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Old 09-14-2011, 08:50 AM   Topic Starter
DaKCMan AP DaKCMan AP is offline
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Health Insurance

So my company announced they're switching next year to a co-insurance plan.

Is there anything positive about this switch - because if there is, I can't find it.

Anyone else's organization make the switch? How much more is it costing you?
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Old 09-14-2011, 08:55 AM   #2
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Old 09-14-2011, 09:25 AM   #3
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Old 09-14-2011, 09:38 AM   #4
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I would think it would cost less if you don't go to the doctor very often.

Unless your company pays for all of your insurance.
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Old 09-14-2011, 09:40 AM   #5
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Old 09-14-2011, 09:41 AM   #6
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What is your stop loss (max out of pocket expenses where the insurance picks up everything)?
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Old 09-14-2011, 09:48 AM   #7
DaKCMan AP DaKCMan AP is offline
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Originally Posted by luv View Post
I would think it would cost less if you don't go to the doctor very often.

Unless your company pays for all of your insurance.
That's just it. A Dr. visit will go from a $20 co-pay last year and a $25 co-pay this year to a $125 cost under the new plan. Thankfully, I'm very healthy and only go maybe once a year, but I shouldn't have to weigh going to the doctor against a $125 cost.

When I broke my hand earlier this year and went to the ER it cost me $150 for the ER visit. Now that will cost $1000+.

Quote:
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What is your stop loss (max out of pocket expenses where the insurance picks up everything)?
$1500 deductible (was $600 this year) and $4000 out of pocket max where they'll cover 80/20.
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Old 09-14-2011, 10:04 AM   #8
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Originally Posted by DaKCMan AP View Post
That's just it. A Dr. visit will go from a $20 co-pay last year and a $25 co-pay this year to a $125 cost under the new plan. Thankfully, I'm very healthy and only go maybe once a year, but I shouldn't have to weigh going to the doctor against a $125 cost.

When I broke my hand earlier this year and went to the ER it cost me $150 for the ER visit. Now that will cost $1000+.



$1500 deductible (was $600 this year) and $4000 out of pocket max where they'll cover 80/20.
Yikes. That is quite a jump. Paying about the same in premiums for that much of a jump, or did they go down at all?
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Old 09-14-2011, 10:06 AM   #9
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Yikes. That is quite a jump. Paying about the same in premiums for that much of a jump, or did they go down at all?
Their line thus far is that premiums won't increase. Gee, thanks.
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Old 09-14-2011, 10:15 AM   #10
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Their line thus far is that premiums won't increase. Gee, thanks.
I don't have the greatest knowledge of insurance, but typically, they offer to lower the premium whenever you pay more out of pocket. Did you even get a choice between 90/10, 80/20, or 70/30?
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Old 09-14-2011, 09:49 AM   #11
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Old 09-14-2011, 09:54 AM   #12
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Old 09-14-2011, 09:59 AM   #13
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Health insurance costs have become prohibitive for the employers, and continue to get worse.

We (company less than 100 employees) received 35-45% increases annually, until we finally said no a few months ago.

We continued to raise the co-pay and increase the deductibles, until it just made no more sense, trying to keep the costs down.

Just for me and my spouse, it was costing $43,000 per year, with $6000 deductible, $50 copay in network etc.

The system is broke, unless you don't need it.
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Old 09-14-2011, 10:02 AM   #14
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Health insurance costs have become prohibitive for the employers, and continue to get worse.

We (company less than 100 employees) received 35-45% increases annually, until we finally said no a few months ago.

We continued to raise the co-pay and increase the deductibles, until it just made no more sense, trying to keep the costs down.

Just for me and my spouse, it was costing $43,000 per year, with $6000 deductible, $50 copay in network etc.

The system is broke, unless you don't need it.
You were paying $43,000 for insurance???? Wow.
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Old 09-14-2011, 10:09 AM   #15
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You were paying $43,000 for insurance???? Wow.
That is the company part, plus my share. There were only 5 of us left in the plan, youngest was 50.

Each, including spouses had some kind of pre-existing.

Insurance companies raise rates, young healthy people (like the OP) drop out, because they can't afford it and don't really need it.

So rates are raised again, more drop out, on and on until it spirals to where ours was.

This is why I say the system is broke, and such a large percentage of our population do not have health insurance.
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