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    Medical Insurance in the US

    Water Closet
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    • JaredBuschJ
      JaredBusch
      last edited by

      I pay for insurance in the US at a rate of $701 per month right now for a family of 4. This is a plan purchased via a broker and is with BCBS. Of course it is ACA compliant by law.

      The plan lists one visit free. I assume that is the mandated wellness check.

      My birthday is in April, and thus if I want a wellness check around my birthday like I do every year, I need to have an appointment then.

      I was sick as hell in January. I refused to go to the doctor because it was January and it would eat my "free" visit. So my April visit would have to be paid for in full because it has to go against my (insanely stupid high) deductible.

      travisdh1T 1 Reply Last reply Reply Quote 2
      • travisdh1T
        travisdh1 @JaredBusch
        last edited by

        @JaredBusch Does the coverage for the rest of the family make as little sense as having yourself covered?

        JaredBuschJ 1 Reply Last reply Reply Quote 0
        • JaredBuschJ
          JaredBusch @travisdh1
          last edited by JaredBusch

          @travisdh1 said:

          @JaredBusch Does the coverage for the rest of the family make as little sense as having yourself covered?

          That coverage is the same for the entire family.

          0_1457629909105_upload-efc797f7-f3fb-4b78-b262-65b02c2a5dc8

          travisdh1T 1 Reply Last reply Reply Quote 0
          • travisdh1T
            travisdh1 @JaredBusch
            last edited by

            @JaredBusch said:

            @travisdh1 said:

            @JaredBusch Does the coverage for the rest of the family make as little sense as having yourself covered?

            That coverage is the same for the entire family.

            Ah, sorry, poorly worded question. I was wondering if the entire family actually ever hits the deductible?

            JaredBuschJ coliverC 2 Replies Last reply Reply Quote 0
            • JaredBuschJ
              JaredBusch @travisdh1
              last edited by

              @travisdh1 said:

              @JaredBusch said:

              @travisdh1 said:

              @JaredBusch Does the coverage for the rest of the family make as little sense as having yourself covered?

              That coverage is the same for the entire family.

              Ah, sorry, poorly worded question. I was wondering if the entire family actually ever hits the deductible?

              No, because we have fortunately only been severely sick in Japan.

              1 Reply Last reply Reply Quote 0
              • coliverC
                coliver @travisdh1
                last edited by

                @travisdh1 said:

                @JaredBusch said:

                @travisdh1 said:

                @JaredBusch Does the coverage for the rest of the family make as little sense as having yourself covered?

                That coverage is the same for the entire family.

                Ah, sorry, poorly worded question. I was wondering if the entire family actually ever hits the deductible?

                I hit my high deductible last year when I had my appendix removed. I ended up paying 2500$ out of pocket. Thankfully the company I was with at the time picked up the other 2500$.

                1 Reply Last reply Reply Quote 0
                • JaredBuschJ
                  JaredBusch
                  last edited by

                  See that 20% coinsurance for an office visit? That is after you meet the deductible.

                  0_1457630319738_upload-b12e7583-2ab8-4f32-86b0-f60db5df2c07

                  Here is the full PDF if anyone cares to look
                  https://onedrive.live.com/redir?resid=C44D01487196D328!8324&authkey=!ADqrFY3WI6208KE&ithint=file%2CPDF

                  BRRABillB 1 Reply Last reply Reply Quote 0
                  • BRRABillB
                    BRRABill @JaredBusch
                    last edited by

                    @JaredBusch

                    HOLY COW that IS a high deductible.

                    JaredBuschJ 1 Reply Last reply Reply Quote 1
                    • JaredBuschJ
                      JaredBusch @BRRABill
                      last edited by

                      @BRRABill said:

                      @JaredBusch

                      HOLY COW that IS a high deductible.

                      That is a pretty standard ACA compliant plan deductible.

                      BRRABillB 1 Reply Last reply Reply Quote 0
                      • BRRABillB
                        BRRABill @JaredBusch
                        last edited by

                        @JaredBusch said:

                        That is a pretty standard ACA compliant plan deductible.

