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Health insurance open enrollment time

Anonymous
Posted by Anonymous
  • 47 Replies
Help me choose, I am really not sure which is the better deal or the right choice.

Option 1- Annual premium for family is 3,095.52
Family deductible is 4,500 for in network.
Out of pocket max is 7,150 for in network.
Coverage is 100% for annuals and immunizations, and 80% for doctors visits and prescriptions after deductible is met.

Option 2- Annual premium is 5858.04
Family deductible is 1,500 for in network
Out of pocket max is 10,000 for in network
Coverage is 100% for annuals and immunizations, and 70% for other doctor visits after deductible is met. Prescriptions are either 10, 40, or 60 dollars depending on tier.

Posted by Anonymous on Nov. 1, 2016 at 12:27 PM
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Replies (1-10):
Anonymous
by Anonymous 2 on Nov. 1, 2016 at 12:29 PM
Depends. do you have to see the doctor alot for sick visits? Haves prescriptions you need filled monthly?
SummerMeow
by on Nov. 1, 2016 at 12:30 PM

If you are on any maintenance meds, option 2 is the better deal. 

Anonymous
by Anonymous 1 - Original Poster on Nov. 1, 2016 at 12:31 PM
My husband is diabetic and has high blood pressure.

Quoting SummerMeow:

If you are on any maintenance meds, option 2 is the better deal. 

Anonymous
by Anonymous 3 on Nov. 1, 2016 at 12:31 PM
Any of on meds? Any chronic conditions? Frequent doctor's visits? Do you have a flex spending account or emergency fund?

Eta: you answered all that now. Option 2
SummerMeow
by on Nov. 1, 2016 at 12:32 PM

Personally, I would go with option 2

Quoting Anonymous 1: My husband is diabetic and has high blood pressure.
Quoting SummerMeow:

If you are on any maintenance meds, option 2 is the better deal. 


Anonymous
by Anonymous 1 - Original Poster on Nov. 1, 2016 at 12:32 PM
We have 5 kids, one with a health problem. So we end up in the office quite a bit.
My husband is diabetic and has high blood pressure.



Quoting Anonymous 2: Depends. do you have to see the doctor alot for sick visits? Haves prescriptions you need filled monthly?
Anonymous
by Anonymous 1 - Original Poster on Nov. 1, 2016 at 12:34 PM
My husband is diabetic. We can and usually do have an HSA. This year the HSA and flex account is only available for option 1.

Quoting Anonymous 3: Any of on meds? Any chronic conditions? Frequent doctor's visits? Do you have a flex spending account or emergency fund?



Eta: you answered all that now. Option 2
Anonymous
by Anonymous 4 on Nov. 1, 2016 at 12:36 PM
Fuuuuck both of those are insane. Jesus. 10k out of pocket before it covers anything??? Thats over 1/3 of my yearly income.
Anonymous
by Anonymous 5 on Nov. 1, 2016 at 12:36 PM

I'd go with the second.

Anonymous
by Anonymous 6 on Nov. 1, 2016 at 12:36 PM

Option 2 is the best if you utilize a lot of medical services for your family.  Option 1 is for a family who doesn't frequent the doctor as often but keep in mind that you would also need to be saving for medical costs to cover the high deductible. 

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