07-13-2019Quote:
I'll break it down for those that don't understand it. (114.50x24) for premiums + 3000 family deductible + 5000 family max out of pocket - 1500 HRA account. It comes out to $9248. This is assuming you manage to keep every claim in-network. I put $2000 into the FSA account this year because I knew we were having a kid. I just paid $2000 out of my pocket because my HRA and FSA account are empty. It is my own fault for picking this plan. I will never pick it again. The HRA account is there as a distraction because the plan is so bad. You end up with a $1500 deductible for the family instead of a $3000 deductible, but that deductible does not count towards the out of pocket max.
Hockey, let me add some additional numbers for your consideration.Originally Posted by hockeypilot44
Do you have the gold plan? If so, you will spend $9248 on health insurance this year not including dental or vision. The HRA gold plan is about as bad as it gets if you actually use it. It looks good if you only go to the doctor once of twice a year, but for something major, it is a very bad plan.I'll break it down for those that don't understand it. (114.50x24) for premiums + 3000 family deductible + 5000 family max out of pocket - 1500 HRA account. It comes out to $9248. This is assuming you manage to keep every claim in-network. I put $2000 into the FSA account this year because I knew we were having a kid. I just paid $2000 out of my pocket because my HRA and FSA account are empty. It is my own fault for picking this plan. I will never pick it again. The HRA account is there as a distraction because the plan is so bad. You end up with a $1500 deductible for the family instead of a $3000 deductible, but that deductible does not count towards the out of pocket max.
To reach that out of pocket maximum, you had to have charged at least $43,000 in medical expenses at the in-network rate. Add in another $500-1000 of expenses for the "free" preventive services you might have utilized, and you're at roughly $44,000 of medical expenses on the year. And that's at the UHC negotiated discount, generally about 50%. So, let's do the real math on that $88,000 of medical expenses that the doctors/hospitals actually charged:
$44,000 - written off by the doctor as a loss
$9,248 - your share of the remaining $44,000
$34,742 - Delta's share of the remaining $44,000
Yes, we pay a ton for health care. That is a huge problem in this country. But you're not the only one "taking it in the shorts". Do I wish we all had "free" health care, like we used to. Of course. But whose pocket do you propose to take that money from? I'm just asking a serious question.
And BTW, just what medical plan do you plan to take, if you're gonna drop the Gold HRA? There are no silver bullets out there. Choose carefully.
