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Who do you get your health insurance from? - Page 2  

post #21 of 36
I work for United Health Care and have ins thru them. Costs about $80/month for family of 3. It's not very good ins compared to the other companies we insure. Deductable is $1000 per person, then UHC pays 80%. Out of pocket max is $2000 per person. We have an HRA with $900, but that's chump change on this type of plan.
post #22 of 36
Why is there so much difference in cost of health care plans?

I would think there would be more competition thus lower prices.

???
post #23 of 36
We have Regence PPO through dh's work. We pay $16 a month for a family of 7. First of the year it will be nothing. We have $1,000 deductible, $15 per month co pay. Our medical needs are great and so we qualify for medicaid for the children also. So it kicks in for anything the insurance does not pay which thankfully it does. We run about $1,000 a month or so in our share at Children's hospital. Just one of Liam's injections is $1295 per month plus anestesia etc which altogther comes to about $5,000 per month.
post #24 of 36
We have Aetna, and it is $98 a month for DH and myself, and that includes our dental and vision as well.
post #25 of 36
We have an employer supplied plan with excellent coverage and benefits. It is no employee cost for my spouse and my son. To add me to the plan, it costs $212 a month. Prescriptions are $5-15, office visit copays are $15. No deductible, no coinsurance. My husband works at a large hospital. We are really very pleased with the coverage and the plan. Main reason my husband even works.
post #26 of 36
dh is in the army, so we're free through tricare
post #27 of 36
We have Aetna. Its costs $244/month for me and my 2 boys. (Dh gets his through work) It is a PPO, $750 deductible, 70/30, $30 office visits.

I know that the price of health plans varies depending on a lot of factors- where you live, how much coverage you have, what pre-existing conditions you may have, age, weight...You name it, and they'll find a wait to uprate it. THere's nothing really competitive about it.
post #28 of 36
Quote:
Originally Posted by Juliacat View Post
I have an individual plan from BCBS. It costs a bit over $300 a month for three people, including dental. We just have a copay for routine office visits, which is mostly what we use it for, so it works out. The deductible is very high but it will still cushion us from the worst part of a catastrophic medical condition.
This is pretty much what we have for DS and myself. DH works for a university and his is taken care of but it would cost us about $700/mo out of his paycheck every mo. if we had that. It's ridiculous.
post #29 of 36
Quote:
This is pretty much what we have for DS and myself. DH works for a university and his is taken care of but it would cost us about $700/mo out of his paycheck every mo. if we had that. It's ridiculous.
That's what it would be for us too. Needless to say, only DH is insured. LOL I had a $55 a month BASIC crap plan from Pacificare but I just cancelled it. I havent been to a doctor in over 5 years. If I get sick, well they can just have my house. The market sucks anyways, take it. LOL DD hasnt ever been in her life and DS hasnt been since before she was born. We arent "doctor" people. LOL Now watch, I'll get cancer tomorrow. I wouldnt do traditional covered treatments anyways.
post #30 of 36
We have UHC PPO and it sucks, especially if you have a child with special needs. DS needs speech therapy and they only pay for 20 sessions a year and practically nothing at that.
post #31 of 36
Quote:
Originally Posted by transformed View Post
Why is there so much difference in cost of health care plans?

I would think there would be more competition thus lower prices.

???
For group insurance, it has to do with the employer. Each insurance company offers pretty much the same options to the employer. Then the employer decides what services they want to cover for their employees and how much of the premium they want to pay for their employees. So from the insurance company side of it, it's all the same. It's the employers who decide how much their employees mean to them and how much of the cost they want to pick up.
post #32 of 36
Quote:
Originally Posted by liqzierda View Post
We have UHC PPO and it sucks, especially if you have a child with special needs. DS needs speech therapy and they only pay for 20 sessions a year and practically nothing at that.
I suggest talking to the employer's human resources office and demand better insurance coverage. 20 visits per year is not enough, but it's the basic option and unless someone tells them, the employer thinks it's good enough. It's the employer that makes the final decision, not the insurance company. The ins co. works for the employer and must do what they say.
post #33 of 36
Currently, we have WI Badgercare which is our state medicaid program. We're eligible through next October because of a waiver program that lets families on foodstamps and cash aid remain covered when thier income goes up.

Come February, we'll be insured through a PPO with my husband's work and our big state Hospital and Clinic setup. It costs $37/month for the whole family and includes a limited dental and vision benefit. We have no copays for doctor's visits and urgent care visits, and a $50 copay if we end up in the ER and don't call first. Medicine is $5/$15/$30, depending on if it's generic, formulary, or non-formulary.

Our other option was a local HMO through my work. Premiums would have been $580 for the family (going up to $680 after January 1), which has way less comprehensive care, higher copayments ($10 for doctor's visits, $20 for everything else, $100 for the ER) and not quite as good prescription drug coverage.

My job only puts $100 per employee toward health insurance, and since we've only got about 250 employees it's hard to find a cost-effective plan. DH's job, on the other hand, is a part of the "State Pool", where the state negotiates health care on behalf of all state employees, including people in the hospital, our state university system, all our political people, the corrections department, and anyone else working for the state. They're huge, have a ton of clout, and therefore get GREAT coverage for nearly nothing.
post #34 of 36
We get ours through my work - I'm a state employee (and get bennies starting at 20 hours a week, which is why I came back part-time after #1 was born).

Currently, its 95 every 2 weeks. That covers 100% of well-baby/well-child, but sick visits have an $18 copay, labs have a separate $18 copay, and specialists have a $35 copay.
post #35 of 36
We have Independant insurance w/ Regence BCBS. I like them alright...they are what we had when Dh was working - only it was group insurance instead.

DH wasn't eligible, but DD and I were. I decided to sign us up individually instead of Adult + 1 or family because i saved money that way. I only pay $132 a month for both of us and I have dental included in that as well (I decided to pay out of pocket for DD's dental, since they didn't offer a pediatric dentist and she NEEDS one).

We have the Blue Selections Plus plan and i opted for a really high deductible ($5000) to have a lower monthly rate - but you can choose a much lower one...we just rarely go out, get sick, etc - so i figured that was a deductible WE could handle, kwim?

Also, i have a $30 copay, but then the doctors visit is completely covered for "normal" stuff - any xray, lab work stuff though i have to pay 30% for though...i think. Hmmm...not sure on that one, it's new to us!

The customer service is very helpful and friendly as well.
post #36 of 36
We have very good coverage. It used to be even better, but life happens.

We have United through dh's work. We pay $72/2 weeks for family coverage. We have a $500 individual/$1500 family deductible, then they pay 80%. There is a $2000 out of pocket max for each individual/$5000 family oop max per year.
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