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As an example, I have a 4500 dollar deductible. That means until I pay 4500 for prescriptions, doctor visits, labs, ER visits, etc., insurance pays nothing, tho
by Amezarak 9y ago
As an example, I have a 4500 dollar deductible. That means until I pay 4500 for prescriptions, doctor visits, labs, ER visits, etc., insurance pays nothing, though I do get their negotiated "discount" from the provider. After that, the insurance pays 80% of the cost until I have paid out some even larger number, at which time they pay 100% until January rolls around.
This is a pretty normal plan, and the type the guy you're responding to is describing; older plans often have much lower deductibles and have copays, though premiums tend to be higher, but one they're hard to find now.
It's very easy to meet a 4500 deductible. I've already done it for the year without any major health events.
- akuji1993 9y agoFor anyone in Europe in a normal healthcare plan, US healthcare is just a fucking joke.
- gambiting 9y agoI mean, the reason I asked is that I can't imagine paying anything for any treatment or medication. The thought that you pay for private health insurance and yet have to pay anything for medicine/treatment is super weird to me.
- maxerickson 9y agoIt's not arbitrary, the deductibles and copays push down the monthly premiums. Under the ACA, the cost sharing is standardized, so it isn't simply a matter of the insurance company enriching itself or anything like that. This document discusses how the standardization works: https://kaiserfamilyfoundation.files.wordpress.com/2013/01/8177.pdf https://kaiserfamilyfoundation.files.wordpress.com/2013/01/8...
- babuum 9y agoSwitzerland has the same system with deductibles and after that you need to pay 10% with a maximum of 700 per year. Cost is about 220 per month for a insurance with 2500 (max allowed) deductible and 320 per month for the one with 300 (lowest allowed) deductible.
- HeyLaughingBoy 9y agoFor anyone here in the US, US healthcare is just a fucking joke.