Health insurance plans
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@momurda said in Health insurance plans:
Your deductible is 5350? Doesn't that mean you pay everything out of pocket, essentially every year? Unless youre going in for major surgery or a couple of MRI/CT scans every year you are paying out of your pocket, plus youre also paying for insurance. Plus you put more money in an HSA?
Youre paying 8k/year for insurance out of pocket, plus what your company is paying the insurance company.
That seems a bit out of control/way too much. why have employer health insurance if youre paying more than your employer every month.HSAs are for depositing pre-tax money which can later be used to pay for such expenses. So it's not $5350+$3350. His deductible is still $5350, its just a big part of it ($3350) can be paid for using pre-tax money.
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@Kris_K
Thanks for the clarification. I never go to the doctor so I never follow the in and outs of the insurance scam. -
@momurda said in Health insurance plans:
@Kris_K
Thanks for the clarification. I never go to the doctor so I never follow the in and outs of the insurance scam.They all look like a big scam until something major happens. Then you're happy you don't have to file for bankruptcy.
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@MattSpeller said in Health insurance plans:
@Kris_K said in Health insurance plans:
They are a big scam considering the system you could have
FTFY
Surgery this year, two hospital visit follow ups, multiple trips to the clinic for checkups and additional drugs.
~$50 (drug costs)
There he goes breaking the OPs rules.
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@coliver Apologies I didn't see that
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@MattSpeller said in Health insurance plans:
@coliver Apologies I didn't see that
Canadians ... always flaunting their superior stuff.
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@BRRABill said in Health insurance plans:
@MattSpeller said in Health insurance plans:
@coliver Apologies I didn't see that
Canadians ... always flaunting their superior stuff.
I am honestly sorry for that, I failed to read all of his post. I have to tell you though that it breaks my heart and frustrates me to no end that such an otherwise intelligent and progressive country could fail to make a system to compete with our broken, leaking and creaky health care system.
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@momurda said in Health insurance plans:
Your deductible is 5350? Doesn't that mean you pay everything out of pocket, essentially every year? Unless youre going in for major surgery or a couple of MRI/CT scans every year you are paying out of your pocket, plus youre also paying for insurance. Plus you put more money in an HSA?
Youre paying 8k/year for insurance out of pocket, plus what your company is paying the insurance company.
That seems a bit out of control/way too much. why have employer health insurance if youre paying more than your employer every month.You have a few things misunderstood.
Yes, my deductible is $5350, and that does I mean I have to pay for 100% of covered expenses until I reach $5350/yr. The HSA is money I put into an account Pre-tax that I can use to pay the deductible with. So the $3350 I put into HSA is used toward the $5350, leaving me to pay $2000 with post tax dollars. Assuming I'm in a 30% tax bracket, this saves me $1005 versus paying all post tax.
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It's a bit more than that - By $600 in premiums. So more like $6K on the first plan. Still F'd if you ask me.
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@pchiodo said in Health insurance plans:
It's a bit more than that - By $600 in premiums. So more like $6K on the first plan. Still F'd if you ask me.
So to those ... oh wait.. I don't want to go and break my own request
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@pchiodo said in Health insurance plans:
It's a bit more than that - By $600 in premiums. So more like $6K on the first plan. Still F'd if you ask me.
Correct, my max out of pocket for covered things in a year are $5350 + $600 = $5950
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Now, as I mentioned my company offers a PPO plan as well.
PPO Plan:
Premium per month: $484
Employer pays $343, I pay $141
Normal office visits $50 copay, Speciality Office visits $50 copay, pharmaceuticals $5-50 ea
Deductible $600, toward non clinic visits
After deductible pay 20% until patient has an out of pocket expense of $2850/yrtotal max out of pocket $4542
FYI, We do not have a FLEX plan for these plan members. For those that don't know, a FLEX plan is a bit like a HSA plan (see above). It has lower maxes, typcially $2000 I think, and what you don't use by the end of the year is forfeit to the plan holder.
