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100223
Oct 2, 2023

pencilhands posted:

I have health insurance for the first time through an employer. I'm a single person no wife or children. It costs me about $800 a month in premiums but my deductible before literally anything at all is covered is $2500. So I could potentially spend $12000 on healthcare costs in a single year with literally no benefit?

And even once I reach the deductible I'm still on the hook for $50 copay just to see a GP. This can't be right can it? What's the point of health insurance if it doesn't do anything?

So 20% of your paycheck on Healthcare and 80% on a mortgage?

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Jelly
Feb 11, 2004

Ask me about my STD collection!

pencilhands posted:

I have health insurance for the first time through an employer. I'm a single person no wife or children. It costs me about $800 a month in premiums but my deductible before literally anything at all is covered is $2500. So I could potentially spend $12000 on healthcare costs in a single year with literally no benefit?

And even once I reach the deductible I'm still on the hook for $50 copay just to see a GP. This can't be right can it? What's the point of health insurance if it doesn't do anything?

big lol from a trump voter

Bad Purchase
Jun 17, 2019




DO SOMETHING

Sophy Wackles
Dec 17, 2000

> access main security grid
access: PERMISSION DENIED.





Are you sure that $800 isn’t the annual cost OP?

Nooner
Mar 26, 2011

AN A+ OPSTER (:
i have pretty okay insurance and work pays $160 towards it a month and it is still pretty bad lol

flubber nuts
Oct 5, 2005


imagine an employer actually giving a poo poo about your well being lmao. walmart actively took life insurance policies out on their old employees to make bank when they croaked.

WAR CRIME GIGOLO
Oct 3, 2012

The Hague
tryna get me
for these glutes

I charge $0 for employee healthcare.

Nooner
Mar 26, 2011

AN A+ OPSTER (:

flubber nuts posted:

imagine an employer actually giving a poo poo about your well being lmao. walmart actively took life insurance policies out on their old employees to make bank when they croaked.

lmao that is loving savage

Treecko
Apr 23, 2008

The Official Demon Girl
Boss of 2022!
I've never taken employee health insurance.

The only time I even considered it was when I worked at the post office and they paid most of it.

Have you tried being extremely poor and getting state health care OP? Cuz uh, yeah that actually works.

Nooner
Mar 26, 2011

AN A+ OPSTER (:
i wanna imagine that they just had a ton of people on staff who's job was just to like cruise around to each walmart in their county and scope out the weakest members of the herd

BAGS FLY AT NOON
Apr 6, 2011

A Soft Nylon Bag

flubber nuts posted:

imagine an employer actually giving a poo poo about your well being lmao. walmart actively took life insurance policies out on their old employees to make bank when they croaked.

Lmao definitely a cool thing that should continue to be legal.

Pitdragon
Jan 20, 2004
Just another lurker
I had a similarly lovely healthcare plan with one of my employers and I was convinced they were getting kickbacks or some other shady poo poo was going down, I hadn't considered the malicious compliance angle.

That and the many other ways in which businesses screw over poor people are probably what lead me down the path of radicalization, OP!

Justin Credible
Aug 27, 2003

happy cat


Treecko posted:

I've never taken employee health insurance.

The only time I even considered it was when I worked at the post office and they paid most of it.

Have you tried being extremely poor and getting state health care OP? Cuz uh, yeah that actually works.

My current job and my last job have non-poo poo insurance with a low premium and I know how fortunate I am with that. Paid 1k for 60k surgery when I turned one of my wristbones into an egg beater during my last employment.

I also at a point in time was homeless with no income not too long after ACA and couldn't get health insurance through WA state, didn't qualify.

So all in all, gently caress this country and it's many, many, many horrible lovely capitalist grift systems

Saalkin
Jun 29, 2008

my employer is increasing the yearly benefit we get for mental health stuff from $10,000 a year to $12,000 a year. 100% coverage.

