How much do you pay for health insurance? - Page 2 - Mothering Forums

Forum Jump: 
Reply
 
Thread Tools
#31 of 47 Old 04-23-2011, 08:11 PM
 
Tilia's Avatar
 
Join Date: Nov 2006
Location: Iowa
Posts: 2,721
Mentioned: 0 Post(s)
Tagged: 0 Thread(s)
Quoted: 1 Post(s)

I am lucky to have a part-time job that offers health, dental and disability insurance.  My health insurance is $175/mo for single.  DD's insurance is paid for by her dad.  My copay is $25 and my deductible is $250!  I absolutely have to have group insurance.  I am diabetic and my insulin alone runs $300/mo with no insurance.  Much less test strips and syringes, etc.


treehugger.gifearth.gifribbonwhite.gif Anne (31), single WOHM to Karen (5)ribbonyellow.gifshamrocksmile.giffambedsingle1.gifjoy.gif
Tilia is offline  
#32 of 47 Old 04-24-2011, 11:50 PM
 
sunnysandiegan's Avatar
 
Join Date: Mar 2008
Posts: 4,407
Mentioned: 0 Post(s)
Tagged: 0 Thread(s)
Quoted: 0 Post(s)

DH --> $0 in premiums (employer pays it in full; only benefit besides PTO), but it is weak insurance. High deductible, even higher OOP, co-pays, and long list of items not covered. NOT HSA-compatible, even though the deductible is $10k for family coverage. (We have the family info because I was on the group plan, too, when it changed to this new plan. I don't know the individual deductible.) We haven't used it.

 

DD --> $51/mo in premiums. Never used it in the year plus she's had it.

 

Me --> $109/mo in premiums. I haven't used it, yet, but I just got it a couple months ago. I used to be on DH's group plan and it was nearly triple the cost. My current plan is much more comprehensive and HSA-compatible. Small businesses get the WORST rates!!!! Until the new legislation, though, I was unable to obtain individual coverage. I am very grateful for the changes!!!

 

My plan is the best of the bunch and is the most recent. When I was shopping for coverage, I looked at including DD with me and separate plans for both of us. Her plan was the best value at that time for our usage (very, very low), so I left it alone for now.

 

I just thought of an idea to run by DH and his boss. If we were to obtain individual coverage for DH for less than what they pay for his group coverage, will they cover the new premium instead (or the equivalent in some other fashion)? My plan is MUCH better than his and costs significantly less ($109 versus $283 for me; his may differ a bit, but we are the same age). The potential is there because several people already aren't on the group plan. I wonder if they receive other compensation. His boss wants to chat with me on my views on immunizations anyway, so this will be an easy conversation. (I'll discuss the idea with DH first, though.)


"Kind words can be short and easy to speak, but their echoes are truly endless." - Mother Teresa

sunnysandiegan is offline  
#33 of 47 Old 04-25-2011, 06:53 AM
 
FiveLittleMonkeys's Avatar
 
Join Date: Jan 2009
Location: Paradise
Posts: 367
Mentioned: 0 Post(s)
Tagged: 0 Thread(s)
Quoted: 0 Post(s)

We pay $285/mo for medical, dental & vision coverage.  $1000 family deductible - I'm sure there is a per person deductible, but I honestly don't know what it is.  Preventative visits are no copay, regular visits are $20, specialty visits are $40.  We also have prescription coverage.

 

I'm still trying to figure this all out after 14 years of being under Tricare....bag.gif

FiveLittleMonkeys is offline  
#34 of 47 Old 04-25-2011, 09:04 AM - Thread Starter
 
Ygle's Avatar
 
Join Date: Mar 2007
Posts: 606
Mentioned: 0 Post(s)
Tagged: 0 Thread(s)
Quoted: 0 Post(s)


Quote:
Originally Posted by SubliminalDarkness View Post

$800 a month, which sucks, but it's the price of doing business, I guess. 


Wowza, in Georgia?  We actually looked into moving there about 6 years ago and a big factor was how much cheaper insurance was! 

 

sunnysandiegan... maybe it's different state to state? but I know I've read that it is illegal to be compensated for individual insurance by your employer... I'm pretty confident this is the case everywhere, though. 

