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Originally Posted by CVG767A
(Post 1230294)
You may have covered this already, but with any plan like this, there will be winners and losers. Have you done the math to give us an idea of what the pay rates would look like? I would like to see the pay cuts that those in higher-paying categories would take to equalize rates. I'm assuming you would do this (or have already done this) on a cost-neutral basis.
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Originally Posted by whitt767
(Post 1229734)
Same advice. Tricare Prime is the bestest and cheapest option. I tried the vision, but didn't like it. We use the Delta provided Dental. We are using off base providers only. Also USAF Ret (AD).
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Originally Posted by DAL73n
(Post 1230373)
I may be totally out to lunch here BUT I have used the Gold HRA ($183/month for married, no kids at home) and Tricare Standard (no cost) and have had almost all my out of pockets AND Prescription co-pays covered. I live in a small town no where near a mil base and haven't taken the time to find out if I could save with Tricare Prime. For those of you with Prime what have your out of pockets looked like (especially copays for prescription drugs - my wife requires quite a few to manage her conditions). Any help would be appreciated.
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Originally Posted by Elvis90
(Post 1230380)
We pay $12 copays for doctor visits and anywhere from $3 to $9 for prescriptions under Tricare Prime.
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Originally Posted by DAL73n
(Post 1230373)
I may be totally out to lunch here BUT I have used the Gold HRA ($183/month for married, no kids at home) and Tricare Standard (no cost) and have had almost all my out of pockets AND Prescription co-pays covered. I live in a small town no where near a mil base and haven't taken the time to find out if I could save with Tricare Prime. For those of you with Prime what have your out of pockets looked like (especially copays for prescription drugs - my wife requires quite a few to manage her conditions). Any help would be appreciated.
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Originally Posted by Elvis90
(Post 1230380)
We pay $12 copays for doctor visits and anywhere from $3 to $9 for prescriptions under Tricare Prime.
I think we went up on the per year premium also but best to let that dog lie! |
Originally Posted by dragon
(Post 1230395)
Scripts went up 1 OCT to 5 and 12 for a 30 day supply.
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Originally Posted by JobHopper
(Post 1230406)
If you sign up for the mail order program (90 day supply) the generics ($5 copays) are free.
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Originally Posted by CVG767A
(Post 1230294)
You may have covered this already, but with any plan like this, there will be winners and losers. Have you done the math to give us an idea of what the pay rates would look like? I would like to see the pay cuts that those in higher-paying categories would take to equalize rates. I'm assuming you would do this (or have already done this) on a cost-neutral basis.
Sorry for the rambling response. I can talk this much better than I can write about it. One other thought. We currently give zero thought to QOL. One has to either decide to go for the money OR QOL.. LGB would make QOL a bigger priority. |
Originally Posted by forgot to bid
(Post 1230229)
Pg, $44k or $34k to hit the out of pocket max? I'd have to add up ours we just hit the max. The big picture though of your post I completely agree with.
But Bar, this brings up a question. When your kid went to childrens what again was the difference between what the hospital would charge you for no insurance and what you had to pay. I've gotten suspicious over the last year of extra costs because you have insurance. I got suspicious about a lot of stuff that happens once youre admitted actually. ERs might be expensive but I think they do a phenomenal job. Of course I dont know where the money is. Got family and friends all over the medical industry from clinic managers, doctors, nurses, pharmacists, drug/equipment reps, ambulance owner, everyone seems to struggle. many excet the doctors went chapter 11 or were unemployed at some point or walked away. the doctors just seemed to not make very much, they sound like 10 year rj fo's. Of course I was on a layover in Grand Rapids... Of course, my wife scooped him up and took him to the ER where, after she presented her insurance card, he was given a thorough once-over, an X-ray, and a clean bill of health (Thank God...) Worth every penny, and my wife and son (and his older brother) were treated very well throughout the whole ordeal at Kennestone Hospital. All told, the ER visit cost me about $200, which I consider reasonable. But... yesterday... a bill for $160ish showed up from the hospital for some kind of ear thing. Ask the wife about it, and she tells me the nurse, while examining my son, said something like, "Wow! He has a lot of ear wax in there. I'll go ahead and take care of that." Of course, after insurance adjustments and the 80/20 split, the ear cleaning only cost us about $30, but how many uninsured ER patients do you think get cursory ear cleanings? I'm thinking somewhere between none and, well... none. I actually have been relatively pleased with the HRA we are enrolled in, and I think Delta provides much better medical coverage than most companies. Health care costs are skyrocketing, and the healthcare industry is going to recoup their costs anywhere they can. You and I, as the gainfully employed middle-class are going to suffer the brunt of it. |
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