Inzombiac
Mar 19, 2007

PARTY ALL NIGHT

EAT BRAINS ALL DAY


EIP to Americans (I'm Americans)


https://www.youtube.com/watch?v=-wpHszfnJns

Buce
Dec 23, 2005

honestly I wouldn’t imagine being an apprentice wizard master comes with any benefits at all

Flowers for QAnon
May 20, 2019

I got them to pay out 2.3 mil for my 27 day stay, so I’ll consider that a rad profit

Three Olives
Apr 10, 2005

flubber nuts posted:

imagine an employer actually giving a poo poo about your well being lmao. walmart actively took life insurance policies out on their old employees to make bank when they croaked.

My employer pays 100% of my premium for health, dental and vision reimburses me for 100% of out of pocket expenses up to my deductible, covers all but $1000 of my max out of pocket costs and pays 100% of my long and short term disability coverage.

Oh, we also have 2 weeks of additional sick leave if we are diagnosed with COVID including a home test on the honor system on top of 5 weeks of PTO I get.

Also there is no waiting period for health insurance, coverage starts on your first day of employeement.

Some employers don't actually hate their employees.

Three Olives fucked around with this message at 02:48 on Oct 5, 2023

Toxic Mental
Jun 1, 2019

I have a work plan and it's $141.50 per person, so for me and my wife it's $283 a month for full coverage. Sucks yo be you I guess.

covidstomper58
Nov 8, 2020

None of this is relevant unless you know how much your employer is paying to an insurer. I pay something like $140 a month with a total out of pocket maximum copays of $2600. The most if I stay in network I should have to pay is $4280. The employer pays another $750 a month. The cost of you being an employee that wants health insurance is $9000 out of their pocket to employ and insure you (for health). If you decline that then you don't actually get the $9000 instead, they just keep it and say don't miss more than 3 days of work.

pencilhands
Aug 20, 2022

I just checked the MA health connector and equivalent plans are pretty much this bad across the board

The Loin King
Feb 16, 2017

Check out this goddamned cat

pencilhands posted:

I just checked the MA health connector and equivalent plans are pretty much this bad across the board

Did you tell them you had an apprenticeship in wizardry

GABA ghoul
Oct 29, 2011

With an income of $50k per year your health insurance is ~$715 a month here in Germany. But it's a fixed percentage of you income so it goes down if you earn less and there are no deductibles

CaptainSarcastic
Jul 6, 2013



This poo poo is so bad. When I went back to school my income was low enough to qualify for the state-run Medicaid option, and while now I have decent insurance through my employer I still miss being on Medicaid. Now I have to consider that a trip to the emergency room is a minimum $250 out of pocket for me, whereas when I was on Medicaid I could just go to the ER if I needed to, and not do some financial calculus first. I had to have my gallbladder removed as an emergency surgery while I was on Medicaid, and I paid $0 for any of it. Now, on my private insurance I know I would owe hundreds, if not thousands, if the same thing were happening now.

Copays can be bad, but I've noticed the new hotness of shifting costs to the insured person is "coinsurance." Like, to use the emergency room as an example again, some plans will say "25% coinsurance" for an ER visit, which means that you pay 25% of whatever grossly inflated charges the ER decides to file.

CaptainSarcastic fucked around with this message at 08:43 on Oct 5, 2023

lalaland
Nov 8, 2012
Freedom has a price buddy

N. Senada
May 17, 2011

My kidneys are busted

The Bible posted:

I like going to the doctor and he/she checks me, writes me a prescription, and I pay like 3 bucks.

I definitely have health insurance, but it is all handled automatically here (Korea), so I don't have to gently caress with anything.

Taxes are similar. There's a website I download them from, already completed, then give them to my employer who handles all that poo poo.

How does it feel being so oppressed like that?

Dixville
Nov 4, 2008

I don't think!
Ham Wrangler
Yeah it is really bad op people complain about this all the time I'm surprised you didn't already know even if you never had it before.

cant cook creole bream
Aug 15, 2011
I think Fahrenheit is better for weather

Dixville posted:

Yeah it is really bad op people complain about this all the time I'm surprised you didn't already know even if you never had it before.

