Re: [MBZ] OT health insurance for kids
About the only thing this kid goes to the doctor for is annual checkups. Sent from my iPhone > On Jun 1, 2024, at 10:51 AM, dan penoff.com via Mercedes > wrote: > > Unlikely, at least one with decent coverage. The other thing to consider is > if he’s a healthy kid - that will make a difference as well. If he has any > pre-existing conditions and you don’t insure him (a “gap” in coverage) you > could possibly set yourself (and him) up for an issue with getting coverage > in the future, at least coverage that will address pre-existing conditions. > > -D > >> On Jun 1, 2024, at 8:34 AM, Kaleb Striplin via Mercedes >> wrote: >> >> Probably not anything the old farts on this list have to deal with but >> thought I would ask. I am entertaining an offer from a company and am >> looking at their health plans. The jump in per pay period premium going from >> with spouse to family is quite a jump. Somewhere around $4-450 a month just >> for adding 1 kid. I’m wondering if it would be cheaper to just buy a plan >> for just him from the Obama website or somewhere. >> >> Sent from my iPhone >> >> ___ >> http://www.okiebenz.com >> >> To search list archives http://www.okiebenz.com/archive/ >> >> To Unsubscribe or change delivery options go to: >> http://mail.okiebenz.com/mailman/listinfo/mercedes_okiebenz.com >> > > ___ > http://www.okiebenz.com > > To search list archives http://www.okiebenz.com/archive/ > > To Unsubscribe or change delivery options go to: > http://mail.okiebenz.com/mailman/listinfo/mercedes_okiebenz.com > ___ http://www.okiebenz.com To search list archives http://www.okiebenz.com/archive/ To Unsubscribe or change delivery options go to: http://mail.okiebenz.com/mailman/listinfo/mercedes_okiebenz.com
Re: [MBZ] OT health insurance for kids
I’ll defer to someone who knows more than me here, but if I understand it correctly, the concern is if you have a “gap” without coverage - the insurers can essentially “start the clock” from the start of your new policy and exclude any pre-existing conditions. That’s if you’re in the private marketplace. -D > On Jun 1, 2024, at 8:56 AM, Allan Streib wrote: > > I was pretty sure that coverage for pre-existing conditions was mandatory on > any health insurance since the ACA was passed, but can't say I've ever looked > into it deeply. > > On Sat, Jun 1, 2024, at 11:50, dan penoff.com via Mercedes wrote: >> Unlikely, at least one with decent coverage. The other thing to >> consider is if he’s a healthy kid - that will make a difference as >> well. If he has any pre-existing conditions and you don’t insure him (a >> “gap” in coverage) you could possibly set yourself (and him) up for an >> issue with getting coverage in the future, at least coverage that will >> address pre-existing conditions. >> >> -D >> >>> On Jun 1, 2024, at 8:34 AM, Kaleb Striplin via Mercedes >>> wrote: >>> >>> Probably not anything the old farts on this list have to deal with but >>> thought I would ask. I am entertaining an offer from a company and am >>> looking at their health plans. The jump in per pay period premium going >>> from with spouse to family is quite a jump. Somewhere around $4-450 a >>> month just for adding 1 kid. I’m wondering if it would be cheaper to just >>> buy a plan for just him from the Obama website or somewhere. >>> >>> Sent from my iPhone >>> ___ http://www.okiebenz.com To search list archives http://www.okiebenz.com/archive/ To Unsubscribe or change delivery options go to: http://mail.okiebenz.com/mailman/listinfo/mercedes_okiebenz.com
Re: [MBZ] OT health insurance for kids
I was pretty sure that coverage for pre-existing conditions was mandatory on any health insurance since the ACA was passed, but can't say I've ever looked into it deeply. On Sat, Jun 1, 2024, at 11:50, dan penoff.com via Mercedes wrote: > Unlikely, at least one with decent coverage. The other thing to > consider is if he’s a healthy kid - that will make a difference as > well. If he has any pre-existing conditions and you don’t insure him (a > “gap” in coverage) you could possibly set yourself (and him) up for an > issue with getting coverage in the future, at least coverage that will > address pre-existing conditions. > > -D > >> On Jun 1, 2024, at 8:34 AM, Kaleb Striplin via Mercedes >> wrote: >> >> Probably not anything the old farts on this list have to deal with but >> thought I would ask. I am entertaining an offer from a company and am >> looking at their health plans. The jump in per pay period premium going from >> with spouse to family is quite a jump. Somewhere around $4-450 a month just >> for adding 1 kid. I’m wondering if it would be cheaper to just buy a plan >> for just him from the Obama website or somewhere. >> >> Sent from my iPhone >> ___ http://www.okiebenz.com To search list archives http://www.okiebenz.com/archive/ To Unsubscribe or change delivery options go to: http://mail.okiebenz.com/mailman/listinfo/mercedes_okiebenz.com
