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> Sometimes people look at the "nominal" cost of catastrophic insurance or their partial contribution as an employee and extrapolate - but that doesn't work whe
by handrous 5y ago
> Sometimes people look at the "nominal" cost of catastrophic insurance or their partial contribution as an employee and extrapolate - but that doesn't work when you're fending for yourself.
Another wrinkle with the "what do I need to pay for the equivalent of this without an employer", in my state, is that only two providers—both ones I'd never heard of before—offer individual insurance plans at all. The others do not deal in them any more, period. Call them and ask, that's what they'll tell you. Call an insurance broker and ask, that's what they'll tell you. "No, zero providers aside from the two on the exchange offer individual plans in this state now". IOW, it is impossible to pay for an individual plan as good as even mediocre employer-provided plans in my state.
For one thing, both exchange providers have far worse networks (lists of specific healthcare providers for which the insurance applies, for non-USians) than even some pretty terrible employer plans I've been on before. They're also worse value for the money, even factoring in the full cost (as one might with, for example, COBRA) even if their networks were as good.
- AnimalMuppet 5y agoDoesn't Blue Cross/Blue Shield still offer individual plans?
- handrous 5y agoNope! I was surprised, too. Brokers were basically like "LOL, I take it you haven't shopped for individual insurance in a while if you think I can do anything for you—your only option in this state is the exchange". Insurers, including BC/BS themselves, said essentially the same thing—nope, we don't do that any more, check the exchange, and no, we're not on it.
- mypalmike 5y agoInteresting. In my state there are still non exchange plans. Pricing is about the same, maybe a bit higher. But yeah they probably aren't constrained as much in terms of network breadth.