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Hi all -
Long story short, my wife lost her well paying professional job of over 15 years this year due to cutbacks at her company, but I am still working thankfully. She is now on my health insurance but it stinks since it has huge deductibles.
We decided to start a family this year since she is out of work and it will allow her to be with baby for a few months until she goes back to work fulltime in early 2017, until then we are a single income family.
Her bills have started rolling in from the doctor visits and they are pretty nuts, we are in the hook for the first $4000 until my insurance kicks in 100%.
She was recently approved for unemployment insurance payments which is great and it helps us out, wondering if this would also help her get medicaid during pregnancy so that we can use it as secondary insurance?
Thanks everyone for the wealth of information. Her sister assured her that she could file for Medicaid without my income being counted. I thought that to be impossible since we are married.
Cobra was very expensive per month and not worth it.
We will just continue paying out of pocket until I hit my maximum out of pocket limit as originally planned. Thanks all
Do you have an FSA or HSA to help with expenses? If not, I would recommend signing up for it for next year. It's the only way to survive with these plans.
Do you have an FSA or HSA to help with expenses? If not, I would recommend signing up for it for next year. It's the only way to survive with these plans.
Yep I have an fsa of $1600 so I have to pay out of pocket after I hit $1600 up to about $4300
[quote=Werdywerd;44430976]Thanks everyone for the wealth of information. Her sister assured her that she could file for Medicaid without my income being counted. I thought that to be impossible since we are married.
/QUOTE]
Yes. How can she apply for Medicaid if your household income is over the Medicaid limit?
Do you have an FSA or HSA to help with expenses? If not, I would recommend signing up for it for next year. It's the only way to survive with these plans.
most regular health plans now have deductibles and out of pockets in the thousands like the aca plan's or my plan . but they cannot have an hsa account contributed to for the coverage of those expenses . they are not considered high deductible health plans which have far higher deductibles and out of pockets .
fsa's are only good if the company offers them . many have stopped . they got burned to many times by employees maxing out and then leaving the company . most folks end up forfeiting nothing back . they always find a way to use the fsa up .
aca plans can have a 6400.00 out of pocket max for an individual who is unsubsidized . my regular plan is a 2500.00 deductible today up from 250.00 a few years ago and it only covers me . it still beats an aca plan .
being retired our health insurance is one major expense . even medicare and a supplement plan can run 5-6k per person with no dental , hearing aids or glasses ..
Last edited by mathjak107; 06-16-2016 at 02:45 AM..
Thanks everyone for the wealth of information. Her sister assured her that she could file for Medicaid without my income being counted. I thought that to be impossible since we are married.
Thanks everyone for the wealth of information. Her sister assured her that she could file for Medicaid without my income being counted. I thought that to be impossible since we are married.
Cobra was very expensive per month and not worth it.
We will just continue paying out of pocket until I hit my maximum out of pocket limit as originally planned. Thanks all
Unless your sister in law worked for an insurance company, you should have disregarded her advice and asked an expert or your own insurance company. You should go through your health insurance policy now and find out what they will or won't cover for the rest of the pregnancy. You don't need any further surprises.
So are you saying that you don't get covered at all until you hit $4,000? Or is $4,000 your out-of-pocket limit? Those are usually two different amounts.
The out-of-pocket limit means that you get reimbursed 100% after reaching that amount.
For instance, my family deductible is $2,000, and my family out-of-pocket maximum is $4,000.
Wouldn't it be worth it for your wife to apply for Obamacare? If she was recently laid off, she would qualify. Your income, though, would count, so I imagine she would not be eligible for subsidies, and the cost would be fairly high. Still, it might not hurt to look.
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