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Full disclosure - one might ask - hey wait Dash, why did you pick the HD plan when the out of pocket max is higher than your PPO plan?
A few things, I have only met my the max spend two times in the last 5 years for pre existing conditions that are now resolved, so I don't expect anything new along these lines.
Also, my company provides another benefit. Anyone who uses the HD plan, the company pays for the remaining deductible (remember it is $5350) after the employee pays the first $2000.
This makes my real max out of pocket $2000 + $672 = $2672
All of which is tax deductible. -
I can't get healthcare in the US. The Obamacare plans don't cover people in my situation. So we are stuck without any means of getting health insurance even as American citizens.
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@scottalanmiller said in Health insurance plans:
I can't get healthcare in the US. The Obamacare plans don't cover people in my situation. So we are stuck without any means of getting health insurance even as American citizens.
I'm still confused about this - mostly because I don't recall the conversation we had 2+ months ago about why you can't get insurance. But we agree that health insurance for you is pretty worthless since you spend most of your time out of the country.
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@Dashrender said in Health insurance plans:
@scottalanmiller said in Health insurance plans:
I can't get healthcare in the US. The Obamacare plans don't cover people in my situation. So we are stuck without any means of getting health insurance even as American citizens.
I'm still confused about this - mostly because I don't recall the conversation we had 2+ months ago about why you can't get insurance. But we agree that health insurance for you is pretty worthless since you spend most of your time out of the country.
We'd LIKE to be insured, it's just that nothing that meets the qualifications of Obamacare is required to cover us. So they don't.
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@scottalanmiller said in Health insurance plans:
@Dashrender said in Health insurance plans:
@scottalanmiller said in Health insurance plans:
I can't get healthcare in the US. The Obamacare plans don't cover people in my situation. So we are stuck without any means of getting health insurance even as American citizens.
I'm still confused about this - mostly because I don't recall the conversation we had 2+ months ago about why you can't get insurance. But we agree that health insurance for you is pretty worthless since you spend most of your time out of the country.
We'd LIKE to be insured, it's just that nothing that meets the qualifications of Obamacare is required to cover us. So they don't.
I don't understand this. Are you saying that no one carries a plan in Texas that is Obamacare compliant that you can purchase? How can that be? What is disqualifying you from the plans that the citizens of Texas I assume must have so they aren't all paying fines against Obamacare today?
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@Dashrender said in Health insurance plans:
@scottalanmiller said in Health insurance plans:
@Dashrender said in Health insurance plans:
@scottalanmiller said in Health insurance plans:
I can't get healthcare in the US. The Obamacare plans don't cover people in my situation. So we are stuck without any means of getting health insurance even as American citizens.
I'm still confused about this - mostly because I don't recall the conversation we had 2+ months ago about why you can't get insurance. But we agree that health insurance for you is pretty worthless since you spend most of your time out of the country.
We'd LIKE to be insured, it's just that nothing that meets the qualifications of Obamacare is required to cover us. So they don't.
I don't understand this. Are you saying that no one carries a plan in Texas that is Obamacare compliant that you can purchase? How can that be? What is disqualifying you from the plans that the citizens of Texas I assume must have so they aren't all paying fines against Obamacare today?
I can purchase the plan, but it won't cover me. And it's US wide, not limited to Texas. It's a known gap in the Obamacare system. Travelers in our situation are caught in a missed situation where Obamacare doesn't cover us but we still get the penalty. It's not that I'm not allowed to pay for coverage, there is just not requirement for me to be covered.
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@scottalanmiller said in Health insurance plans:
Travelers in our situation are caught in a missed situation where Obamacare doesn't cover us but we still get the penalty. It's not that I'm not allowed to pay for coverage, there is just not requirement for me to be covered.
I'm lost again, first you say
but we still get the penalty
then you say
there is just not requirement for me to be covered.
If there's no requirement, then how could there be a penalty?
