Currently, I pay $965 per month for family coverage that includes:
• a whopping $7,000 deductible;
• $36,000 out-of-pocket max per year;
• an annual coverage limit of $2,000,000;
• a $35 co-pay for doctor’s visits ($55 for specialists); and
• a $15 co-pay for generic prescriptions.
All this plus the plan has very limited out-of-network coverage that, I found out the hard way, is subject to such a gauntlet of procedural hurdles that my family has spent thousands of dollars in so-far-unreimbursed out-of-network expenses.
I’m not going to tell you who my current provider is, though I’m inclined to purely out of loathing and spite. But for the record, for over a year I paid for their version of “gold” coverage that had a $3,000 deductible, only a $25 doctor’s co-pay and a $6,000 out-of-pocket max.
But that plan didn’t process any of my reimbursements either and cost a whopping $1,687 per month. That’s over $20,000 per year!
You can see why, regardless of what party I vote for, I was excited to have some more affordable options.
She tells about difficulties caused the stupid site glitches, then continues:
Within a week, I had settled on a “gold” plan offered by Empire Blue Cross Blue Shield. The plan includes:
• a $2,000 total deductible;
• an out-of-pocket max of $12,500 for the year;
• a $30 co-pay for visits to our primary care doctor;
• a $15 co-pay for generic prescriptions;
• NO annual coverage limit — because that’s now prohibited thanks to the Affordable Care Act; plus
• an added bonus: the plan I selected includes child dental.
This option will cost my family $931 per month — $408 per year less than my previous crappy plan and a $5,000 savings in deductibles. A big win for me and my family financially and in terms of what’s covered.
Plus in the past, I spent several days looking for and comparing insurance options. Under ObamaCare, even with the slow and sticky website, I spent a total of four hours — to save over $5,400. That kind of return on investment would make Warren Buffett drool.
Counter to wild stories about the government taking over health care, the exchange was simply a public portal to a range of all-private insurance options. I went with a “gold” plan for lower deductible and out-of-pocket costs. And I chose Blue Cross Blue Shield because my current primary doctor is in-network.