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employee based health insurance

MelzombieMelzombie Charleston, SC Posts: 200
this is obviously for those residing in the U.S.
I just started a new job a couple of months ago and just signed up for the health insurance plan.
Shit is expensive. I'm single, early 30's, healthy, non-smoker and was quoted $383 a month just for me and for medical insurance only (no dental or vision) 
My employer pays 50%. This means $191.50 comes out of my paycheck per month.
My deductible is $3,500 and I have to pay a doctors office copay of $40
This seems super high to me. I use to work for a larger corporate company and the insurance was better and less money. I got all three vision, dental, and medical for less than what I'm paying now for just medical. 
Is this a normal rate? How much do you pay? Anyone work in the health insurance field chime in? 
I think U.S. health insurance is all one big scam.
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    hedonisthedonist standing on the edge of forever Posts: 24,524
    I was paying over $800/month (COBRA) via my prior employer.  OUCH.

    Now I'm on my husband's through his work...an increase in his premiums but worth it (and financially more beneficial).  I think the total for the two of us is roughly $400/month for medical and dental.

    As with matching IRA contributions, different organizations will pick up the bulk more or less than others.

    It is indeed frustrating, and I wish I could offer more - but congratulations on the new job!
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    Malroth sent you positive vibes in the message in a bottle thread, he doesn't do that for just anybody. There is definitely sunshine headed your way. Lucky!
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    MelzombieMelzombie Charleston, SC Posts: 200
    Malroth sent you positive vibes in the message in a bottle thread, he doesn't do that for just anybody. There is definitely sunshine headed your way. Lucky!
    huh?
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    RunIntoTheRainRunIntoTheRain Texas Posts: 1,011
    @Melzombie that sounds like a lot though I've heard of worse.
    I work for Costco and am extremely fortunate to have excellent benefits. $48 a month for medical, dental and vision. $250 deductible, $15 copay, I pay 10% after deductible. I realize just how lucky I am.

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    MelzombieMelzombie Charleston, SC Posts: 200
    @Melzombie that sounds like a lot though I've heard of worse.
    I work for Costco and am extremely fortunate to have excellent benefits. $48 a month for medical, dental and vision. $250 deductible, $15 copay, I pay 10% after deductible. I realize just how lucky I am.

    Shit that is cheap! Costco is a major company with a ton of people. That may have something to do with it???
    The company I work for only has around 50 full time employees and not all of them use the insurance (they have their spouses insurance) 
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    RunIntoTheRainRunIntoTheRain Texas Posts: 1,011
    Melzombie said:
    @Melzombie that sounds like a lot though I've heard of worse.
    I work for Costco and am extremely fortunate to have excellent benefits. $48 a month for medical, dental and vision. $250 deductible, $15 copay, I pay 10% after deductible. I realize just how lucky I am.

    Shit that is cheap! Costco is a major company with a ton of people. That may have something to do with it???
    The company I work for only has around 50 full time employees and not all of them use the insurance (they have their spouses insurance) 

    The size of the company is a huge part of it. Plus they have always made taking care of their employees a priority. Benefits and pay as well.
    I do agree that US health insurance is very messed up.
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    F Me In The BrainF Me In The Brain this knows everybody from other commets Posts: 30,625
    edited December 2019
    How many people in your company? (Edit, I see you said 50 - this is the reason it is high.  Blame the govt not your employer)

    Insurance is a huge cost for employers and for small business owners there is not much of a way to defray this cost other than sharing with employees or paying a staggering amount themselves.
    (This is why so many SB owners freaked when the rules changed last administration)

    An employer paying 50% if a small company is really quite good.

    What I pay per month for my family (no dental/vision, those are out of pocket) would stagger you.  

    I'm sorry that you have a situation you do not like.

    Post edited by F Me In The Brain on
    The love he receives is the love that is saved
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    Indifference71Indifference71 Chicago Posts: 14,746
    Melzombie said:
    @Melzombie that sounds like a lot though I've heard of worse.
    I work for Costco and am extremely fortunate to have excellent benefits. $48 a month for medical, dental and vision. $250 deductible, $15 copay, I pay 10% after deductible. I realize just how lucky I am.