Re: [MBZ] OT health insurance for kids
Unlikely, at least one with decent coverage. The other thing to consider is if he’s a healthy kid - that will make a difference as well. If he has any pre-existing conditions and you don’t insure him (a “gap” in coverage) you could possibly set yourself (and him) up for an issue with getting coverage in the future, at least coverage that will address pre-existing conditions. -D > On Jun 1, 2024, at 8:34 AM, Kaleb Striplin via Mercedes > wrote: > > Probably not anything the old farts on this list have to deal with but > thought I would ask. I am entertaining an offer from a company and am looking > at their health plans. The jump in per pay period premium going from with > spouse to family is quite a jump. Somewhere around $4-450 a month just for > adding 1 kid. I’m wondering if it would be cheaper to just buy a plan for > just him from the Obama website or somewhere. > > Sent from my iPhone > > ___ > http://www.okiebenz.com > > To search list archives http://www.okiebenz.com/archive/ > > To Unsubscribe or change delivery options go to: > http://mail.okiebenz.com/mailman/listinfo/mercedes_okiebenz.com > ___ http://www.okiebenz.com To search list archives http://www.okiebenz.com/archive/ To Unsubscribe or change delivery options go to: http://mail.okiebenz.com/mailman/listinfo/mercedes_okiebenz.com
[MBZ] OT health insurance for kids
Probably not anything the old farts on this list have to deal with but thought I would ask. I am entertaining an offer from a company and am looking at their health plans. The jump in per pay period premium going from with spouse to family is quite a jump. Somewhere around $4-450 a month just for adding 1 kid. I’m wondering if it would be cheaper to just buy a plan for just him from the Obama website or somewhere. Sent from my iPhone ___ http://www.okiebenz.com To search list archives http://www.okiebenz.com/archive/ To Unsubscribe or change delivery options go to: http://mail.okiebenz.com/mailman/listinfo/mercedes_okiebenz.com
Re: [MBZ] OT health insurance
I had a very astute employee benefits guy explain it to me once that you’ve got two choices here, but the costs are the same: 1.) You pay up front by paying higher premiums. If you don’t use the services, you lose some $$. 2.) You pay as you go and pay for what you use, up to the max. Either way, you pay. It’s just a matter of when and how. If you’ve got relatively healthy people you can come out better by paying as you go. If you’re not sure, you go with paying up front. It’s a roll of the dice for the most part. -D > On Sep 23, 2021, at 3:16 PM, Kaleb Striplin via Mercedes > wrote: > > Trying to get comparable info to what others are paying for health insurance. > At my current job I’m paying about $470 a month for a HDHP plan that has a > $2100/$4000 deductible with $4/8000 max out of pocket. No copay for visits so > it’s out of pocket until deductible is met. Employer does match up to $2k per > year for HSA. Coinsurance is 20%. > > New company I am looking at only contributes $100 per month toward their > plan. One that is comparable to mine as far as deductible is around $1k a > month. It has a much larger out of pocket max at $13k iirc but has $70 copays > for visits. No HSA or any match. They have a couple of worse plans an a > couple of better more expensive plans. The best plan is around $1500 a month > for $250/$500 deductible then 10% coinsurance after that. Copays for visits > is $15. Not sure what OOP max is off hand. Basically with this sort of deal > you will not be out of pocket that much over the year you are basically > somewhat budgeting your expenses on a month basis in the form of the high > premiums. > > Have not determined if it’s with changing jobs or not. The increase in > premiums eats up half or 3/4 of the increase in salary at the moment, but it > is anticipated there will be a bigger bump within a year or 2. > > Sent from my iPhone > > ___ > http://www.okiebenz.com > > To search list archives http://www.okiebenz.com/archive/ > > To Unsubscribe or change delivery options go to: > http://mail.okiebenz.com/mailman/listinfo/mercedes_okiebenz.com > ___ http://www.okiebenz.com To search list archives http://www.okiebenz.com/archive/ To Unsubscribe or change delivery options go to: http://mail.okiebenz.com/mailman/listinfo/mercedes_okiebenz.com
Re: [MBZ] OT health insurance
