Quote:
Originally Posted by Chief Roundup
Wish I could post a pic of their breakdown.
The POS plan which I can choose for $130 a month has a $1500 deductible with a $5000 maximum out of pocket. $35 copay at Dr. $45 at specialists. Copay plus 20% up to the $5K max. Scripts are $20, $50, $70 for Generics, Preferred, Non-Preferred. Wellness covered 100%.
The HDHP which I can choose for $75 a month has a $3000 deductible which is also the max out of pocket. Wellness is covered 100% everything else is 0% covered until deductible is met.
I am on Simvastatin, Spiriva Respimat and Albuterol Sulfate HFA. I see the Dr twice a year for blood work and a wellness checkup.
Hope that helps. Any other info that might help?
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I'd research the cost of your meds under the HDHP and cost you'd pay for your normal visits. If you're paying 100% up until the deductible is met, you'll need to know this to make a good decision. You should do the math on both plans. What would be your normal cost under each plan for your meds, visits, and premiums on a monthly and annual basis? GoodRx is fairly cheap for Simvastatin, but I'm not sure on the asthma meds. If you're taking a cholesterol pill, that certainly means you may be at a higher risk for a catestrophic event so factor that in. Blake did a really good job of breaking down some of the math for you.
What you do know is that if you contributed $250 a month to your HSA, you'd pay the deductible over a year. The question is, would you exceed $250 a month in costs under that plan up until the deductible is met. If you don't, going with an HDHP/HSA plan makes sense because you can bank for the future. One thing to factor here too is your bank account. You know for a fact that 3900 is the max you'll pay during a year under this plan. Can you cover that now? You could pay $6560 under the other plan. If you have the funds for a catastrophic year, then the HDHP makes far more sense regardless.