    Shit that is cheap! Costco is a major company with a ton of people. That may have something to do with it???
    The company I work for only has around 50 full time employees and not all of them use the insurance (they have their spouses insurance) 
    Yeah it all depends on how much your employer is willing to pay.  And a lot of times with smaller companies, they can't afford to pay as much as larger corporations.  I work for a very large company and I think I pay around $150 per month with a $1,300 deductible and no copay.  

    But yeah, the whole system is all over the place.  I'm on a separate plan from my wife and kids since both of our employers would charge us a penalty on top of the increased monthly premium if we were to go on each other's plan since we can each get insurance from our own company.  That's pretty shitty that they are able to do that.  Would be much better if we were all on the same plan.
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    deadendpdeadendp Northeast Ohio Posts: 10,434
    My husband works for a county park district, and health insurance benefits are under the umbrella of the county as a whole. 

    Because he participates in a healthy living program, we do not pay for our health insurance.

    We are partial pay for dental and life.

    We pay out of pocket for eye.

    We pay maybe $142/month for our family of three. Family deductible is $1000/year. $25 general doctor copays. $35 specialist. Discounted prescriptions. Flu shots through Walgreens and measles booster through CVS to avoid office visit copay. 

    Since our daughter was a county adoption and because of her drug positive birth status, she has Medicaid secondary through 18. It was incredibly helpful when she was in therapy for a few years. Psych copay is 50%. She also had a very suppressed immune system for the first 11 years. So glad we had it for all of those doctor visits we made. 
    2014: Cincinnati
    2016: Lexington and Wrigley 1
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    Wow!!! That seems so unaffordable!!! So the deductible comes off of what? Do you still have to pay up front to have a doctor's visit and only after  1000 and your monthly premium it is then free?
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    mace1229mace1229 Posts: 9,013
    That actually is on the cheaper side. Remember, Obamacare works by overcharging the young and healthy so it can cover the old and sick. So a healthy 20 or 30 something just starting a new job overpays.
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    PoncierPoncier Posts: 16,225
    I'd love to pay $191.50 a month for health insurance. I pay twice that a week. So 8x that monthly (it is a family plan, not single, but still its a massive deduction)
    Ever since Obamacare (actually Romneycare was the beginning of it all here in MA) was implemented, the premiums have about tripled in that time. And the benefits have been reduced, never had a deductible till past few years, now every plan has them. So on top of paying about 20K for the plan I have to pay the first $2,000.00 out of pocket for any expenses.
    Worst government plan ever. Force everyone to have to carry insurance and allow for profit companies to control the cost with no oversight. 
    This weekend we rock Portland
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    That is unconscionable! Geeze! did not know it was that crazy! Is there a sliding scale based on income or something? What of minimum wage earners?
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    MayDay10MayDay10 Posts: 11,611
    Its a racket.

    Im paying over $100 a week AND we have like a $10K/year deductable.  We can even take a kid to the doctor without thinking over financial ramifications.

    FREE MARKET

    Its a god damn racket and we are all the suckers.  People should be marching in the street over this
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    mace1229mace1229 Posts: 9,013
    That is unconscionable! Geeze! did not know it was that crazy! Is there a sliding scale based on income or something? What of minimum wage earners?
    I don't think a sliding scale. But you can get subsidized insurance under a certain income. I don't know the details other than I know some single healthy young people who do not make a lot of money and struggle financially (especially in big cities like LA) and chose to not have insurance because paying the tax penalty is cheaper than paying for the insurance that they can't afford.
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    MelzombieMelzombie Charleston, SC Posts: 200
    How many people in your company? (Edit, I see you said 50 - this is the reason it is high.  Blame the govt not your employer)

    Insurance is a huge cost for employers and for small business owners there is not much of a way to defray this cost other than sharing with employees or paying a staggering amount themselves.
    (This is why so many SB owners freaked when the rules changed last administration)

    An employer paying 50% if a small company is really quite good.

    What I pay per month for my family (no dental/vision, those are out of pocket) would stagger you.  