 

Ygle is offline  
#35 of 47 Old 04-25-2011, 09:35 AM
 
sunnysandiegan's Avatar
 
Join Date: Mar 2008
Posts: 4,407
Mentioned: 0 Post(s)
Tagged: 0 Thread(s)
Quoted: 0 Post(s)

That would make sense. Otherwise, insurance carriers wouldn't be pricing small business group plans so exorbitantly high. winky.gif


"Kind words can be short and easy to speak, but their echoes are truly endless." - Mother Teresa

sunnysandiegan is offline  
#36 of 47 Old 04-25-2011, 09:47 AM
 
~Boudicca~'s Avatar
 
Join Date: Sep 2005
Location: New England
Posts: 3,741
Mentioned: 0 Post(s)
Tagged: 0 Thread(s)
Quoted: 0 Post(s)

Well, if I could afford the coverage through my work, it would be $1120 per month for my family of 4, which is more than I pay for rent.  So, we are uninsured at this time.

~Boudicca~ is offline  
#37 of 47 Old 04-25-2011, 09:51 AM
 
Annie Mac's Avatar
 
Join Date: Dec 2009
Posts: 1,150
Mentioned: 0 Post(s)
Tagged: 0 Thread(s)
Quoted: 0 Post(s)


Quote:
Originally Posted by Ygle View Post




Wowza, in Georgia?  We actually looked into moving there about 6 years ago and a big factor was how much cheaper insurance was! 

 

sunnysandiegan... maybe it's different state to state? but I know I've read that it is illegal to be compensated for individual insurance by your employer... I'm pretty confident this is the case everywhere, though. 

 


Do you mean if you have an individual policy that has nothing to do with your employer, and your employer agrees to pay some or all of it, that's illegal? I've seen that at a place I worked for for a while. I can't believe that's illegal, especially when it can be prohibitively expensive for small businesses to insure their staff. It is seriously time for health care reform. 

 

And to answer the question: $121/month for a family of 3. If I have more kids, it will stay the same. If my income drops down low (I'm in the no subsidy income level right now), the payments also drop to a possible nothing. No co-pay, no deductible. 

 

When I was living in the U.S., it was, I think, $215/month for just me. $25 co-pay for regular doc visits, $50 for specialists (both in network prices). I believe the deductible was 5 grand. And it didn't cover maternity.

 

Annie Mac is offline  
#38 of 47 Old 04-25-2011, 05:00 PM - Thread Starter
 
Ygle's Avatar
 
Join Date: Mar 2007
Posts: 606
Mentioned: 0 Post(s)
Tagged: 0 Thread(s)
Quoted: 0 Post(s)

I don't know all the details but I believe there are some situations if you have very few employees and do not offer a group health plan the employer can set up an HRA and fund that and then employees can use that money to pay premiums.  I

 

 

 

 

Ygle is offline  
#39 of 47 Old 04-25-2011, 05:14 PM
 
sewaneecook's Avatar
 
Join Date: Oct 2005
Posts: 1,511
Mentioned: 0 Post(s)
Tagged: 0 Thread(s)
Quoted: 0 Post(s)

We pay $60/month for our very minimal insurance for the entire family.  Basically we pay for everything out of pocket until we reach our deductible (around $3K) and then it goes to an 80/20 plan with a max of $10K out of pocket. 

 

We don't have eye insurance and dental is an additional $10/month for the family. 

 

If we jumped up to any of the other plans offered by DH's insurance we would pay at least 3x as much. 


Laura, Troy, Seth 6.24.06 , and Aaron 7.13.09
sewaneecook is offline  
#40 of 47 Old 04-25-2011, 08:23 PM
 
TiredX2's Avatar
 
Join Date: Jan 2002
Location: it appears to be a handbasket
Posts: 20,500
Mentioned: 0 Post(s)
Tagged: 0 Thread(s)
Quoted: 0 Post(s)


Quote:
Originally Posted by sunnysandiegan View Post

 

I just thought of an idea to run by DH and his boss. If we were to obtain individual coverage for DH for less than what they pay for his group coverage, will they cover the new premium instead (or the equivalent in some other fashion)? My plan is MUCH better than his and costs significantly less ($109 versus $283 for me; his may differ a bit, but we are the same age). The potential is there because several people already aren't on the group plan. I wonder if they receive other compensation. His boss wants to chat with me on my views on immunizations anyway, so this will be an easy conversation. (I'll discuss the idea with DH first, though.)

 

I don't know how it works, but I know that at DP's work one of the insurance options is "no coverage" and you just get a cash amount instead.  It's not tied in any way to the cost of insurance, though.