With this job I would basically be paying the whole thing and not sure I can stomach paying $1-1.5k a month for insurance. Sent from my iPhone > On Sep 23, 2021, at 2:47 PM, Allan Streib via Mercedes > wrote: > > I pay $206.65/month for family coverage on a high-deductible plan with HSA. > > Employer contributes $3,200 to HSA. Employee must contribute at least $300. > > $5,400 deductible then 80% coverage (20% coinsurance) > > $6,800 out of pocket max. > > Must use a specific provider network. No coverage otherwise, except for > emergencies. > > I guess it's pretty good comparitively. Offset by the rather unremarkable pay > for a university staff position. > > The other thing is in their network you have to plan WAY ahead. Many > providers are not accepting new patients and the ones that are, are booking > 3-6 months ahead of time for appointments. > > Allan > > >> On Thu, Sep 23, 2021, at 3:16 PM, Kaleb Striplin via Mercedes wrote: >> Trying to get comparable info to what others are paying for health >> insurance. At my current job I’m paying about $470 a month for a HDHP plan >> that has a $2100/$4000 deductible with $4/8000 max out of pocket. No copay >> for visits so it’s out of pocket until deductible is met. Employer does >> match up to $2k per year for HSA. Coinsurance is 20%. >> >> New company I am looking at only contributes $100 per month toward their >> plan. One that is comparable to mine as far as deductible is around $1k a >> month. It has a much larger out of pocket max at $13k iirc but has $70 >> copays for visits. No HSA or any match. They have a couple of worse plans an >> a couple of better more expensive plans. The best plan is around $1500 a >> month for $250/$500 deductible then 10% coinsurance after that. Copays for >> visits is $15. Not sure what OOP max is off hand. Basically with this sort >> of deal you will not be out of pocket that much over the year you are >> basically somewhat budgeting your expenses on a month basis in the form of >> the high premiums. >> >> Have not determined if it’s with changing jobs or not. The increase in >> premiums eats up half or 3/4 of the increase in salary at the moment, but it >> is anticipated there will be a bigger bump within a year or 2. >> >> Sent from my iPhone >> >> ___ >> http://www.okiebenz.com >> >> To search list archives http://www.okiebenz.com/archive/ >> >> To Unsubscribe or change delivery options go to: >> http://mail.okiebenz.com/mailman/listinfo/mercedes_okiebenz.com >> >> > ___ > http://www.okiebenz.com > > To search list archives http://www.okiebenz.com/archive/ > > To Unsubscribe or change delivery options go to: > http://mail.okiebenz.com/mailman/listinfo/mercedes_okiebenz.com > ___ http://www.okiebenz.com To search list archives http://www.okiebenz.com/archive/ To Unsubscribe or change delivery options go to: http://mail.okiebenz.com/mailman/listinfo/mercedes_okiebenz.com
Re: [MBZ] OT health insurance
I pay $206.65/month for family coverage on a high-deductible plan with HSA. Employer contributes $3,200 to HSA. Employee must contribute at least $300. $5,400 deductible then 80% coverage (20% coinsurance) $6,800 out of pocket max. Must use a specific provider network. No coverage otherwise, except for emergencies. I guess it's pretty good comparitively. Offset by the rather unremarkable pay for a university staff position. The other thing is in their network you have to plan WAY ahead. Many providers are not accepting new patients and the ones that are, are booking 3-6 months ahead of time for appointments. Allan On Thu, Sep 23, 2021, at 3:16 PM, Kaleb Striplin via Mercedes wrote: > Trying to get comparable info to what others are paying for health insurance. > At my current job I’m paying about $470 a month for a HDHP plan that has a > $2100/$4000 deductible with $4/8000 max out of pocket. No copay for visits so > it’s out of pocket until deductible is met. Employer does match up to $2k per > year for HSA. Coinsurance is 20%. > > New company I am looking at only contributes $100 per month toward their > plan. One that is comparable to mine as far as deductible is around $1k a > month. It has a much larger out of pocket max at $13k iirc but has $70 copays > for visits. No HSA or any match. They have a couple of worse plans an a > couple of better more expensive plans. The best plan is around $1500 a month > for $250/$500 deductible then 10% coinsurance after that. Copays for visits > is $15. Not sure what OOP max is off hand. Basically with this sort of deal > you will not be out of pocket that much over the year you are basically > somewhat budgeting your expenses on a month basis in the form of the high > premiums. > > Have not determined if it’s with changing jobs or not. The increase in > premiums eats up half or 3/4 of the increase in salary at the moment, but it > is anticipated there will be a bigger bump within a year or 2. > > Sent from my iPhone > > ___ > http://www.okiebenz.com > > To search list archives http://www.okiebenz.com/archive/ > > To Unsubscribe or change delivery options go to: > http://mail.okiebenz.com/mailman/listinfo/mercedes_okiebenz.com > > ___ http://www.okiebenz.com To search list archives http://www.okiebenz.com/archive/ To Unsubscribe or change delivery options go to: http://mail.okiebenz.com/mailman/listinfo/mercedes_okiebenz.com