    I'm sorry that you have a situation you do not like.

    yikes! Do you work for a smaller company or are you self employed? 
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    F Me In The BrainF Me In The Brain this knows everybody from other commets Posts: 30,625

    Melzombie said:
    How many people in your company? (Edit, I see you said 50 - this is the reason it is high.  Blame the govt not your employer)

    Insurance is a huge cost for employers and for small business owners there is not much of a way to defray this cost other than sharing with employees or paying a staggering amount themselves.
    (This is why so many SB owners freaked when the rules changed last administration)

    An employer paying 50% if a small company is really quite good.

    What I pay per month for my family (no dental/vision, those are out of pocket) would stagger you.  

    I'm sorry that you have a situation you do not like.

    yikes! Do you work for a smaller company or are you self employed? 

    We have an indirect model -- thousands of people work for the company but only about 20 direct employees...so, yes, that is the issue.  The system pounds every business -- but the small business owners are left to look like bad guys in the scenario when the real bad guys are the fuckholes who charge $100 for an aspirin and all the associated garbage/payola/gouging/insuring.  

    Our employer cannot pay 50%, would amount to paying people less in the end if he did. 

    Put this together with my wife's health issues (and her treatment efforts mostly not covered by insurance) and this amounts to paying about the same in health care as the average American makes in 2019.

    System is fucked, only feel lucky enough that we can afford to continue to be aggressive in her pursuit of wellness.
    Most cannot.
    The love he receives is the love that is saved
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    MelzombieMelzombie Charleston, SC Posts: 200

    Melzombie said:
    How many people in your company? (Edit, I see you said 50 - this is the reason it is high.  Blame the govt not your employer)

    Insurance is a huge cost for employers and for small business owners there is not much of a way to defray this cost other than sharing with employees or paying a staggering amount themselves.
    (This is why so many SB owners freaked when the rules changed last administration)

    An employer paying 50% if a small company is really quite good.

    What I pay per month for my family (no dental/vision, those are out of pocket) would stagger you.  

    I'm sorry that you have a situation you do not like.

    yikes! Do you work for a smaller company or are you self employed? 

    We have an indirect model -- thousands of people work for the company but only about 20 direct employees...so, yes, that is the issue.  The system pounds every business -- but the small business owners are left to look like bad guys in the scenario when the real bad guys are the fuckholes who charge $100 for an aspirin and all the associated garbage/payola/gouging/insuring.  

    Our employer cannot pay 50%, would amount to paying people less in the end if he did. 

    Put this together with my wife's health issues (and her treatment efforts mostly not covered by insurance) and this amounts to paying about the same in health care as the average American makes in 2019.

    System is fucked, only feel lucky enough that we can afford to continue to be aggressive in her pursuit of wellness.
    Most cannot.
    yikes. that sounds awful. One thing that I am thankful for is that I'm pretty healthy. ::knock on wood:: 
    I have friends that are in medical debt (even with insurance!) because they are always sickly. 
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    F Me In The BrainF Me In The Brain this knows everybody from other commets Posts: 30,625
    Yeah -- and she lives with what she has, and many people cannot if they don't spend outside of the system.

    Glad you are at least limited to what they are pulling from your checks and the occasional visit even a healthy person should conduct.  (Guessing they give you a free annual checkup?)
    The love he receives is the love that is saved
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    darwinstheorydarwinstheory LaPorte, IN Posts: 5,766
    I don't pay for insurance - includes dental and vision
    $1000 out of pocket max
    $50 ER visit (waived if admited)
    $25 office visit co-pay 

    That, is why we are willing to come out in droves to rally, or even strike to maintain what we already have. Very fortunate to have that. 

    Curious how fortunate some other unions are with their insurance. 
    "A smart monkey doesn't monkey around with another monkey's monkey" - Darwin's Theory
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    MelzombieMelzombie Charleston, SC Posts: 200
    edited December 2019
    I don't pay for insurance - includes dental and vision
    $1000 out of pocket max
    $50 ER visit (waived if admited)
    $25 office visit co-pay 

    That, is why we are willing to come out in droves to rally, or even strike to maintain what we already have. Very fortunate to have that. 