 

 

TiredX2 is offline  
#41 of 47 Old 04-25-2011, 09:12 PM
 
SubliminalDarkness's Avatar
 
Join Date: Sep 2009
Location: Outside of Augusta, GA
Posts: 1,441
Mentioned: 0 Post(s)
Tagged: 0 Thread(s)
Quoted: 0 Post(s)


Quote:
Originally Posted by Ygle View Post




Wowza, in Georgia?  We actually looked into moving there about 6 years ago and a big factor was how much cheaper insurance was! 

 

sunnysandiegan... maybe it's different state to state? but I know I've read that it is illegal to be compensated for individual insurance by your employer... I'm pretty confident this is the case everywhere, though. 

 

 

Yep. It's through his employer, but they're based out of state so his insurance is based out of state as well. 
 

 

SubliminalDarkness is offline  
#42 of 47 Old 04-26-2011, 09:06 AM
 
mnnice's Avatar
 
Join Date: Apr 2003
Posts: 2,201
Mentioned: 0 Post(s)
Tagged: 0 Thread(s)
Quoted: 0 Post(s)


Quote:
Originally Posted by Ygle View Post




Wowza, in Georgia?  We actually looked into moving there about 6 years ago and a big factor was how much cheaper insurance was! 

 

sunnysandiegan... maybe it's different state to state? but I know I've read that it is illegal to be compensated for individual insurance by your employer... I'm pretty confident this is the case everywhere, though. 

 



Apparently, it is legal in my state (WI) to pay you money to not join your employers group coverage since I have had that arrangement for nine of the last ten years.  It say "pay in leui of insurance" on my pay stub and amounts to a pretty big chunk of my total annual compensation (about 20%).  I have always used coverage provided my DH's employer (except when he was unemployed and then we took my employer's coverage). 

 

DH's employer pays about 80% of the premium and DH's share runs about $200 per month.  His employer also kicks in $600 per year to a HSA for deductibles (our are $2000 individual, $4000 family).   Anyway my pay for not taking the insurance is pretty much balances out our share of deductibles and premiums.  So using this math we pay pretty close to nothing, but is sure doesn't feel like it when I get medical bills in the four figures that we are responsilbe to pay.

 

mnnice is offline  
#43 of 47 Old 04-26-2011, 10:38 AM
 
SunRise's Avatar
 
Join Date: Apr 2005
Location: CNY via Canada
Posts: 1,539
Mentioned: 0 Post(s)
Tagged: 0 Thread(s)
Quoted: 1 Post(s)


Quote:
Originally Posted by Ygle View Post

If you can get it, individual is much, much cheaper than group health insurance, so it's worth looking into!  Also, if you have gone a period without health insurance often times you can have access to health insurance at a much lower rate (in my case we could get health insurance for about 1/15 the cost if we hadn't been paying a small fortune for insurance all these years, ugh!)

 

 

Can you elaborate? When you say individual, do you mean private health insurance rates are less then group health insurance? This isn't my experience! 

 

In NY, I was self-employed and had private insurance for several years, starting at 900/mth.  The premium increased 200 dollars each year. I dropped it when it reached 1350 (last year). And switched to catastrophic, 550 (last year) and it has already increased to 650/mth.  The conventional policy with a 1000 dedeuctible started @ 900/mth,  Right now, my kids are on the chp program which I pay 360/mth.  Private family insurance was a nice 3600/mth a year ago.

 

Previous to my private insurance, I had insurance through my employer / a group policy, which was around 750 (for a family), and it was mostly paid for by the company.  That rate was in 2006 though and has surely increased, but probably/hopefully not to the 3600.00 for family private insurance.
 

 


Sara - Mum to C (10/02) ; m/c 10/07; 7/08; 3/09; Lucy Olive Feb 28, 2010 !
SunRise is offline  
#44 of 47 Old 04-26-2011, 11:38 AM - Thread Starter
 
Ygle's Avatar
 
Join Date: Mar 2007
Posts: 606
Mentioned: 0 Post(s)
Tagged: 0 Thread(s)
Quoted: 0 Post(s)