Unfortunately, there's nothing anyone could do about any of this. America's insurance system is completely Pareto-efficient and you could not improve it without making things worse at another point.
You wouldn't want poor insurance companies to lose several hundred dolars just so you can safe a few thousand, right?

Tree Bucket
Apr 1, 2016

R.I.P.idura leucophrys
How. How is America so terrible. How. It is mind-boggling. I don't know how you guys survive in your country without going completely insane. I feel exhausted and horrified just reading this thread. You all carry an extraordinarily heavy psychic burden merely by existing in the USA. Your country wants you dead and hates you.
Sorry, guys. I wish it was better for you. You're all legit heroes to have not instantly died of despair upon hearing your own national anthem. It never had to be this way

Turrurrurrurrrrrrr
Dec 22, 2018

I hope this is "battle" enough for you, friend.

Babe, treat me like OP's health insurance treats them.

But, like only in bed and my safe word is bluecross/blueshield

A Fancy Hat
Nov 18, 2016

Always remember that the former President was dumber than the dumbest person you've ever met by a wide margin

Tree Bucket posted:

How. How is America so terrible. How. It is mind-boggling. I don't know how you guys survive in your country without going completely insane. I feel exhausted and horrified just reading this thread. You all carry an extraordinarily heavy psychic burden merely by existing in the USA. Your country wants you dead and hates you.
Sorry, guys. I wish it was better for you. You're all legit heroes to have not instantly died of despair upon hearing your own national anthem. It never had to be this way

OP's health insurance seems exceptionally bad but all of us have real lovely insurance and it gets worse every year!

My workplace added a "spousal surcharge" where I can't put my wife on my plan if she's eligible for insurance through her work without a massive fee that makes it no longer worth it.

In addition, they're completely changing their insurance provider this year in order to save money. So I have to find a new primary care doctor (after I found a new one in 2019 for the same reason) and I have to confirm that the specialist doctor I see will still be covered. If not, I get to search for TWO new doctors and hope they can take new patients any time soon.

Captain Beans
Aug 5, 2004

Whar be the beans?
Hair Elf

Tree Bucket posted:

How. How is America so terrible. How. It is mind-boggling. I don't know how you guys survive in your country without going completely insane. I feel exhausted and horrified just reading this thread. You all carry an extraordinarily heavy psychic burden merely by existing in the USA. Your country wants you dead and hates you.
Sorry, guys. I wish it was better for you. You're all legit heroes to have not instantly died of despair upon hearing your own national anthem. It never had to be this way

big assumption that people survive without going insane

A Fancy Hat posted:

OP's health insurance seems exceptionally bad but all of us have real lovely insurance and it gets worse every year!

My workplace added a "spousal surcharge" where I can't put my wife on my plan if she's eligible for insurance through her work without a massive fee that makes it no longer worth it.

In addition, they're completely changing their insurance provider this year in order to save money. So I have to find a new primary care doctor (after I found a new one in 2019 for the same reason) and I have to confirm that the specialist doctor I see will still be covered. If not, I get to search for TWO new doctors and hope they can take new patients any time soon.

we got this spouse surcharge poo poo, its stupid as gently caress to now have to manage two different sets of insurance like you say

Captain Beans
Aug 5, 2004

Whar be the beans?
Hair Elf

WithoutTheFezOn posted:

Doesn’t matter for you. If your employer offers health insurance, you’re not eligible.

This is not always true. OP you can look into the details it depends on how much your employer covers/your income ect. Its probably worth at least looking at. Sorry you have to deal with this bullshit.

quote:

Can I enroll in Obamacare if my employer offers insurance?

If your employer offers insurance benefits, it can feel like a real employment win. When an employer pays for some or all of your monthly premiums, it can really help make health insurance affordable. It’s no surprise then that employer-based plans are the most common form of health coverage in the United States. In fact, more than half of the non-elderly population get their insurance through this kind of coverage.