                        Our company (15 people) has a $4,000 one and we complain about it.

                        1 Reply Last reply Reply Quote 1
                        • M
                          marcinozga
                          last edited by

                          I have $4000 deductible. my employers pays first $1500, the plan cost me nothing. My wife has $1500 deductible, paid entirely by employer, plan costs her about $40 every 2 weeks. Last year we both had $0 cost plan, $2500 or $1500 deductible paid in full by employer. There are small copays after deductible, in $20-$50 range. Two years ago there was no copays, just deductible paid by employer of course. We already warned the employer that if insurance gets any worse, we're moving back to Europe.

                          travisdh1T 1 Reply Last reply Reply Quote 1
                          • travisdh1T
                            travisdh1 @marcinozga
                            last edited by

                            @marcinozga said:

                            I have $4000 deductible. my employers pays first $1500, the plan cost me nothing. My wife has $1500 deductible, paid entirely by employer, plan costs her about $40 every 2 weeks. Last year we both had $0 cost plan, $2500 or $1500 deductible paid in full by employer. There are small copays after deductible, in $20-$50 range. Two years ago there was no copays, just deductible paid by employer of course. We already warned the employer that if insurance gets any worse, we're moving back to Europe.

                            That's actually really good, and is how most insurance has been traditionally handled in the US. Which is also why very few people are really familiar with the true costs.

                            1 Reply Last reply Reply Quote 0
                            • M
                              marcinozga @tonyshowoff
                              last edited by

                              @tonyshowoff said:

                              @iroal said:

                              @BRRABill said:

                              @iroal said:

                              Perhaps in minor Surgery, if you have a real problem, like cancer, there will no waiting, and of course It's Free

                              I do not know one way or the other.

                              The only real person I ever heard speak about it was a co-worker who moved from the US to England. They hated the system over there for elective type stuff.

                              A real example.

                              Last night I feel bad and with Flu, using Internet I get a date with my doctor this morning, doctor told me It was just a cold, She gave me the prescription for the medicaments.

                              I go to the pharmacy and bought the medicaments with a 80% of discount thanks to the prescription, I spend 2 €.

                              Of course visit the doctor is free.

                              I love this system.

                              A decent amount of Americans would respond one of these, if not all:

                              • You're lying
                              • That's socialism, we believe in freedom
                              • Yes but your taxes must be crazy!
                              • If that's true why do people come to America for healthcare?
                              • That's communism, we believe in freedom.
                              • Healthcare is not a right, it's a privilege (I see this one not that often, but often enough to where it's disturbing)
                              • Hey, if you can't pay, you deserve to be sick (I guess they forget about children and disabled)
                              • There's no such thing as free! My taxes! My taxes! (meanwhile they pay far more in health insurance, if they have it at all, than they would've paid in taxes).

                              I see this stuff all the time.

                              I work with bunch of rednecks and this is exactly what I hear. The problem with Americans, well, mostly with said rednecks, is they much rather have rights to own guns than right to have free healthcare. Too bad when they get sick, of their meth lab explodes and they storm the ER, average person has to pick up the tab, indirectly of course. I'd say, exercise your freedom, you have the right to refuse the medical care and you're free to die.

                              coliverC MattSpellerM 2 Replies Last reply Reply Quote 1
                              • coliverC
                                coliver @marcinozga
                                last edited by

                                @marcinozga said:

                                @tonyshowoff said:

                                @iroal said:

                                @BRRABill said:

                                @iroal said:

                                Perhaps in minor Surgery, if you have a real problem, like cancer, there will no waiting, and of course It's Free

                                I do not know one way or the other.

                                The only real person I ever heard speak about it was a co-worker who moved from the US to England. They hated the system over there for elective type stuff.

                                A real example.

                                Last night I feel bad and with Flu, using Internet I get a date with my doctor this morning, doctor told me It was just a cold, She gave me the prescription for the medicaments.

