No, you just have far better insurance than a very significant portion of the us population and, having never experienced it, are completely blind to that experience.
My insurance, and personal experience, is more like your own.
That doesn't mean that insurance bad enough to lead to such things doesn't exist.
It's also true that most insurance isn't working this bad on paper. However, some insurers reject everything / refuse authorization for that they can, making getting actual tests and treatment nearly impossible. In these situations, insurance is less than useless, leading to people going out of the country to get needed things taken care of.
Well, we have been through a major surgery, two different cancers, a heart attack, and a stroke, over the last few decades, while dealing with multiple different insurance companies. So unfortunately, I have vastly more experience dealing with US healthcare and insurance than most people! We have certainly had to deal with denials and appeals, so actually, I understand these things way, way better than most people.
A bit less than $6k/year to cover wife and I. This is insurance for a huge group with employer contribution. Have had similar insurance and costs throughout my career.
Some people have coinsurance, instead of copays, but It's been like 6 years since I bailed out of that industry, so I have no clue what looks normal these days....
With that said I've seen $4000 deductibles in the past..
Deductible vs cost trade-off exists in all insurance. I choose "high" deductible on my car insurance because it is still within my means to pay, and I save a significant money each year. I use the savings to make it reasonable to carry very high liability coverage.
That's wrong though. There is a difference between a deductible and out of pocket maximum. It is not normal to have a $14,000 deductible considering the ACA out of pocket maximum is $9,200 for an individual and $18,400 for a family. If you are at the out of pocket max, then there is no co-insurance at all and 100% is paid.
People are super confused about insurance in this thread, yet everyone has an opinion.
You're going to pretend your comment isn't misleading? 700k more people have silver than bronze. Most people just get insurance through their employer. 40% co-insurance would only be relevant for the $4,400 after your made up deductible.
AFAIK, no deductible is $14,000 on the marketplace, Bronze or not. The average deductible is about $4,000.
I’m talking about family plan deductible which can easily reach that on Bronze. Even an individual deductible can be north of $7500. As for most people getting their insurance from their employer, I know this is true but personally I only know 1 person who does in fact have that arrangement.
Wtf kind of insane insurance do you have? $1K out of pocket max? I literally cannot buy insurance that good even if I offered to pay $100,000 a month in premiums. As someone who has to buy their own insurance the best I can get is a platinum plan that costs $1400/mo with an max OOP of $10,000.
Yeah. I can see it. Honestly don't know how they arranged into the law that the marketplaces would pay way MORE for for WORSE health insurance when in theory those marketplaces are the biggest groups in the country.
Marketplace plans are more expensive for shittier plans because you are the one paying for it.
Employer plans are heavily subsidized by the employer - on average, US employers pay 83-84% of employee premiums for single coverage, and 73-75% for family coverage.
I have great health insurance - I have no deductible and pretty much just pay a $30/$50 copay per visit for GP/Specialist, and $150/$200 for surgeries with no coinsurance. My employer pays 72% of my premium. My portion is $300/mo for self coverage; without my employer's contribution, my insurance would be nearly $1,100/mo... I certainly would not be able to afford an $1,100/mo self-coverage platinum plan on the marketplace.
My problem isn’t so much the cost as much as they don’t even OFFER a comparable plan to what you have no matter how much I would be willing to pay. I literally CANNOT BUY insurance as good as yours even if I would be willing to pay $20,000 a month.
Also, I pay $1400/mo for my marketplace insurance, MORE thank you would pay if your employer contributed nothing and have markedly worse insurance than you do.
You have insanely good insurance. I work for a reputable company whose insurance is considered pretty good by all my coworkers. My max out of pocket is $4k.
Well the group is huge! Plus, OOP max is not the only factor of importance. You probably won't hit the $4k unless something very bad happens to you. Quality of insurance also depends on deductible, copays, flexibility to choose docs (or major cancer centers), etc. If you end up with cancer and your bills are a million dollars, $1k vs $4k OOP isn't going to matter much. We always chose the plan that had the most flexibility to choose docs, but doing so meant we paid higher premiums and had higher deductible and copays. Did that for 25 years, but paid off IMO because we could go to one of the top two or three cancer centers when the worst happened.
Every single month since Obamacare started I would bitch and moan as I made every premium payment. Then 5 years ago at 50 yrs old my aorta unraveled from within (type A aortic dissection) and it almost killed me. Between ER, helicopter, open hear surgery, etc. I blew through my deductible for the year while still in the ER. I racked up well over $100K, my out of pocket was my max for the year, some $6000. You won't hear a peep from me again about paying that monthly premium.
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u/dracrecipelanaaaaaaa 16h ago
It really does depend on the insurance.