But what if you don’t want the health insurance benefits through your job? Maybe because of the cost or the types of plans available, you want to look elsewhere. And what if you are interested in enrolling in an Obamacare plan through the online Marketplace. Is this even an option?

Short answer: Yes. But there are some important caveats to consider. Here, we break down what you need to know about enrolling in Obamacare if your employer offers insurance benefits too.
Can I enroll in Marketplace health insurance (Obamacare) if my employer offers insurance?

The Affordable Care Act ensures that almost all Americans can buy individual and family health insurance from the online Marketplace. To qualify to shop on the Marketplace, there are just a few general requirements. You need to live in the U.S., not be incarcerated, and be a U.S. citizen or hold a number of permitted immigration statuses that include being a refugee, a green card holder, a survivor of domestic violence, and more. If you meet these general criteria, you can shop for Obamacare plans during the annual Open Enrollment Period (OEP). You can also shop on the Marketplace during a Special Enrollment Period (SEP) if you have a qualifying life event like a marriage, birth, or move.

Many people like to shop on the health insurance Marketplace for its comprehensive, affordable health insurance plans. Want to compare prices to see if Marketplace coverage might be less expensive than opting into your employer-provided plan? You’ll need to consider a few things, especially when it comes to your bottom-line costs.

To see plans and prices in your area, enter your zip code below.

If I decide to enroll in a Marketplace plan, will I be eligible for subsidies/savings?

First, your employer may contribute to your health insurance costs when you enroll in an employer-sponsored plan. Sometimes they even contribute 100%. But if you opt-out of your employer-sponsored plan for an Obamacare plan, they won’t. Want to opt-out of an employer’s plan? You’ll be handling the costs of your monthly premiums on your own and paying full price.

Second, if you turn down an employer plan and enroll in an Obamacare plan, you probably won’t get any subsidies/savings. The only ways you can qualify for a subsidies are:

The plan doesn’t meet the minimum value standard: the employer-sponsored plan is required to pay at least 60% of the total cost of medical services for a standard population and offer substantial coverage of hospital and doctor services. If the plan doesn’t meet this standard, then you’ll qualify for a Marketplace subsidy. You can find out if your employer-sponsored plan meets the minimum requirements by asking your employer to complete this Employer Coverage Tool.
The plan doesn’t meet the affordability test: A job-based health plan is considered “affordable” if your share of the monthly premiums for the lowest-cost self-only coverage that meets the minimum value standard is less than 9.61% of your household income. Affordability is determined only by the amount you’d pay for self-only coverage—if you’re paying more than 9.61% of your household income on monthly premiums and you’re enrolled in family coverage, as long as the amount you’d pay for just your premium is less than 9.61% of your household income, it passes the affordability test. This is know as the family glitch.


More on these minimum standards here.
https://blog.healthsherpa.com/can-i-enroll-in-obamacare-if-my-employer-offers-insurance/

Kirk Vikernes
Apr 26, 2004

Count Goatnackh

Op, if you have any money leftover in your paycheck after insurance, I'd invest in a 55gal barrel of lube to ease the pain. If you don't mind dealing with the cleanup, I'd go with silicone as it stays slippery and will last longer.

My employer is pays 95% of my insurance and the coverage is good. When my wife had our twins in 2014, we paid less than $500 out-of-pocket from insemination through delivery and my vasectomy cost $1.67 out-of-pocket.

My wife had thyroid cancer the summer of 2018 and I don't remember paying anything out of pocket for that procedure. Christmas of 2018, I ended up in the hospital after a doctor prescribed keflex for an abscess that went 0 to huge real quick just inside my nostril. "Oh, you're allergic to penicillin? Keflex is totally cool and good for people with penicillin allergies." One swollen head later, I ended up in the hospital for three days. It ended up costing $300.