                                I go to the pharmacy and bought the medicaments with a 80% of discount thanks to the prescription, I spend 2 €.

                                Of course visit the doctor is free.

                                I love this system.

                                A decent amount of Americans would respond one of these, if not all:

                                • You're lying
                                • That's socialism, we believe in freedom
                                • Yes but your taxes must be crazy!
                                • If that's true why do people come to America for healthcare?
                                • That's communism, we believe in freedom.
                                • Healthcare is not a right, it's a privilege (I see this one not that often, but often enough to where it's disturbing)
                                • Hey, if you can't pay, you deserve to be sick (I guess they forget about children and disabled)
                                • There's no such thing as free! My taxes! My taxes! (meanwhile they pay far more in health insurance, if they have it at all, than they would've paid in taxes).

                                I see this stuff all the time.

                                I work with bunch of rednecks and this is exactly what I hear. The problem with Americans, well, mostly with said rednecks, is they much rather have rights to own guns than right to have free healthcare. Too bad when they get sick, of their meth lab explodes and they storm the ER, average person has to pick up the tab, indirectly of course. I'd say, exercise your freedom, you have the right to refuse the medical care and you're free to die.

                                That's the problem with social safety nets in the US... everyone who needs them is lazy and doesn't deserve them... until you need it... then everyone else is lazy and doesn't deserve them except you.

                                1 Reply Last reply Reply Quote 2
                                • MattSpellerM
                                  MattSpeller @marcinozga
                                  last edited by

                                  @marcinozga said:

                                  you're free to die.

                                  We are only just now getting the right to die on our own terms in Canada, it's been quite the curfuffle as you'd expect of such a serious thing.

                                  coliverC 1 Reply Last reply Reply Quote 0
                                  • coliverC
                                    coliver @MattSpeller
                                    last edited by

                                    @MattSpeller said:

                                    @marcinozga said:

                                    you're free to die.

                                    We are only just now getting the right to die on our own terms in Canada, it's been quite the curfuffle as you'd expect of such a serious thing.

                                    I think we have one state that approved that in the US. More to follow I'm sure. I think they call it the Die with Dignity movement.

                                    M 1 Reply Last reply Reply Quote 2
                                    • M
                                      marcinozga @coliver
                                      last edited by

                                      @coliver said:

                                      @MattSpeller said:

                                      @marcinozga said:

                                      you're free to die.

                                      We are only just now getting the right to die on our own terms in Canada, it's been quite the curfuffle as you'd expect of such a serious thing.

                                      I think we have one state that approved that in the US. More to follow I'm sure. I think they call it the Die with Dignity movement.

                                      If a Republican becomes next president, I wouldn't expect much progress there.

                                      1 Reply Last reply Reply Quote 0
                                      • hobbit666H
                                        hobbit666
                                        last edited by

                                        Man this is all confusing to me 🙂 thank GB for the NHS

                                        scottalanmillerS 1 Reply Last reply Reply Quote 0
                                        • scottalanmillerS
                                          scottalanmiller @hobbit666
                                          last edited by

                                          @hobbit666 said:

                                          Man this is all confusing to me 🙂 thank GB for the NHS

                                          Yes, that's one of the biggest issues... that it is confusing. The average American has to maintain a level of insurance expertise that is completely out of scope with their knowledge, experience and expertise in other areas.

                                          coliverC 1 Reply Last reply Reply Quote 3
                                          • coliverC
                                            coliver @scottalanmiller
                                            last edited by

                                            @scottalanmiller said:

                                            @hobbit666 said:

                                            Man this is all confusing to me 🙂 thank GB for the NHS

                                            Yes, that's one of the biggest issues... that it is confusing. The average American has to maintain a level of insurance expertise that is completely out of scope with their knowledge, experience and expertise in other areas.

                                            That seems to be purposeful. So that insurance and providers can double bill or otherwise extort as much money as they can.

                                            scottalanmillerS 1 Reply Last reply Reply Quote 3
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