Hi everyone,
I could use some advice on deciding what health plan to enroll myself and my family in. I have only ever had PPO plans, so I’m not familiar with maintaining an HSA with a CDHP. All three options are through BC/BS of TX.
Option 1 is higher deductible, lower premium HSA eligible. Premium is $1029 per month for family. 3k individual deductible, 6k family / 5k individual OOP, 9k family OOP Everything paid in full by me until deductible, then 80% coinsurance after deductible, including on prescriptions (primary and specialist). Option 2 is lower deductible, higher premium HSA eligible – $1,211 per month for family. 1.5k individual deductible, 3k family / 3k individual OOP, 6k family OOP Everything paid in full by me until deductible, then 80% coinsurance after deductible, including on prescriptions and office visits (primary and specialist). Option 3 is PPO, FSA eligible. $1,446 per month for family. 1k individual deductible, 2k family / 2k individual OOP, 4k family OOP Copay for PCP $35, Copay for specialist $50 $10 copay for my chronic prescription
My wife and son are healthy and will likely only need annual visits. There will also be an addition to our family in the next few years as well, so pregnancy and delivery costs are on my mind. My biggest sticking point is that I will likely nee 2-4 specialist visits per year for my chronic health condition, and my medication retails for about $800 without insurance. Under the PPO plan I will pay $10 for it whereas I will pay the full $800 until deductible and then about $160 per month until out of pocket. Specialist visits will likely accompany a screening medical procedure every few years as well to make sure I’m not developing cancer since my condition predisposes me to it.
Is the PPO the clear winner here or am I missing something? Like I said, I’ve never had an HSA eligible account and I know some people rave about HSAs – but it doesn’t seem like a good option for me with my lifelong chronic condition. I can *possibly* see Option 2 working, but I would be contributing the difference between that and the PPO plan to an HSA and it would get used up immediately anyway, so picking the PPO seems like a more logical option.
Happy to answer any more questions to clarify – it was hard putting together this info without the ability to post a picture of my benefits guide.
submitted by /u/Praxician94
[link] [comments]Hi everyone, I could use some advice on deciding what health plan to enroll myself and my family in. I have only ever had PPO plans, so I’m not familiar with maintaining an HSA with a CDHP. All three options are through BC/BS of TX. Option 1 is higher deductible, lower premium HSA eligible. Premium is $1029 per month for family. 3k individual deductible, 6k family / 5k individual OOP, 9k family OOP Everything paid in full by me until deductible, then 80% coinsurance after deductible, including on prescriptions (primary and specialist). Option 2 is lower deductible, higher premium HSA eligible – $1,211 per month for family. 1.5k individual deductible, 3k family / 3k individual OOP, 6k family OOP Everything paid in full by me until deductible, then 80% coinsurance after deductible, including on prescriptions and office visits (primary and specialist). Option 3 is PPO, FSA eligible. $1,446 per month for family. 1k individual deductible, 2k family / 2k individual OOP, 4k family OOP Copay for PCP $35, Copay for specialist $50 $10 copay for my chronic prescription My wife and son are healthy and will likely only need annual visits. There will also be an addition to our family in the next few years as well, so pregnancy and delivery costs are on my mind. My biggest sticking point is that I will likely nee 2-4 specialist visits per year for my chronic health condition, and my medication retails for about $800 without insurance. Under the PPO plan I will pay $10 for it whereas I will pay the full $800 until deductible and then about $160 per month until out of pocket. Specialist visits will likely accompany a screening medical procedure every few years as well to make sure I’m not developing cancer since my condition predisposes me to it. Is the PPO the clear winner here or am I missing something? Like I said, I’ve never had an HSA eligible account and I know some people rave about HSAs – but it doesn’t seem like a good option for me with my lifelong chronic condition. I can *possibly* see Option 2 working, but I would be contributing the difference between that and the PPO plan to an HSA and it would get used up immediately anyway, so picking the PPO seems like a more logical option. Happy to answer any more questions to clarify – it was hard putting together this info without the ability to post a picture of my benefits guide. submitted by /u/Praxician94 [link] [comments]Read Morer/HealthInsurance