So I am being offered two choices for health insurance at new job. Covered would be myself (30s), partner (30s), and child (>10). We have moderate medical needs including regular therapy, asthma inhalers, and normal “wear and tear” doctor visits:
Low deductible: $300 individual / $600 family = $140 per pay check. Out-of-pocket max is $10,900 PCP, specialists, urgent care, telemedicine, and therapists are a $25 copay with deductible waived FSA available (doesn’t roll over) Medicine not covered in deductible High deductible: $1500 individual / $3000 family = $0 per pay check (FREE). Out-of-pocket max is $10,900 Can enroll in HSA and will be given $600 yearly from employer to do so. (Rolls over) PCP, specialists, urgent care, telemedicine, and therapists are 100% covered ($0) after deductible hit Medicine included in deductible Was told this plan is “accrued” so all expenses goes to family deductible (though not 100% on that)
Both plans have free dental and vision. Both are through BCBS networks.
Our monthly medical expenses now include 3x per week therapy (w/o insurance would cost $120-150/session), 4 generic drugs (w/o insurance would be ~ $120/month), and 1 inhaler ($220 w/o insurance). We are averaging a PCP visit every third month and have 2 urgent care visits for 2022.
Because of therapy and meds, I think we will hit the deductible within 2.5 months alone. We have enough in savings to recover that cost + the HSA with the $600 buy-in from the employer.
The cost estimator tool they sent me is telling me to go with the high deductible, but I have always been cautioned that the plan is for young folks with not a ton of medical expenses — not families with some regular care needs.
Any advice? Someone else want to run the numbers and confirm or dispute this?
submitted by /u/Trolleydingding
[link] [comments]So I am being offered two choices for health insurance at new job. Covered would be myself (30s), partner (30s), and child (>10). We have moderate medical needs including regular therapy, asthma inhalers, and normal “wear and tear” doctor visits: Low deductible: $300 individual / $600 family = $140 per pay check. Out-of-pocket max is $10,900 PCP, specialists, urgent care, telemedicine, and therapists are a $25 copay with deductible waived FSA available (doesn’t roll over) Medicine not covered in deductible High deductible: $1500 individual / $3000 family = $0 per pay check (FREE). Out-of-pocket max is $10,900 Can enroll in HSA and will be given $600 yearly from employer to do so. (Rolls over) PCP, specialists, urgent care, telemedicine, and therapists are 100% covered ($0) after deductible hit Medicine included in deductible Was told this plan is “accrued” so all expenses goes to family deductible (though not 100% on that) Both plans have free dental and vision. Both are through BCBS networks. Our monthly medical expenses now include 3x per week therapy (w/o insurance would cost $120-150/session), 4 generic drugs (w/o insurance would be ~ $120/month), and 1 inhaler ($220 w/o insurance). We are averaging a PCP visit every third month and have 2 urgent care visits for 2022. Because of therapy and meds, I think we will hit the deductible within 2.5 months alone. We have enough in savings to recover that cost + the HSA with the $600 buy-in from the employer. The cost estimator tool they sent me is telling me to go with the high deductible, but I have always been cautioned that the plan is for young folks with not a ton of medical expenses — not families with some regular care needs. Any advice? Someone else want to run the numbers and confirm or dispute this? submitted by /u/Trolleydingding [link] [comments]Read Morer/HealthInsurance