Yep, by a long shot!  Group health insurance has to take everyone and also charge the same rate for everyone whereas private health insurance not only doesn't have to take anyone they can charge higher rates for different age brackets.  The exact same plan my dh's work has right now for example is $350 less for month just for my portion (I can't find out for my children since we can only find out during open enrollment in August now because of the recent health insurance law changes).  Back 10 years ago when I finally realized this we were paying over $800/mo for group health insurance with high deductibles and poor coverage and I switched to an individual HMO plan for $123/mo no deductible and they covered everything with an occasional $10/copay (that plan was cancelled unfortunately... later when I tried to get a different individual plan we were denied because one of my children has allergies).  Every insurance carrier and broker I have spoken with said private health insurance, if you can get it (which you have to be in pretty much perfect health and definitely not pregnant or any claims in the last five years), is always going to be a much better deal. But this may be different in different states obviously... also it will of course be less expensive if it's subsidized by the employer as well as larger companies can get better group rates. 

 

Quote:
Originally Posted by SunRise View Post



 

Can you elaborate? When you say individual, do you mean private health insurance rates are less then group health insurance? This isn't my experience! 

 



 

Ygle is offline  
#45 of 47 Old 04-26-2011, 01:03 PM
 
sunnysandiegan's Avatar
 
Join Date: Mar 2008
Posts: 4,407
Mentioned: 0 Post(s)
Tagged: 0 Thread(s)
Quoted: 0 Post(s)

Private individual policies definitely have lower premiums than SMALL group plans! Large group plans have the best rates and most large companies kick in something towards premiums, too.


"Kind words can be short and easy to speak, but their echoes are truly endless." - Mother Teresa

sunnysandiegan is offline  
#46 of 47 Old 04-26-2011, 01:30 PM
 
SunRise's Avatar
 
Join Date: Apr 2005
Location: CNY via Canada
Posts: 1,539
Mentioned: 0 Post(s)
Tagged: 0 Thread(s)
Quoted: 1 Post(s)

Thanks for explaining but I am still baffled! Must be different by state ... because group health coverage is much less expensive then individual in the state I am in. My private health insurance (quote of 3600/mth for family of 4 no deductible/10 copay) is much higher then group health insurance (750/mth for family of 4 (although 750 was 4 years ago; I am sure it has not increased by 3000 dollars))  Same plan, Same health insurance company.   And yeah, with the group plan, the company subsidized most of the 750/mth cost. I think I paid 100 a month.  Small company health plans; yeah, that is difficult to get or afford (both company & employer) We were too small to qualify for a group plan hence the individual plan.

 

At any rate, I dropped from full coverage, to catastrophic because the cost kept increasing and I rarely go to the doctor. And really I couldn't justify spending 1300/mth for one person!


Sara - Mum to C (10/02) ; m/c 10/07; 7/08; 3/09; Lucy Olive Feb 28, 2010 !
SunRise is offline  
#47 of 47 Old 04-26-2011, 02:17 PM
 
amma_mama's Avatar
 
Join Date: May 2008
Location: In a parallel universe
Posts: 1,017
Mentioned: 0 Post(s)
Tagged: 0 Thread(s)
Quoted: 0 Post(s)

Through my employer, we pay $184 biweekly, so just under $4800 per annum.

 

Family deductible: $0 in network / $600 out

Family Out of Pocket limit: $4000 in / $8000 out

Copay: $20 or $40, depending on the type of doctor you're seeing

Prescriptions: Copays seem to run $5 - $50 each depending on whether a generic is available

Annual check-ups and the like are covered 100%


Apparently doing it rong and ruining it for everyone, but I don't give a crap anymorebanana.gif

amma_mama is offline  
Reply

Quick Reply
Message:
Drag and Drop File Upload
Drag files here to attach!
Upload Progress: 0
Options

Register Now

In order to be able to post messages on the Mothering Forums forums, you must first register.
Please enter your desired user name, your email address and other required details in the form below.
User Name:
If you do not want to register, fill this field only and the name will be used as user name for your post.
Password
Please enter a password for your user account. Note that passwords are case-sensitive.
Password:
Confirm Password:
Email Address
Please enter a valid email address for yourself.
Email Address:

Log-in

Human Verification

In order to verify that you are a human and not a spam bot, please enter the answer into the following box below based on the instructions contained in the graphic.



User Tag List

Thread Tools
Show Printable Version Show Printable Version
Email this Page Email this Page


Forum Jump: 

Posting Rules  
You may post new threads
You may post replies
You may not post attachments
You may not edit your posts

BB code is On
Smilies are On
[IMG] code is On
HTML code is Off
Trackbacks are On
Pingbacks are On
Refbacks are Off