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-   -   New to Health Insurance (https://www.ft86club.com/forums/showthread.php?t=99005)

LOLS2K 12-17-2015 10:02 PM

New to Health Insurance
 
:thanks:

ZOMFGAARON 12-17-2015 10:05 PM

What plans does your company offer?
Any history of illness in your family?
Im 22 and have a PPO insurance plan from my job it's worth security if anything does happen I'll be covered.


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LOLS2K 12-17-2015 10:10 PM

:thanks:

MonoRaven 12-17-2015 10:21 PM

Here's a quick explanation of some common term you might not be familiar with:
http://www.safepol.com/health-insura...d-premium.html

You should just do some Googling and read up on it, it really isn't that compplicated and easy to figure out.

At your age and health you probably won't see a doctor much so paying a high premium just to get low cost coverage probably won't be very advantageous to you. You probably want something more just for major medical in the event something big happens that could cost in the tens of thousands or more. Also make sure whatever plan you choose does cover maternity costs if you are thinking of that in the near future.

ZOMFGAARON 12-17-2015 10:23 PM

I can comment on Aetna since that what I have now. They're not the best insurance company I've had but they're also not the worst! They're happy to take care of any issue you have and have tons or resources online to help out with any questions. Im satisfied with the cost and benefits I get out of it. I've only gone to the doctor 2 times in the 2 years I've been covered by them and can still say its worth every penny knowing I'm covered.

As far as letting you know if they're any better compared to the others I can't comment hopefully someone else can chime in.


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weederr33 12-17-2015 10:27 PM

I'm not gonna lie... I haven't gotten insurance yet either and I turned 26 back in July. So.. yeah I'll get penalized, but tbh all I need is the bare essentials. The VA takes care of my basic needs and annual check ups.

LOLS2K 12-17-2015 10:33 PM

:thanks:

weederr33 12-17-2015 10:43 PM

Quote:

Originally Posted by LOLS2K (Post 2484654)
I recently heard about the penalties. I just turned 26 in August, myself. We are going to get penalized come tax season for each month not covered, right?

I don't know the exact details. But, personally, I thing is utter bullshit to penalize someone. Now if that's just a myth made up to scare people into getting insurance, then so be it. I'll live to die another day. Anyway... I don't want to make it a political debate as this isn't the place for it.

I'll probably apply for insurance at the beginning of the year unless the VA counts.

LOLS2K 12-17-2015 10:50 PM

:thanks:

ZOMFGAARON 12-17-2015 10:52 PM

Individuals: From 2014 (reported in 2015), individuals who did not have insurance would owe $95, or 1 percent of income, whichever is greater. In 2015 it rises to the greater of $325 or 2 percent of income. But the penalty would subsequently rise in 2016, reaching $695, or 2.5 percent of income, whichever is greater. From 2017, the minimum tax penalty per person will rise each year with inflation. And for children 18 and under, the minimum per-person tax is half of that for adults ($47.50). The tax penalty is pro-rated, so that a person who is not covered for only a single month would pay 1/12th of the tax that would be due for the full year.

More info here : https://www.healthcare.gov/fees/fee-...being-covered/


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weederr33 12-17-2015 10:52 PM

Quote:

Originally Posted by LOLS2K (Post 2484672)
I totally agree, and as well can see how politics can push this all down a slippery slope. :cheers:
We shall have to wait and see about the penalties. Luckily it has been less than half a year without coverage.

Right you are!

Also this may help our questions: https://www.healthcare.gov/fees/fee-...being-covered/

LOLS2K 12-17-2015 11:04 PM

:thanks:

weederr33 12-17-2015 11:12 PM

Quote:

Originally Posted by LOLS2K (Post 2484688)
:thanks: I'm finding some useful info on that site.

Yeah I took some serious notes so it should help.

soulreapersteve 12-18-2015 12:21 AM

Awesome that you are getting health insurance man!

I was in the boat where I thought insurance wasn't needed because I rarely get sick and no injuries. If I did, it was simply the common cold.

Luckily, I signed up for insurance when I went FTE at my job. I don't know what happened because I started having chest pains and breathing issues around 3 weeks ago. Doctor couldn't ID it but suspected some sort of infection in my lungs.

How much I paid for insurance already covered doctor visit + pills.

If there are multiple plans offered, go for one that is high deductible so you can pay less each month (if you don't think you are going to get a major illness). My deductible is 250 for medical and 100 for dental so I pay 120 total/month. Drop in the bucket considering the high costs of healthcare in this country. :mad0260:

My advice is probably not good though... idk haha

Token11b 12-18-2015 01:43 PM

Insurance is great and a good "in case shit happens". I rarely get sick and haven't been to an actual Doctor in years. I ended up with severe chest pains from coughing and sneezing. Turned out I had bronchitis. one prescription alone was over 120$. After insurance I paid 15$ for 2 antibiotics, a steroid, anti nausea med and and ibus.

