My new Health Plan

[pnkpanther]

I just switched my health plan

it saves my company a lot of money...but since i never go to Dr pay's off for me too, i think.

My major medical is still covered and that monthly premium is really low. for my smaller item's, i have a health savings account, where i put away money that gains interest and use it as I go, it's a cafeteria plan basically. Once i exceed 2800 a year in medical bills, all remaining is 100% covered. it's set up like a 401K. I dont have to use it for medical things, but if i do, i have to pay taxes on it...

sounds like way health care is going to go in future.

[BoredWithNoSB]

Plan is HORRIBLE for those who have unexpected stuff pop up in the first copuple of years.

I had that plan implemented at Domino's. There's covers 80% after $3000. Well, turns out that three weeks after the plan started I got a hip flexor and some ligiment junk that I had to do physical therapy for. Basically, I had about $150 in the account and had $3000 worth of bills after 2 months. It sucked. Now, imagine if I'm joe, only making $30K guy. That $3000 unexpected cost upfront could bury them.

These plans are a HUGE gamble in the early years. I am much happier paying a higher premium and knowing I am actually getting insured.

[pnkpanther]

Plan is HORRIBLE for those who have unexpected stuff pop up in the first copuple of years.

I had that plan implemented at Domino's. There's covers 80% after $3000. Well, turns out that three weeks after the plan started I got a hip flexor and some ligiment junk that I had to do physical therapy for. Basically, I had about $150 in the account and had $3000 worth of bills after 2 months. It sucked. Now, imagine if I'm joe, only making $30K guy. That $3000 unexpected cost upfront could bury them.

These plans are a HUGE gamble in the early years. I am much happier paying a higher premium and knowing I am actually getting insured.


yeah it's got its downside

i havent been to a doctor in 12 years though. but my luck, as soon as i switch, i get killed.

I'm only making a marginal amount more then Joe, so....

[Jiddy78]

Blue Cross Blue Shield PPO

I've paid about $2500 out of pocket altogether for all my cancer treatment since last July. That's Mayo Clinic treatment.

Great deal considering what I see some of the bills come back as.

I'm a health insurance "winner." :rolleyes:

[LSU]

We have an HRA (Health Reimbursement Account) that basically pools some money so that everyone on the plan has $1000 (individual), $1500 (+spouse), or $2000 (family) that is covered completely every year. Once that level is reached, you pay full amount up to a certain value, depending on your plan. Once that value is reached, you pay coinsurance, 10% in network, 30% out of network, supposedly that's capped, too.

We've paid about $3000 so far this year between the copay and the intermediate after the HRA was used up. Actually, for this insurance cycle (July to June) we've actually paid about $3500, but that other $500 was before Jan 1. Come November or so, we'll get hit again probably because of a surgery...

Of course, without the ins., our bill would be in the neighborhood of probably $50,000. I don't like that neighborhood.