    Curious how fortunate some other unions are with their insurance. 
    Someone has to pay for it. so who does? through your union dues?
    I think we have a couple of unions where I live, but not many. I don't know anyone in one.
    I live in SC and the state as a whole is anti-union. One of the reasons why Boeing built a plant here. 
    There was a whole controversy about them trying to unionize and I don't think they did because the majority of the people didn't want it.
    I don't know much about unions, but aren't they mostly blue collar jobs? 

    Post edited by Melzombie on
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    F Me In The BrainF Me In The Brain this knows everybody from other commets Posts: 30,625
    Depends.  
    Entertainment industry is full of unions to protect against the fucking vultures with money passing as studios 
    The love he receives is the love that is saved
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    MissPennyLaneMissPennyLane Redondo Beach, CA Posts: 687
    My ex is in a union in the entertainment industry. Seemed like a sweet gig to me except constantly chasing work nonstop.
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    mace1229mace1229 Posts: 9,013
    edited December 2019
    Union dues wouldn't be enough. Typically the employer pays. The larger the company the better the bargaining chip when negotiating rates with insurance companies. Small businesses get screwed because they get horrible rates from providers, and often struggle to pay it.
    A "company" like the LA county sheriff department with close to 20,000 employees will get a great rate and can cover most if not all of the premiums for their employees. A small school district with 500 employees will get a higher rate and pay more.
    Currently I pay about $900/month for our family insurance my my employer pays about $1000. And on top of that we have deductibles and copays every time we see a doctor. It is a total scam. Most families would be better off putting that $23,000 we pay for premiums each year into an account and just paying cash every time they needed treatment for something. 
    I dont have any statistics to back this up, but I'm guessing 95% of the population would be better off that way. How often do you think you would run up $23,000 in medical bills a year? Not often, especially if price gouging was illegal. The only reason insurance even seems like a good idea is because they price gouge and scare you into thinking a $300 exam would cost you $5000 if you didn't have insurance. It wouldn't most of the time.
    Pricing is crazy, out of pocket for something like a CAT scan can range from $200 to $7,000, it is so ridiculous. 
    Post edited by mace1229 on
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    F Me In The BrainF Me In The Brain this knows everybody from other commets Posts: 30,625
    If they charged you the non negotiated rates it would not take much family care to end up north of that....which of fucked and why it is such a racket.  
    Have some x-rays or an MRI done and check out what the starting point fees are.
    So, so crazy.
    The love he receives is the love that is saved
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    mace1229mace1229 Posts: 9,013
    Yes but that non-negotiated rate is so fake. A lot of time the cash or uninsured price is less than the "negotiated" rate.
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    mace1229mace1229 Posts: 9,013
    Its there to scare you and make you think you saves thousands by having insurance. But you didn't in many cases.
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    mace1229mace1229 Posts: 9,013
    I ask about non insurance pricing all the time. Sometimes my co-pay for medicine is $60, but the cash price is only $20. So after paying nearly $2000 a month for insurance it is often cheaper to just pretend we don't have it. WTF?
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    vogonpoetbythelakevogonpoetbythelake Posts: 2,146
    edited December 2019
    That's why I respect the Canadian model I know it is not the best but certainly a lot more humane than what I am reading here....even though i dont use the doctor or hospital very often...around 5 times in the last decade i know my community members do need to and i am happy to pay 75 dollars per month to subsidize the surgeries...emergencies etc.  even if I never had need...we all need to help each other by staying as healthy as possible...encouraging self care and caring for each other...
    Post edited by vogonpoetbythelake on
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    mace1229mace1229 Posts: 9,013
    You get screwed over the most in emergency situations. If you go to the ER and don't have time to plan ahead or something that is when you can get stuck with a $20,000 bill for a 1 night visit. But routine stuff or stuff you have time to plan, in my experience if you call a few hospitals it isn't too hard to find one that will give a cash price that is as good or better than those negotiated rates. Hospitals hate working with insurance anyway, even a small private doctor office has to hire a full time employee just to manage insurance bills. Who do you think ends up paying for that?
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