Any "Latest & Greatest" about Delta?
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.
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.
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.
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.
Gets Weekends Off
Joined: Jan 2009
Posts: 326
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From: Nice while it lasted
Yep, we're in the process of doing that. Great deal. It takes them awhile to process the change. Make sure you have a couple months worth of what you and your family need before embarking.
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.
At least Carl Spackler will make $130,000+ more at the end of this agreement than he did before, so I gotta feel good about that.
HE has TVM.. you and I do not. 88Driver does not. Satchip, does not.. well, you get the picture.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.
Line Holder
Joined: Sep 2006
Posts: 868
Likes: 18
From: Starboard Side, weekends & holidays.
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.
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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