Should I just do a 100 percent health insurance plan?

  • by Michaela
  • Dec 10,2018
  • 7 answers

My insurance through the state just went up a ton and I can't really afford it. My job has insurance I'll have to switch to which has a 80 and 100 percent plan. The 80 is only 40 a month. The 100 is 140 a month. My HR lady says she would get the cheaper one if she were me since I'm young, but I can't decide.
Also, can you go with whatever insurance company you want? Outside of your work and the health connector?


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Insurance Answers (7)

Victoria 5 months ago

Choose insurer you want, it is your choice

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Casey Y 6 months ago

Buy insurance through your employer...they subsidize (at least a small part) the premiums...

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n2mama 6 months ago

Well, do you have any health issues or conditions that you see the doctor regularly for? Do you engage in any activities that could result in an injury (sports or hobbies, for example)? In the last three years how many times have you seen the doctor or had to get a prescription filled?
As others have pointed out, it's basically a numbers game. If you are generally healthy and have a low risk of injury, then maybe going with the 80% plan makes more sense. If you have chronic conditions or engage in high risk activities that may mean you have a greater risk of injuries, then perhaps the 100% plan is worth it. And medical bills are expensive, even with insurance.
To answer your other question, no, you don't get to pick your insurance company if you are getting insurance through your employer. Your employer has a carrier they have selected to work with (Blue Cross, Aetna, United Healthcare, another carrier), and that's who your insurance will be through. If you have a doctor you see regularly that you really like, you want to make sure they are an in network provider for your new insurance. Otherwise you may not be able to see that doctor, or will have to pay a lot more to do so.

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Bob the Builder 6 months ago

beherge

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David and Stephanie 6 months ago

Is that the premium per month or per paycheck?
Basically if you do the 100% plan you're paying $100 extra per month, so $1200 more you'll spend this year toward healthcare even if you never have any medical bills.
If you incurred $6000 worth of bills that you have to pay 20%, then you'd owe $1200, so that's your break even point.
If you think you will have more than $6,000 worth of medical bills then its worth it to pay the extra premiums. If you think you'll be under $6,000 worth of bills then you'll save money by taking the lower premium and just paying 20% of your bill.
You also have to look at the deductible and the out of pocket maximum to make an accurate comparison.

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danxp2 6 months ago

Not every insurer is licensed in every state, or partners with local hospitals in every city. You could go with any provider but find they don't authorize you to go anywhere close or convienant.
We cannot read the plans in full, nor do we know your financial situation how much of a burden 100 a month will be for. So I would be unable to give any sort of reasonable evidence based advice.
It becomes do you want to extra cushion of protection or not.

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Eva 6 months ago

When you get your insurance through work you do not get to choose the insurance company. Make sure you understand what the deductible is for each plan and how much you'll have to pay out of pocket for any medical care. Make sure you only use in-network providers, or you'll be footing the entire bill or at least a much larger portion of it.

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