Are there difference between Gold and Silver BESIDES Deductible and OoPM?

Below I outline the details of the plan, skip if you’re not interested

So my work offers two plans. A gold HSA and silver HSA. The gold costs $150 more a month for family. Both have the same coinsurance of 80%. Individual out of pocket max for both is $7500.

Gold: Deductible: $3500 Out of Pocket Max: $8000

Silver: Deductible: $6000 Out of Pocket Max: $10000

THE PROBLEM:

My wife’s pregnant, and child delivery is an awfully expensive thing so I’m sure we’ll end up with at least $6000 in medical bills within next year. But when doing the calculations, taking into account the extra $1800 spent on premiums for the Gold- to my HORROR I discovered that up until around $6000 in medical charges there is no cost savings. And after that, the cost savings level at a stagnant $200.

So regardless of situation, people are being expected to put an $1800 down payment on a potential savings of $200 MAXIMUM FOR THE YEAR! Am I totally missing something? Are there other benefits to Gold plans? The plan breakdown sheets looked identical. Someone who doesn’t go to the doctor often is certainly losing by going with Gold, and honestly in our case $200 in savings doesn’t feel much like winning.

submitted by /u/blxkapval
[link] [comments]Below I outline the details of the plan, skip if you’re not interested So my work offers two plans. A gold HSA and silver HSA. The gold costs $150 more a month for family. Both have the same coinsurance of 80%. Individual out of pocket max for both is $7500. Gold: Deductible: $3500 Out of Pocket Max: $8000 Silver: Deductible: $6000 Out of Pocket Max: $10000 THE PROBLEM: My wife’s pregnant, and child delivery is an awfully expensive thing so I’m sure we’ll end up with at least $6000 in medical bills within next year. But when doing the calculations, taking into account the extra $1800 spent on premiums for the Gold- to my HORROR I discovered that up until around $6000 in medical charges there is no cost savings. And after that, the cost savings level at a stagnant $200. So regardless of situation, people are being expected to put an $1800 down payment on a potential savings of $200 MAXIMUM FOR THE YEAR! Am I totally missing something? Are there other benefits to Gold plans? The plan breakdown sheets looked identical. Someone who doesn’t go to the doctor often is certainly losing by going with Gold, and honestly in our case $200 in savings doesn’t feel much like winning. submitted by /u/blxkapval [link] [comments]Read Morer/HealthInsurance

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