bgr2258 OP t1_iuinm2y wrote on October 31, 2022 at 4:52 PM

Reply to comment by DeluxeXL in At what point are the benefits of an HSA outweighed by medical costs? by bgr2258

I'm not sure if I know the "actual premiums" involved. The information I have only tells me what my own cost will be. The PPO is the company basic plan, which costs me $0. The HSA is cheaper, which means the company contributes $125.38/month back into the HSA.

Here's some more details, which I'll add back to the post:

HSA premium: $-125.38/mo (company contributes back into HSA)
HSA deductible: $6350
HSA OOP max: $6350
HSA expected medication costs: $4000 ish
HSA expected specialist visit costs: $2300 ish (hooray therapy!)
PPO Premium: $0 (covered by company)
PPO deductible: $2000
PPO OOP max: $5000 (i can't help reading that as POOP MAX)
PPO expected medication costs: $600ish
PPO expected office visit costs: $700ish (hooray cheaper therapy!)

DeluxeXL t1_iuipz8z wrote on October 31, 2022 at 5:07 PM

Looks like non-HDHP PPO is better for you because the out of pocket costs are lower, even if they are not tax deductible.

p.s. Your HDHP is a "new style", where deductible = OOP max. Many years ago, HDHP deductible used to be at only the legal minimum. At some point, insurance companies increased it to the OOP max, making a HDHP basically a catastrophic insurance.

wilsonhammer t1_iuiqzec wrote on October 31, 2022 at 5:14 PM

> p.s. Your HDHP is a "new style", where deductible = OOP max. Many years ago, HDHP deductible used to be at only the legal minimum. At some point, insurance companies increased it to the OOP max, making a HDHP basically a catastrophic insurance.

oh shit! I didn't catch that reviewing OPs post. one more reason for me to hate health insurance.

TheVermonster t1_iujabyd wrote on October 31, 2022 at 7:22 PM

My HDHP has $4k individual deductible, $6k family deductible, and the OOP Max is only individual at $12k.

yeah87 t1_iujs0k9 wrote on October 31, 2022 at 9:23 PM

The legal OOP max for 2022 is $8,700.

yeah87 t1_iujrrjy wrote on October 31, 2022 at 9:22 PM

There's quite a bit of room between the legal minimum and the OOP max. My deductible has been right in the middle for the past 10 years of HDHP.

AllTheyEatIsLettuce t1_iuj9if7 wrote on October 31, 2022 at 7:17 PM

> I'm not sure if I know the "actual premiums" involved.

The average amount an employer pays toward the "cost" of any employer-dependent health coverage product premium is 73% of the sticker price.

If $125.38 is being subtracted from your pay to pay the insurance seller for the product "H" premium, now you kinda know what the "cost" is: 125.38/.27=464.37.