Submitted by Mclovinshamster t3_yifu3r in personalfinance

Single, good health, and don’t go to the doctor often. Maybe checkups but that’s it, 22 years old right out of college.

PPO: $120 monthly premium $1,000 annual deductible $5,000 out of pocket max

HDHP: $93 monthly premium $3,000 deductible $6,000 out of pocket max

HSA company contribution is $500 yearly

PPO seems like an easy choice but just wanted to make sure.

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MonsieurVox t1_iuig33j wrote

If you're young, in good health, and don't have a lot of regular medical expenses, the HDHP with HSA is one of the best investments you can make in your future.

  • HSA contributions are tax deductible (every dollar you put in through payroll deduction is a dollar you don't have to pay taxes on; similar to a Traditional 401k)
  • HSA investment growth is tax and penalty free if used for medical expenses (similar to Roth IRA)
  • HSA disbursements for medical expenses are tax and penalty free
  • After age 65, the account basically turns into an IRA that you can use for whatever you want.

The HSA plan is basically made for people like you.

Just note that the premiums do not go into the account. The premiums are what you pay for the insurance itself. HSA contributions are above and beyond that.

EDIT: One other thing that I would add is that this is not a forever decision. If you are expecting a year with a lot of medical expenses (e.g., if you find out you're having a baby), you can switch to the PPO for a year during open enrollment then switch back to the HDHP+HSA when things settle down. The HSA and all the funds inside are yours, regardless of if you maintain that particular plan, stay with the company, etc.

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weightcantwait t1_iuig6ek wrote

The HDHP costs less (premiums *12) and you get a $500 contribution so it's the better choice if you don't go to the doctor much or have any medications. You also get the tax savings if you contribute to your HSA so based on what you described the HDHP is better.

Are you not staying on your parents plan until 26?

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meamemg t1_iuih5z6 wrote

Between the premium difference and the HSA contribution (which you only get on the HDHP), you save $824 on the HDHP right out of the box. So until you have $1,824 (PPO deductible+$824 savings) the HDHP will be cheaper. And if you max out your HSA, that would be another probably $600-$1000+ in tax savings.

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RelishMule t1_iuihitt wrote

If you are young and don't have any ongoing medical needs or prescriptions, I would old for the HDHP. Remember that routine doctors visits are 100% covered in any plan, so you don't pay for those at all.

Ok, so the HDHP is about $325/year cheaper in premiums. Lets say you put that savings into the HSA also. Saves you an extra about $100 in taxes. Then you factor in the employer match. You now have $600/year that you are saving towards health care.That means for any given year, if you have less than $1600 in healthcare expenses, the HDHP will be cheaper. If you have less than $600 in expenses, then you can carry over that money for use in future years making the plan even better in comparison. If you contribute more towards your HSA, value further increases due to tax savings (and not to mention potential to invest).

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shadow_chance t1_iuiyrlm wrote

HDHP for you most likely. You can incur $824 in healthcare costs/year before PPO could possibly cheaper. That'll easily cover a couple doctor's appointments. 1 true annual check is free even on the HDHP.

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