Please register to participate in our discussions with 2 million other members - it's free and quick! Some forums can only be seen by registered members. After you create your account, you'll be able to customize options and access all our 15,000 new posts/day with fewer ads.
Family premium - $504/mo. (regardless if its 2 or 10)
Family deductible $3,000
Out-of-pocket max - $4,500 individual
Out-of-pocket max - $9,000 family
Family deductible of $3k must be met before plan pays dime one for either dil or son. After that it pays 80%.
Plan does not provide for copays for doc visits, at all. Anything other than preventive, including prescriptions, is on them until $3k deductible is met. Copays on prescriptions apply only after $3k is met.
The Catch22 w/"free preventive" office visits, as we all know by now b/c of various complaints on this forum, is you can't talk about a preexisting condition or new diagnosis. That means if either of them visit a doctor because they're not well, it's all on them. FAQ sheet on this plan states this:
Son was hospitalized last year for CHF. Any docs he'd be visiting would be discussing that, of course. Therefore, plan pays 0 - until $3k deductible is met.
So, son/dil plan is to front load the HSA immediately now and early part of next year. Dil has knee issues, thinks she might need MRI, maybe laporoscopic surgery.
Fortunately, the premium is pre-tax as will be their HSA deposits. But, this example is illustrative - people need to know where the gaps are and plan accordingly. For a big family with modest income, paying cash for doc visits and medication for a sick child or ongoing chronic conditions and/or meeting the $3k deductible can be very hard. Even after deductible is met, 20% copay on all doc visits and/or any tests is no walk in the park either. Last test my son had done was $1,800. 20% - $360.
Very clear why my Health Sciences mutual fund is going gangbusters.
Actually that is not a bad price. My ACA compatible family plan (individually purchased) is $1200 per month with 4K deductible max OOP of 12K no HSA compatibility.
Actually that is not a bad price. My ACA compatible family plan (individually purchased) is $1200 per month with 4K deductible max OOP of 12K no HSA compatibility.
I failed to mention the school is subsidizing - in a big way - the premiums. School says the actual cost of the plan is
It may be the full family premium is so high because it is not predicated on number of people on plan. Company assumes at least two, but for a big family that number could be anything.
I failed to mention the school is subsidizing - in a big way - the premiums. School says the actual cost of the plan is It may be the full family premium is so high because it is not predicated on number of people on plan. Company assumes at least two, but for a big family that number could be anything.
I found UHC to be ridiculously expensive in NY on individual purchase ACA compatible plans. Easily $400 per month higher for family plan with same metal plan as its competitors. Wonder why they even bothered?
Even for next year, despite a 15% decrease in premiums, it still will be the most expensive plan.
In about a year and after NEW price increases set to take place shortly, the american people will wake up to find that Obama was flash and glitter on this matter. Boiled by the insurance companies, baked by the congress and served well done. This ACA is exceptionally bad. It is neither affordable nor comprehensive. It is a catastrophic plan which is RIDICULOUSLY expensive and with protections built in for the insurance companies. If the POTUS had had ANY experience or knowledge he would have vetoed this piece of chi*t law and started over. As it is now, the insurance companies will profit.
The deductibles are the killer. Family deductible of $3k must be met before plan pays dime one for either dil or son. After that it pays 80%.
Interesting. In all the years that we've had individual policies (self employed), we have never had to meet the deductible for the insurance to pay a portion of a doctor visit or medical procedure. It's unfortunate that that health insurance policies appear to be written so differently.
Newly insured medicaid patients have tripled in states where it was expanded and guess where the patients are going for treatment? The ER, of course, the easiest and most expensive access point. This was completely foreseeable.
More media hype put out before further research was done.
"Dave Dillon, vice president of media relations at the Missouri Hospital Association, which supported the expansion of Medicaid in Missouri, said ER overuse is a complicated problem with numerous causes.The Oregon study, which found that a Medicaid test group visited the emergency room more than the uninsured, does not take those causes into account." Medicaid expansion's impact on ER visits has complex causes - Columbia Missourian
Interesting. In all the years that we've had individual policies (self employed), we have never had to meet the deductible for the insurance to pay a portion of a doctor visit or medical procedure. It's unfortunate that that health insurance policies appear to be written so differently.
Yes, this practice has been on the upswing for the last ten years. If you haven't already watched it, you might be interested in this documentary with Bill Moyers and Wendell Potter, a former executive from Cigna. Bill Moyers Journal . Watch & Listen | PBS
I agree, it is really not health insurance in the true sense. People in most all countries with single payer don't have such deductibles, and there is no one playing games with them that don't allow them to tell the doctor where it hurts or suffer the penalty of being charged for the visit.
You can still purchase policies with lower deductibles, but they are quite expensive. That is the idea behind the insurance company saving money. Granted, for someone who has no health problems for years, it works out ok. But for someone with health problems without the benefit of ample extra cash, this is a real problem.
wouldn't we save a lot of money by cutting out the middle man, the insurance companies?
That is how single source funding works. Medicare is a good example of that. It to is fraught with problems but nowhere near what the ACA has become.
Please register to post and access all features of our very popular forum. It is free and quick. Over $68,000 in prizes has already been given out to active posters on our forum. Additional giveaways are planned.
Detailed information about all U.S. cities, counties, and zip codes on our site: City-data.com.
Please register to participate in our discussions with 2 million other members - it's free and quick! Some forums can only be seen by registered members. After you create your account, you'll be able to customize options and access all our 15,000 new posts/day with fewer ads.
