Understanding Medical Insurance
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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.
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@Minion-Queen said:
@coliver And have fun finding a dr that actually takes some of the ACA insurance options these days.
This is before Obamacare and it seems like I have huge selection of in network doctors.
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@Minion-Queen said:
@coliver And have fun finding a dr that actually takes some of the ACA insurance options these days.
No question there. Although it doesn't seem to be a problem around here. Provider complain about it but I haven't heard of any, in this area, outright refusing to take it.
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@MattSpeller said:
@coliver Ohhhhh because they're all run like little companies and insurance has to.... oh good grief.
Or they are large providers that refuse to lower their prices based on insurance. I don't understand it either.
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And have fun finding a dr that actually takes some of the ACA insurance options these days.
Don't use a acronym until you have already used it all spelled out
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@aaronstuder said:
@Minion-Queen said:
@coliver And have fun finding a dr that actually takes some of the ACA insurance options these days.
Don't use a acronym until you have already used it all spelled out
ACA is pretty well understood throughout the US. It's like laser we use it every day but it is an acronym for something.
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@aaronstuder said:
And have fun finding a dr that actually takes some of the ACA insurance options these days.
Don't use a acronym until you have already used it all spelled out
Affordable Care Act
From the Canadian.
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@MattSpeller Bonus Points?
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@IRJ said:
What confuses me is below the deductible many of the items say 0% of out pocket.
Is that really 0% or is it 0% after you spend 5K?