[MBZ] OT health insurance
Trying to get comparable info to what others are paying for health insurance. At my current job I’m paying about $470 a month for a HDHP plan that has a $2100/$4000 deductible with $4/8000 max out of pocket. No copay for visits so it’s out of pocket until deductible is met. Employer does match up to $2k per year for HSA. Coinsurance is 20%. New company I am looking at only contributes $100 per month toward their plan. One that is comparable to mine as far as deductible is around $1k a month. It has a much larger out of pocket max at $13k iirc but has $70 copays for visits. No HSA or any match. They have a couple of worse plans an a couple of better more expensive plans. The best plan is around $1500 a month for $250/$500 deductible then 10% coinsurance after that. Copays for visits is $15. Not sure what OOP max is off hand. Basically with this sort of deal you will not be out of pocket that much over the year you are basically somewhat budgeting your expenses on a month basis in the form of the high premiums. Have not determined if it’s with changing jobs or not. The increase in premiums eats up half or 3/4 of the increase in salary at the moment, but it is anticipated there will be a bigger bump within a year or 2. Sent from my iPhone ___ http://www.okiebenz.com To search list archives http://www.okiebenz.com/archive/ To Unsubscribe or change delivery options go to: http://mail.okiebenz.com/mailman/listinfo/mercedes_okiebenz.com
Re: [MBZ] OT health insurance again
With jobs, I like to say it isnt so much what they pay you as it is what you have to do to get the money. Similarly with health insurance, the cost is only half of what you should consider. The other half is what kind of doctor you get if you get sick. With PPO, you decide where you go. With HMO, someone else decides, and you may or may not like the answer. For routine stuff it is fine. For anything complex or specialized surgical stuff, it's a different story. On Sun, Sep 29, 2019, 7:35 PM Kaleb C. Striplin via Mercedes < mercedes@okiebenz.com> wrote: > One thing I forgot to mention is the employer matches up to $2k HSA > contribution. I need to clarify but I assume that means if I put in at > least $2000 per year they put in $2000 per year for a total of $4000 in > the account per year. > > On 9/29/2019 9:15 PM, Kaleb C. Striplin via Mercedes wrote: > > I brought this up a while back comparing PPO to HDHP HSA plans. The > > consensus was if you use the plan very much the cost at the end of the > > day would end up being the same. It is now time for me to decide one > > way or the other so I decided to plug the numbers into a spreadsheet > > to see how they would come up. On the spread sheet I basically > > calculated out what the cost per month would be based on premium, HSA > > contributions etc. I also included calculations based on premiums plus > > out of pocket max for the year. That out of pocket max would be the > > number we would hit if we used the plan up to the max. > > > > If my line of thinking is correct, the monthly cost in yellow would be > > what the costs would be if the plan was not used much and includes the > > premiums, deductible, and HSA contributions. Blue would be premium > > plus out of pocket max. This should include the deductible. In that > > case, HSA2 comes out a little cheaper. > > > > If I am looking at this correctly, if the plan is not used that much > > during a particular year, I get to basically bank most of the HSA > > contributions. But, if it happens during a year the plan is used to > > the max, the cost does end up about the same with some savings over > > the PPO with the HSA plans. The one difference that could make a > > difference is the PPO has an embedded deductible and the HSA is non > > embedded. From what I understand is with the embedded if one person > > meets the individual deductible then the plan kicks in after that. > > Once the family amount is met then it kicks in for everyone. With non > > embedded the family amount has to be met before the plan kicks is so > > it almost seems to me the individual amount is irrelevant. All my > > calculations were based on the family deductible and out of pocket max. > > > > > > > > --- > > This email has been checked for viruses by AVG. > > https://www.avg.com > > > > ___ > > http://www.okiebenz.com > > > > To search list archives http://www.okiebenz.com/archive/ > > > > To Unsubscribe or change delivery options go to: > > http://mail.okiebenz.com/mailman/listinfo/mercedes_okiebenz.com > > > ___ > http://www.okiebenz.com > > To search list archives http://www.okiebenz.com/archive/ > > To Unsubscribe or change delivery options go to: > http://mail.okiebenz.com/mailman/listinfo/mercedes_okiebenz.com > > ___ http://www.okiebenz.com To search list archives http://www.okiebenz.com/archive/ To Unsubscribe or change delivery options go to: http://mail.okiebenz.com/mailman/listinfo/mercedes_okiebenz.com
