finding a dr that actually takes some of the ACA insurance options these days.

                  This is before Obamacare and it seems like I have huge selection of in network doctors.

                  1 Reply Last reply Reply Quote 0
                  • coliverC
                    coliver @Minion Queen
                    last edited by

                    @Minion-Queen said:

                    @coliver And have fun finding a dr that actually takes some of the ACA insurance options these days.

                    No question there. Although it doesn't seem to be a problem around here. Provider complain about it but I haven't heard of any, in this area, outright refusing to take it.

                    1 Reply Last reply Reply Quote 0
                    • coliverC
                      coliver @MattSpeller
                      last edited by

                      @MattSpeller said:

                      @coliver Ohhhhh because they're all run like little companies and insurance has to.... oh good grief.

                      Or they are large providers that refuse to lower their prices based on insurance. I don't understand it either.

                      1 Reply Last reply Reply Quote 0
                      • A
                        Alex Sage @Minion Queen
                        last edited by Alex Sage

                        @coliver

                        And have fun finding a dr that actually takes some of the ACA insurance options these days.

                        Don't use a acronym until you have already used it all spelled out 🙂

                        coliverC MattSpellerM 2 Replies Last reply Reply Quote 0
                        • coliverC
                          coliver @Alex Sage
                          last edited by

                          @aaronstuder said:

                          @Minion-Queen said:

                          @coliver And have fun finding a dr that actually takes some of the ACA insurance options these days.

                          Don't use a acronym until you have already used it all spelled out 🙂

                          ACA is pretty well understood throughout the US. It's like laser we use it every day but it is an acronym for something.

                          1 Reply Last reply Reply Quote 1
                          • MattSpellerM
                            MattSpeller @Alex Sage
                            last edited by

                            @aaronstuder said:

                            @coliver

                            And have fun finding a dr that actually takes some of the ACA insurance options these days.

                            Don't use a acronym until you have already used it all spelled out 🙂

                            Affordable Care Act

                            From the Canadian.

                            A 1 Reply Last reply Reply Quote 1
                            • A
                              Alex Sage @MattSpeller
                              last edited by

                              @MattSpeller Bonus Points?

                              MattSpellerM 1 Reply Last reply Reply Quote 0
                              • MattSpellerM
                                MattSpeller @Alex Sage
                                last edited by

                                @aaronstuder said:

                                @MattSpeller Bonus Points?

                                Darn skippy.

                                1 Reply Last reply Reply Quote 0
                                • A
                                  Alex Sage @IRJ
                                  last edited by Alex Sage

                                  @IRJ said:

                                  What confuses me is below the deductible many of the items say 0% of out pocket.

                                  Is that really 0% or is it 0% after you spend 5K?

                                  coliverC IRJI 2 Replies Last reply Reply Quote 0
                                  • coliverC
                                    coliver @Alex Sage
                                    last edited by

                                    @aaronstuder said:

                                    @IRJ said:

                                    What confuses me is below the deductible many of the items say 0% of out pocket.

                                    Is that really 0% or is it 0% after you spend 5K?

                                    From my past experience this is 0%.

                                    BRRABillB 1 Reply Last reply Reply Quote 1
                                    • IRJI
                                      IRJ @Alex Sage
                                      last edited by

                                      @aaronstuder said:

                                      @IRJ said:

                                      What confuses me is below the deductible many of the items say 0% of out pocket.

                                      Is that really 0% or is it 0% after you spend 5K?

                                      Yeah that is my question, too.

                                      1 Reply Last reply Reply Quote 0
                                      • KellyK
                                        Kelly
                                        last edited by Kelly

                                        HSAs are good for anyone that has medical expenses. They lower your tax burden right off, and can be used for a wide range of expenses that might not seem to fit the category, e.g. chiropractic care, dentists, contacts, etc. It might not be useful for everyone to contribute the maximum allowable to it, but I think there can be value for just about anyone.

                                        JaredBuschJ 1 Reply Last reply Reply Quote 0
                                        • BRRABillB
                                          BRRABill @coliver
                                          last edited by

                                          @coliver said:

                                          From my past experience this is 0%.

                                          I agree.

                                          Otherwise it would say X% (AFTER DEDUCTIBLE)

                                          1 Reply Last reply Reply Quote 1
                                          • JaredBuschJ
                                            JaredBusch @Kelly
                                            last edited by

                                            @Kelly said:

                                            HSAs are good for anyone that has medical expenses. They lower your tax burden right off, and can be used for a wide range of expenses that might not seem to fit the category, e.g. chiropractic care, dentists, contacts, etc. It might not be useful for everyone to contribute the maximum allowable to it, but I think there can be value for just about anyone.

                                            But for many that benefit is outweighed by the time spent managing your expense to setup the HSA and make claims against it.

                                            BRRABillB KellyK 2 Replies Last reply Reply Quote 0
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