Understanding Medical Insurance
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Is this a decent plan? I am confused by all the different things on the plan coverage sheet. I haven't actually used my insurance yet. I guess I am kinda scared, too.
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So is everything up to the first $5,000 out of pocket for me?
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@IRJ said:
So is everything up to the first $5,000 out of pocket for me?
That how most of them work. Do you have a FSA or HSA?
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Looks like it, but not sure. that is not real clear. But f[moderated] I want that plan. I could not find a 100% plan in Illinois at all.
That is the type of plan I had before ACA. Cost was $580/month and I htink the deductibles were $3k. Damn I miss that.
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@aaronstuder said:
@IRJ said:
So is everything up to the first $5,000 out of pocket for me?
That how most of them work. Do you have a FSA or HSA?
Those are a gimick unless you have known levels of medical expenses
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@JaredBusch said:
I could not find a 100% plan in Illinois at all.
Not to make this political, but that is why we need to allow health insurers to sell across state lines.
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Your going to want to stay in network if you can...
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@JaredBusch said:
Looks like it, but not sure. that is not real clear. But f[moderated] I want that plan. I could not find a 100% plan in Illinois at all.
That is the type of plan I had before ACA. Cost was $580/month and I htink the deductibles were $3k. Damn I miss that.
What confuses me is below the deductible many of the items say 0% of out pocket.
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@aaronstuder said:
@IRJ said:
So is everything up to the first $5,000 out of pocket for me?
That how most of them work. Do you have a FSA or HSA?
Those are, from my understanding, only worthwhile if you have a regular appointment or prescriptions that you need to pay for. Elderly people are generally the ones that benefit the most from it.
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My plan is $50 a month through my employer for just me. If I add my whole family it goes up to $572 a month which isn't terrible.
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That looks like a decent plan. It doesn't look like you would be paying anything, other then your premium, unless you went out-of-network or were hospitalized.
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@IRJ said:
@MattSpeller said:
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Half of this is flat out strange. What's "out of network"? Do you have to only visit specific places to get help? wtf is that?
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@IRJ said:
@MattSpeller said:
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@MattSpeller is Canadian. This looks like some kind of torture device to him.
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@MattSpeller said:
@IRJ said:
@MattSpeller said:
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Half of this is flat out strange. What's "out of network"? Do you have to only visit specific places to get help? wtf is that?
"out of network" is exactly what you describe. We are limited to whatever providers the insurance company can cut a deal with.
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@coliver said:
@MattSpeller said:
@IRJ said:
@MattSpeller said:
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Half of this is flat out strange. What's "out of network"? Do you have to only visit specific places to get help? wtf is that?
"out of network" is exactly what you describe. We are limited to whatever providers the insurance company can cut a deal with.
But if you go to one you'll still get help though right? It'll just cost you differently?
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@coliver And have fun finding a dr that actually takes some of the ACA insurance options these days.
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@MattSpeller said:
@coliver said:
@MattSpeller said:
@IRJ said:
@MattSpeller said:
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Half of this is flat out strange. What's "out of network"? Do you have to only visit specific places to get help? wtf is that?
"out of network" is exactly what you describe. We are limited to whatever providers the insurance company can cut a deal with.
But if you go to one you'll still get help though right? It'll just cost you differently
Correct. In this case 20% of the cost would come out of pocket, up to a maximum of $5,000.
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@coliver Ohhhhh because they're all run like little companies and insurance has to.... oh good grief.
