Post by definitelyO on Oct 8, 2023 17:50:04 GMT -5
HDHP $850/mo family coverage $3200 deductible (lowest allowed by IRS) 20% coinsurance Employer contributed $1000 into my HSA. And I max out my HSA annual contribution.
$750/month for a family of 4 through the ACA. That’s OOP with some credits based on household income. It’s a mid-level plan that is accepted by a most of the major hospital systems near us, but we need referrals to see specialists and OOP for things beyond Dr visits, like MRIs is pretty steep so we also spend $2000-5000 a year OOP.
Eta: Dental is an extra $50-150/month and vision is $50+ for a family on the ACA. I feel like we still end up paying a ton OOP so I think it might be a wash to pay cash without insurance.
I keep hearing how crazy expensive it is, but these costs don't seem bad!
The first few posts seemed really cheap and great to me! DH and I have worked a lot of places and most have been $250-400/month for an individual for a PPO or HMO, but how good the insurance is and how much OOP costs are varies a ton (and some the family plans have been like $800-1000/month).
I’ve had a HSA before and I really liked it, because the premiums were much lower, and we could save the difference in premiums (like pay $200/month and save $400/month in the HSA instead of pay a $600 premium). We knew the worst case scenario might be maxing a $10k deductible but we never had a big enough medical crisis to hit that and usually spend less OOP than we were saving in the HSA. After the first year and saving up the deductible amount, I worried even less. It can also be a strategy if you have a planned surgery coming up to switch plans at open enrollment. I’d always estimate a best case / worst case for medical spending and decide what the best plan was.
$400/month for a family of 5. But just my claims this year have been 1.8 million+ and my total out of pocket is $4600. Also, I paid for a hospital confinement policy ($10/month) and have “made” $5600 from that so I’m technically up this year, lol.
I can't find this years numbers. But last year it was $350 biweekly for the family plan. $2000 deductible per person and $35 copays. I know everything went up for this year I just don't remember how much. It feels expensive to me. And prescriptions seem to vary. My company does offer a health reimbursement account but it doesn't kick in until you've met the deductible. I think. It's very confusing. It hasn't been helpful for us yet.
Wow! My plan sounds like a ripoff with these costs. I have a traditional PPO plan and pay about $65/week. $500 deductible, $1500 max OOP. I put about $1700 into an FSA every year to cover that + small things that come up/dentist/vision. With my heart, a HDP scares me.
$770/month for me and DH. We’re both self-employed so buy through the marketplace. I don’t remember our copay is ($25?) but it’s similar to what we used to pay under DH’s group plan.
ETA: Just looked it up. If in network, no deductible and $20 copay for PCP, $30 for specialist.
Post by midwestmama on Oct 8, 2023 19:13:55 GMT -5
We are all on DH's plan. He pays $650/year ($25/pay period) for an HSA / HMO plan (I think coinsurance 80% employer/20% employee) after the deductible is met ($8k for family). We contribute around $6500/year to the HSA (plus DH gets $750 from his employer). We have been very blessed to have been pretty healthy (I think most years we've spent less than $2000 on health care) since going on an HSA plan in 2018, so we've been able to save up quite a bit in his HSA.
My employer's plan is $5300/year (about $442/month) for premiums for a family of 4, and then if you want to contribute to an HSA, you have to have additional money deducted, plus there are deductibles ($3k for family), copays, and the coinsurance (80/20) once the deductible is met. For now, we are staying with DH's plan alone due to it being much more affordable.
We are on my dental and vision plans, but those are much cheaper ($60/month for dental and $20/month for vision for the family) and my dental coverage is better than DH's.
DH starts his new job tomorrow. HDHP will be $388 per month and vision/dental is another $136 per month.
We will have a $3200 individual/$6400 family deductible. The new company adds $2000 per year to an HSA and after the bill comes back from insurance the hospital (DH works for the company) will cover half of the amount and we are only responsible for half. They also have their own employee pharmacy which is way cheaper than going to a normal pharmacy.
I pay a stupid amount right now —$1300 a month for my whole family. If I was just paying for me, it would be free. If I could get my husband off it, it would be $300 a month for me and the kids.
"Hello babies. Welcome to Earth. It's hot in the summer and cold in the winter. It's round and wet and crowded. On the outside, babies, you've got a hundred years here. There's only one rule that I know of, babies-"God damn it, you've got to be kind.”
Post by wanderlustmom on Oct 8, 2023 20:44:20 GMT -5
We are about to pay a lot--1K a month. DH is retiring early at 50 and I'm self employed. Also two kids. We pay 500 now and totally worth to for DH to leave his corporate job.
I believe it is $430-something a month for our family of four in a high copay, high deductible plan. When H’s open enrollment comes around, we’re switching to the expensive plan which is $600-something/month. Even though it will cost more upfront, the copayments were killing us this past year. It’s a major sore point for my H, since he not only took a huge pay cut this year to attain some experience he needs to move forward in his career, but now we pay $5K more in medical expenses. The crazy thing is that he works for a healthcare provider!
Post by goldengirlz on Oct 8, 2023 21:23:32 GMT -5
We have very generous benefits and pay $140/EOW for a family plan PPO.
