Is my math right?

I have worked myself in a tizzy trying to decide between my employers DHMO plan vs. HDHP with HSA. My employer contributes 3000 to my HSA with an equal 6000 deductible/MOOP.

I have been on the DHMO for 3 years and have had very little issues. I mainly see a dermatologist (specialist), out of network PT, and out of network chiropractor. Plus dental and eyeglasses.

Last year, ALL health expenses (excluding labs) totaled $3525 out of a potential $3600 HSA contribution. 3000 + 600 of my own. When I added up the same in copays etc. on the DHMO it came to $2000 out of pocket.

My concern is that I am on two prescriptions (Truvada and generic Accutane) that require frequent labs. However, only the generic Truvada will be left in the next plan year and the prescription it self is covered under preventive ($0). I.e. I think I will have less healthcare expenses last year based on the information I have, but we all don’t know for sure.

The HDHP has a higher premium (+$50/month) over DHMO. If I subtract the higher premium from the $2000 out of pocket (50×12), IS MY MATH RIGHT that I save $1400/year via the HSA hypothetically because it’s someone else’s contribution even with a higher premium? ($81 vs. $32/month)? Or is it only $800/year after I subtract MY $600 on top of employer $3000?

Or should I just take the money saved or premium difference and invest it in my Roth IRA and keep the DHMO?

34 year old, teacher, Denver, CO (80206)

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I have worked myself in a tizzy trying to decide between my employers DHMO plan vs. HDHP with HSA. My employer contributes 3000 to my HSA with an equal 6000 deductible/MOOP. I have been on the DHMO for 3 years and have had very little issues. I mainly see a dermatologist (specialist), out of network PT, and out of network chiropractor. Plus dental and eyeglasses. Last year, ALL health expenses (excluding labs) totaled $3525 out of a potential $3600 HSA contribution. 3000 + 600 of my own. When I added up the same in copays etc. on the DHMO it came to $2000 out of pocket. My concern is that I am on two prescriptions (Truvada and generic Accutane) that require frequent labs. However, only the generic Truvada will be left in the next plan year and the prescription it self is covered under preventive ($0). I.e. I think I will have less healthcare expenses last year based on the information I have, but we all don’t know for sure. The HDHP has a higher premium (+$50/month) over DHMO. If I subtract the higher premium from the $2000 out of pocket (50×12), IS MY MATH RIGHT that I save $1400/year via the HSA hypothetically because it’s someone else’s contribution even with a higher premium? ($81 vs. $32/month)? Or is it only $800/year after I subtract MY $600 on top of employer $3000? Or should I just take the money saved or premium difference and invest it in my Roth IRA and keep the DHMO? 34 year old, teacher, Denver, CO (80206)
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