I haven't had anything except yearly labs since then which are free. Prescriptions are a little higher, I think $10 for generic, $20 for name-brand and $40 for others, but I don't take anything daily so I think those are current prices but I'm not 100% sure.

hot cocoa on the couch
Dec 8, 2009

i already knew it was bad in america but readign this thread is loving mind blowing lmao

hot cocoa on the couch
Dec 8, 2009

i have a blood disorder and maybe cancer??? (seeing my dr today to get the results of the latest biopsy), and need regular IVIG to keep my platelets at a level where my blood isn't actively trying to kill me. i get it 1-2 times a month right now. and i need special type-matched stuff cause i have O- blood. i looked up the cost in america for this and it's ten thousand loving dollars per dose lmfao. in america i'd probably just die

Justin Credible
Aug 27, 2003

happy cat


Tree Bucket posted:

How. How is America so terrible. How. It is mind-boggling. I don't know how you guys survive in your country without going completely insane. I feel exhausted and horrified just reading this thread. You all carry an extraordinarily heavy psychic burden merely by existing in the USA. Your country wants you dead and hates you.
Sorry, guys. I wish it was better for you. You're all legit heroes to have not instantly died of despair upon hearing your own national anthem. It never had to be this way

lol have you not seen anything else going on in this poo poo rear end country

people are actively losing their minds at all times

MrQwerty
Apr 15, 2003

I'm sick of seeing animated weiners french kissing in every fucking GBS thread.

hot cocoa on the couch posted:

i have a blood disorder and maybe cancer??? (seeing my dr today to get the results of the latest biopsy), and need regular IVIG to keep my platelets at a level where my blood isn't actively trying to kill me. i get it 1-2 times a month right now. and i need special type-matched stuff cause i have O- blood. i looked up the cost in america for this and it's ten thousand loving dollars per dose lmfao. in america i'd probably just die

My brother has MODY, has a good insurance plan, is in a union, and the insurance company constantly rejects paying for his labs and insulin because, "MODY is not actually diabetes"
They've also done this to my mother for 20 years, once they changed her diagnosis from type 1 to MODY

MrQwerty fucked around with this message at 16:38 on Oct 5, 2023

Serious_Cyclone
Oct 25, 2017

I appreciate your patience, this is a tricky maneuver

hot cocoa on the couch posted:

i have a blood disorder and maybe cancer??? (seeing my dr today to get the results of the latest biopsy), and need regular IVIG to keep my platelets at a level where my blood isn't actively trying to kill me. i get it 1-2 times a month right now. and i need special type-matched stuff cause i have O- blood. i looked up the cost in america for this and it's ten thousand loving dollars per dose lmfao. in america i'd probably just die

My father had a bone marrow cancer that required a series of shots - insurance pays for the entire course but because the medicine is so toxic you only use up to the amount you absolutely need and then stop the course. He asked the nurse about what happens to the rest of the shots in the series and she told him they keep them locked away in case somebody comes in without insurance because they could never afford the treatment on their own. Just holding onto table scraps for the next person coming through the door with no insurance and terrible luck with their bone marrow.

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BAGS FLY AT NOON
Apr 6, 2011

A Soft Nylon Bag

hot cocoa on the couch posted:

i have a blood disorder and maybe cancer??? (seeing my dr today to get the results of the latest biopsy), and need regular IVIG to keep my platelets at a level where my blood isn't actively trying to kill me. i get it 1-2 times a month right now. and i need special type-matched stuff cause i have O- blood. i looked up the cost in america for this and it's ten thousand loving dollars per dose lmfao. in america i'd probably just die

When my wife was going through chemotherapy for breast cancer each infusion was $17,000 dollars and I think she had around 20 infusions if I remember correctly, not to mention the surgery to install the port and then a double mastectomy. For two years we were meeting our deductible and out of pocket maximums for the year on January 1. If my company didn’t offer pretty good insurance she absolutely would have died in addition to leaving a half million dollars in medical bills. I was terrified of losing my job during early Covid because I didn’t trust the Trump administration to protect the laws requiring insurers to accept pre-existing conditions.

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