Re: [MBZ] OT health insurance again
One thing I forgot to mention is the employer matches up to $2k HSA contribution. I need to clarify but I assume that means if I put in at least $2000 per year they put in $2000 per year for a total of $4000 in the account per year. On 9/29/2019 9:15 PM, Kaleb C. Striplin via Mercedes wrote: I brought this up a while back comparing PPO to HDHP HSA plans. The consensus was if you use the plan very much the cost at the end of the day would end up being the same. It is now time for me to decide one way or the other so I decided to plug the numbers into a spreadsheet to see how they would come up. On the spread sheet I basically calculated out what the cost per month would be based on premium, HSA contributions etc. I also included calculations based on premiums plus out of pocket max for the year. That out of pocket max would be the number we would hit if we used the plan up to the max. If my line of thinking is correct, the monthly cost in yellow would be what the costs would be if the plan was not used much and includes the premiums, deductible, and HSA contributions. Blue would be premium plus out of pocket max. This should include the deductible. In that case, HSA2 comes out a little cheaper. If I am looking at this correctly, if the plan is not used that much during a particular year, I get to basically bank most of the HSA contributions. But, if it happens during a year the plan is used to the max, the cost does end up about the same with some savings over the PPO with the HSA plans. The one difference that could make a difference is the PPO has an embedded deductible and the HSA is non embedded. From what I understand is with the embedded if one person meets the individual deductible then the plan kicks in after that. Once the family amount is met then it kicks in for everyone. With non embedded the family amount has to be met before the plan kicks is so it almost seems to me the individual amount is irrelevant. All my calculations were based on the family deductible and out of pocket max. --- This email has been checked for viruses by AVG. https://www.avg.com ___ http://www.okiebenz.com To search list archives http://www.okiebenz.com/archive/ To Unsubscribe or change delivery options go to: http://mail.okiebenz.com/mailman/listinfo/mercedes_okiebenz.com ___ http://www.okiebenz.com To search list archives http://www.okiebenz.com/archive/ To Unsubscribe or change delivery options go to: http://mail.okiebenz.com/mailman/listinfo/mercedes_okiebenz.com
[MBZ] OT health insurance again
I brought this up a while back comparing PPO to HDHP HSA plans. The consensus was if you use the plan very much the cost at the end of the day would end up being the same. It is now time for me to decide one way or the other so I decided to plug the numbers into a spreadsheet to see how they would come up. On the spread sheet I basically calculated out what the cost per month would be based on premium, HSA contributions etc. I also included calculations based on premiums plus out of pocket max for the year. That out of pocket max would be the number we would hit if we used the plan up to the max. If my line of thinking is correct, the monthly cost in yellow would be what the costs would be if the plan was not used much and includes the premiums, deductible, and HSA contributions. Blue would be premium plus out of pocket max. This should include the deductible. In that case, HSA2 comes out a little cheaper. If I am looking at this correctly, if the plan is not used that much during a particular year, I get to basically bank most of the HSA contributions. But, if it happens during a year the plan is used to the max, the cost does end up about the same with some savings over the PPO with the HSA plans. The one difference that could make a difference is the PPO has an embedded deductible and the HSA is non embedded. From what I understand is with the embedded if one person meets the individual deductible then the plan kicks in after that. Once the family amount is met then it kicks in for everyone. With non embedded the family amount has to be met before the plan kicks is so it almost seems to me the individual amount is irrelevant. All my calculations were based on the family deductible and out of pocket max. --- This email has been checked for viruses by AVG. https://www.avg.com Health plan comparison.xlsx Description: MS-Excel 2007 spreadsheet ___ http://www.okiebenz.com To search list archives http://www.okiebenz.com/archive/ To Unsubscribe or change delivery options go to: http://mail.okiebenz.com/mailman/listinfo/mercedes_okiebenz.com