H uses a lot of medical care so we went with the most comprehensive coverage. We have barely any OOP costs. We had two surgeries last year, and a host of cancer testing, and spent <$1500, which was even less than I put on my FSA.
I carry the health insurance for all 4 of us because the health plan at DH’s company costs more and has a much higher deductible PLUS you need to pay 20% after deductible is met.
My policy is $785 a month but I’m a teacher. No paycheck in July or June which also means no health insurance payments.
It’s a PPO. $400 family deductible then they pay 100%. 15 co pays for any dr. $25 for ER visit. The $ 785 also includes my vision plan, dental and prescription drug coverage(not all with the same insurance company but the health plan fee that is deducted from my paycheck is for all the coverage).
Just me, kids are covered by ex-H. I pay about $60/month for med/dental/vision. My employer does not contribute to my HSA and I don't have any anticipated high medical costs annually. My deductible is $2490 individual, $4900 for a family
Post by mcppalmbeach on Oct 9, 2023 5:26:43 GMT -5
Wow. I am jealous of a lot of you! We pay quite a bit monthly for our hdhp for a family of 5 through my husband’s small employer. We all have individual deductibles of $5k and a family deductible of $10k. They do not contribute anything to our deductible cost as done employers do. We are out…a lot…this year. Just as an example I had a suspicious mole at a derm visit last month. That cost was $200 for the office visit plus biopsy and$300 for lab fees. It came back atypical so I went back last week to have it fully removed and it will be at least that much.
Right now I'm on STBXH insurance and he pays $116/week for the Family Plan. As long as we treat with Tier 1 doctors we have no deductible. Our copays are $40 for Primary and $90 for a Specialist and $950 for ER. This also includes Dental and Vision.
If I ever get divorced I'll be paying $94 biweekly and I'll also be adding $104 biweekly to my HSA. This is for a Single Parent Plan and the Deductible is $1850/$3700. After the Deductible is met we'll have 80/20 coinsurance up to the OOP Max of I think $8000. My employer will also contribute $1000/year to my HSA (funded quarterly). Dental and Vision are additional but I don't remember those rates off of the top of my head.
My company's plan changed to a high deductible in 2015. We only have two choices with Cigna, which is the worst of the worst insurance companies.
We pay $525* a month for a family plan that covers almost nothing. Our deductibles are so high that we basically pay out of pocket (at the negotiated rate) until we hit 3k individually and 6k as a family. So if we go to a non-annual doctors visit we pay ~$200, which means we don't go to the doctors.
I hate that our insurance means that we have to make really tough choices for ourselves and our kids. We were big supporters of universal healthcare, but the way it was rolled out really screwed middle income families.
About 6 years ago my husband went through a lot of testing and $$$ medical procedures and the only silver lining was that we hit our family deductible and doctors visits were essentially free for the remainder of the year. It was a relief not feeling like we had to choose between going to the doctors when we were sick and being able to pay our bills.
*this is for medical only, we pay $900 a month all in for medical, dental, and vision
You need to review your premiums and deductibles for the plans available to you. Consider how often you go to the doctor and which plan makes the most sense from a *potential* cost perspective.
Generally, if you don’t go to the doctor much, a HSA is the cheapest out of pocket and, while it has the highest deductible, you only have to worry about that if you have an emergency or need surgery or something.
My employer contributes to my HSA too, so that’s also a factor to consider.
We pay $0 for a family of four. State university and H and I are double employees so get a discount for that. That part is awesome
But we chose the lowest tier of healthcare plan which means we 10-20% on most expenses outside of standard office visits. Like I paid $300 for my diagnostic mammogram this year. We currently do not have chronic health conditions so it still is cheaper to go this route.
$145/week for a family of 4 on a PPO. Dental is $20/week and vision is $4/week. It still boggles my mind that teeth and eyes get their own special insurance.
Our deductible is $1,500 for individual, $3,000 for family. Copays are $30/$50, with an 80% coinsurance until the deductible is met. Out of pocket max is $3,500 individual, $7,000 family.
I'm looking for a plan with a lower out of pocket max and deductible for next year. DS2 has a lot of medical needs, but we haven't met his deductible (we're close, but probably won't hit it this year). He has 9 prescriptions every month, so that's where most of his costs come from, with seeing an endocrinologist every 3 months. Prescription costs kill us.
We pay an obscene amount because DH owns a small company and I'm self-employed. We pay $2400/month for a family of 4, plus extra for crappy dental and OK vision coverage through the same company. We have a $4500 deductible for each person and $7500 per family.
My kids have weekly therapy and a psychopharmacology NP that managed their meds, and they ONLY take the insurance that we have. So if we went with a cheaper option, we'd be paying around $500/week for therapy and another $500 quarterly for med management. They're on vyvanse which retails for about $400/month (times 2 - both kids are on it) and our insurance brings it to $80, but since we hit all of our deductibles the refills are free for the rest of the year.
Dh covers this insurance 100% for all of his employees. They pay their deductibles, but they don't pay any monthly expenses for the plan. Unfortunately there aren't a lot of good, cheap options available to small business owners.