Health insurance plans
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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?
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@Dashrender said in Health insurance plans:
@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?
Because the penalty is for not having insurance, not for being covered. I am penalized unless I pay for insurance that doesn't cover me. There is no coverage available that qualifies for not getting the penalty. There is insurance that I'm supposed to have, but no coverage. It's 100% a tax on people in my situation to pay for everyone else's healthcare and none of our own. It's creating the exact situation they claimed the law was to fix.
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My plan works as follows:
Premium per month: $338
Employer pays $282, I pay $56
My deductible is $5350/yr which I'm 100% responsible for, after the deductible is met, the insurance company pays 100% of covered costs.I can't understand how in USA is so expensive.
In Spain sanity is free and cover you anything, It's not perfect, sometimes can take month a simple scanner, but It works fine.
If you want you can pay for a private secure but you pay about 50-70€ per month no 300€ as I read.
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Didn't realise your healthcare insurance costs that much. Damn.
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@scottalanmiller said in Health insurance plans:
@Dashrender said in Health insurance plans:
@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?
Because the penalty is for not having insurance, not for being covered. I am penalized unless I pay for insurance that doesn't cover me. There is no coverage available that qualifies for not getting the penalty. There is insurance that I'm supposed to have, but no coverage. It's 100% a tax on people in my situation to pay for everyone else's healthcare and none of our own. It's creating the exact situation they claimed the law was to fix.
OK I'm remembering this from before now.
And example might be - Obama care requires that your insurance provide yearly wellness at not extra cost to you. And a plan that you would consider buying doesn't include that. And a plan that does include that is worthless to you all of your international traveling days.
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@iroal said in Health insurance plans:
My plan works as follows:
Premium per month: $338
Employer pays $282, I pay $56
My deductible is $5350/yr which I'm 100% responsible for, after the deductible is met, the insurance company pays 100% of covered costs.I can't understand how in USA is so expensive.
In Spain sanity is free and cover you anything, It's not perfect, sometimes can take month a simple scanner, but It works fine.
If you want you can pay for a private secure but you pay about 50-70€ per month no 300€ as I read.
Right, that's because you pay taxes to pay for these services. So you are paying, just not directly to the medical institutions.
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Man i'm glad to have the NHS here in the UK. all this seems complex and expensive
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@Dashrender said in Health insurance plans:
@iroal said in Health insurance plans:
My plan works as follows:
Premium per month: $338
Employer pays $282, I pay $56
My deductible is $5350/yr which I'm 100% responsible for, after the deductible is met, the insurance company pays 100% of covered costs.I can't understand how in USA is so expensive.
In Spain sanity is free and cover you anything, It's not perfect, sometimes can take month a simple scanner, but It works fine.
If you want you can pay for a private secure but you pay about 50-70€ per month no 300€ as I read.
Right, that's because you pay taxes to pay for these services. So you are paying, just not directly to the medical institutions.
Yes I pay it with my Taxes but if I'm unemployee I also get these services, even If I've never work before.
And I'm sure that, in global, I pay less in sanity that in USA, Sanity cover you 80-90% of main medicaments.
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@Dashrender said in Health insurance plans:
@iroal said in Health insurance plans:
My plan works as follows:
Premium per month: $338
Employer pays $282, I pay $56
My deductible is $5350/yr which I'm 100% responsible for, after the deductible is met, the insurance company pays 100% of covered costs.I can't understand how in USA is so expensive.
In Spain sanity is free and cover you anything, It's not perfect, sometimes can take month a simple scanner, but It works fine.
If you want you can pay for a private secure but you pay about 50-70€ per month no 300€ as I read.
Right, that's because you pay taxes to pay for these services. So you are paying, just not directly to the medical institutions.
But they pay lower taxes. So in comparison, they get paid for healthcare.
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This glorious plan pictured below costs me a measly $701.47 per month for a family of 4.
That comes to $8417.64 per year.
This year has only been well child visits.
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If I'm reading this right, you're out of pocket for over $20,000 a year if you have something major? WTF - How can they expect anyone to be on the hook for $20K/year for medical. unless you needed major surgery, you could get a heck of a lot of preventive, and incident based care for those dollars. Extrapolate over 5 years, and my god man, that's a house!
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@pchiodo said in Health insurance plans:
If I'm reading this right, you're out of pocket for over $20,000 a year if you have something major? WTF - How can they expect anyone to be on the hook for $20K/year for medical. unless you needed major surgery, you could get a heck of a lot of preventive, and incident based care for those dollars. Extrapolate over 5 years, and my god man, that's a house!
Don't you love the US healthcare system?
It was this fucked up before the ACA, but before the ACA, all of us could skip out or get more selective coverage.
The ACA has just forced it all into the light.
