Understanding Medical Insurance
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@MattSpeller said:
@IRJ said:
@MattSpeller said:
?
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:
?
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:
?
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?
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@aaronstuder said:
@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?
From my past experience this is 0%.
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@aaronstuder said:
@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?
Yeah that is my question, too.
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HSAs are good for anyone that has medical expenses. They lower your tax burden right off, and can be used for a wide range of expenses that might not seem to fit the category, e.g. chiropractic care, dentists, contacts, etc. It might not be useful for everyone to contribute the maximum allowable to it, but I think there can be value for just about anyone.
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@coliver said:
From my past experience this is 0%.
I agree.
Otherwise it would say X% (AFTER DEDUCTIBLE)
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@Kelly said:
HSAs are good for anyone that has medical expenses. They lower your tax burden right off, and can be used for a wide range of expenses that might not seem to fit the category, e.g. chiropractic care, dentists, contacts, etc. It might not be useful for everyone to contribute the maximum allowable to it, but I think there can be value for just about anyone.
But for many that benefit is outweighed by the time spent managing your expense to setup the HSA and make claims against it.
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@JaredBusch said:
But for many that benefit is outweighed by the time spent managing your expense to setup the HSA and make claims against it.
I'm lucky there again that my employer does all that and just makes it a payroll deduction.
We also have a dependent care one that I fund to pay for the kiddos summer camp.
Hey, let's start ANOTHER thread on why school doesn't run all year.