Health insurance is like car insurance better to have it and not need it and then need it but not have it. For what it's worth I use United ppo. For my spouse and I I'm paying maybe 150$ a month.

15$ copy for regular visits including mental health
45$ for urgent care visits
125$ for emergency room visits.

Icanfaptothis86 12-18-2015 02:07 PM

Being young and healthy your optimal plan is a high deductible plan with HSA. Particularly an HSA that allows you to rollover money

An HSA allows you to make tax free contributions which can be used to cover medical expensive and even buy bandaids or rubbing alcohol.

The idea is that you are young and healthy so wont be using your insurance too much. When you do you will be paying a larger deductible but you will be paying it with non taxed dollars which is a huge bonus.

IF you have a major medical emergency you will quickly meet your deductible at which point everything is essentially covered if in network. All the money you spent up till then is untaxed.

LOLS2K 12-18-2015 09:09 PM

:thanks:

MonoRaven 12-18-2015 09:20 PM

Deductible is one thing but that's just when the Ins starts paying, also be sure to look at the "Max Out of Pocket", that will be the most you will have to pay during the year.
I don't know if you already have a DR that you really like but if you do make sure they are a participating provider for whatever plan you choose.

LOLS2K 12-18-2015 09:24 PM

:thanks:

Tcoat 12-18-2015 09:28 PM

Quote:

Originally Posted by LOLS2K (Post 2485764)
Okay gotcha. I recently moved from CA to AZ so I'm completely new to everything out here. Not that I ever really visited a particular doctor (as an adult) back in CA.

Just move here and the problem goes away!

LOLS2K 12-18-2015 09:32 PM

:thanks:

Tcoat 12-18-2015 09:34 PM

Quote:

Originally Posted by LOLS2K (Post 2485772)
:D I'm just getting acclimated to this desert wasteland, coming from sunny Southern California.

Oh we have desert wastelands as well. They are just much, much colder!

MrDinkleman 12-18-2015 09:37 PM

Couple of questions:
Does your employer pay for all, part, none of your health insurance premiums?

I noticed your list only includes PPOs. Does your employer offer any HMO plans?

Generally, if you have to pay any portion of your insurance out of pocket, young, healthy people just buy the cheapest option since they don't go to the doctor very often. Then as they get older or less healthy people switch over to better plans.

BCBS is generally considered the "Cadillac of insurance" but their premiums reflect the great coverages they provide.

A lot of people poo-poo HMOs because some are very restrictive but they can be as good as PPOs depending on how they are structured. But (again) generally, in my experience, the HMOs that have their own exclusive hospitals and doctors aren't as good as HMOs that contract with various medical groups. But that is not a hard and fast rule so you need to ask your co-workers and read up on how good HMOs in your area are.

I happen to be in an HMO plan and the Medical Group that I belong to has a huge network of specialists and hospitals. My doctor does not hesitate to refer me to specialists outside of the network if he feels a non-network doctor would be better.

LOLS2K 12-18-2015 09:38 PM

Quote:

Originally Posted by Tcoat (Post 2485775)
Oh we have desert wastelands as well. They are just much, much colder!


Which is the best place to be? :bellyroll:
Quebec seems to have the good food. I love food.

http://sitevolt.com/canadianmemes/wp...tereotypes.jpg

Tcoat 12-18-2015 09:52 PM

Quote:

Originally Posted by LOLS2K (Post 2485783)
Which is the best place to be? :bellyroll:
Quebec seems to have the good food. I love food.

http://sitevolt.com/canadianmemes/wp...tereotypes.jpg

They all have their good points and bad points (well except the Yukon which has very little going for it) so pick one.

LOLS2K 12-18-2015 10:01 PM

:thanks:

LOLS2K 12-18-2015 10:02 PM

:thanks:

Tcoat 12-18-2015 10:06 PM

Quote:

Originally Posted by LOLS2K (Post 2485798)
And that's the trick, finding out which of the good and bad points you can live with.

Well on topic, they all have "free" healthcare.

LOLS2K 12-18-2015 10:17 PM

Quote:

Originally Posted by Tcoat (Post 2485801)
Well on topic, they all have "free" healthcare.

Why don't all the sick, elderly, etc. just move up there? Seems logical :iono:

Tcoat 12-18-2015 10:18 PM

Quote:

Originally Posted by LOLS2K (Post 2485803)
Why don't all the sick, elderly, etc. just move up there? Seems logical :iono:

We would just send them to Florida.

LOLS2K 12-18-2015 10:21 PM

Quote:

Originally Posted by Tcoat (Post 2485804)
We would just send them to Florida.

:bellyroll::bellyroll::bellyroll::bellyroll: :popcorn:


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