Core HDHP + HSA
#11
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Joined APC: Aug 2023
Posts: 28
I am a new hire and will be starting soon and am starting to look at health plans. Does anyone have any experience with the Core HDHP and having an autistic child? Just wondering if it is good at covering ABA therapy, speech, OT etc. Any info would be great. Thanks
The "Traditional Medical PPO" also has very comprehsive coverage, but due to the premium cost it doesn't make much sense for my family.
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#12
Gets Weekends Off
Joined APC: Jul 2008
Posts: 854
The Core HDHPj permium shouldn't be high, it should be low. I pay $129.08 for myself and my kids per paycheck.
It may look high but that's because you are also putting money into your HSA account. I have an additional $302.08 per paycheck put into my HSA but that money is mine, not an insurance premium. The company also puts $1,500 into my HSA each January 1st.
I generally do not reach my deductable each year so never get into the 5% co-pay portion of the insurance. Still, the HSA balance keeps going up, even after paying all of our medical expenses each year.
It may look high but that's because you are also putting money into your HSA account. I have an additional $302.08 per paycheck put into my HSA but that money is mine, not an insurance premium. The company also puts $1,500 into my HSA each January 1st.
I generally do not reach my deductable each year so never get into the 5% co-pay portion of the insurance. Still, the HSA balance keeps going up, even after paying all of our medical expenses each year.
#13
Line Holder
Thread Starter
Joined APC: Aug 2023
Posts: 28
The Core HDHPj permium shouldn't be high, it should be low. I pay $129.08 for myself and my kids per paycheck.
It may look high but that's because you are also putting money into your HSA account. I have an additional $302.08 per paycheck put into my HSA but that money is mine, not an insurance premium. The company also puts $1,500 into my HSA each January 1st.
I generally do not reach my deductable each year so never get into the 5% co-pay portion of the insurance. Still, the HSA balance keeps going up, even after paying all of our medical expenses each year.
It may look high but that's because you are also putting money into your HSA account. I have an additional $302.08 per paycheck put into my HSA but that money is mine, not an insurance premium. The company also puts $1,500 into my HSA each January 1st.
I generally do not reach my deductable each year so never get into the 5% co-pay portion of the insurance. Still, the HSA balance keeps going up, even after paying all of our medical expenses each year.
The Core PPO "You and family" premium is only $38 more per month. Not a big difference, but vastly lower deductible and max OOP limit; however, no HSA eligibility. I think over time the growth and triple tax benefit of an HSA will be the most beneficial in our situtation, but the HDHP premium cost does seem high to me for such an account. I'm sure it's because the union made sure it's a solid plan with a large network though.
Last edited by L8Z8; 11-12-2023 at 08:19 AM.
#18
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Thread Starter
Joined APC: Aug 2023
Posts: 28
Great point and thanks for the clarification. I of course was referring to a traditional FSA. I assumed this is what he meant when asking about a "healthcare FSA," but good info. You're referring to an LPFSA (limited purpose). You can also have a dependet care FSA with an HSA.
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