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personalfinance

z2y6v5

Hi all, I’ve recently gotten into a new job on a yearly salary of £21k a year, with this new job it’s more a commute daily so it would be nicer to have a slightly newer car that can suit my daily needs better, however I’m finding it difficult to find the limit of what I can afford and what boxes I want to tick. With the car I currently have I estimate I could sell and have around £4000 to put down as a deposit for another one on (HP) however this is the grey area for me- Understanding what the limit is for what is affordable, and what makes the best decision on the financially responsible side, Also for any car guys here who have recommendations, noting more than a 1.4L and a lower insurance group as I’m only in my early 20’s. If anyone has any advice or questions feel free to ask as anything will help.

What car can I afford on my salary?

e57c033830f841b7947fff36fd540ec4

bd8cad68f9b845519b134709792c5f14

I recommend that you stick with your car if it isn’t giving you trouble. Cars are money pits; gas, insurance, maintenance, and depreciation will eat at your net worth. What do you currently drive, what don’t you like about it, and what needs are you looking to address with a new car? If you’re making £21k per year, I take it that your monthly income is about £1,350 after taxes. Even a modest car payment of £300/month will eat up a quarter of your take-home.

If you have to ask, you need to keep your existing car. At £21k a year, you cannot afford a new car.

personalfinance

3vy6a0

I'll try not to rant for too long here.. Federal employee, married, two young children. I'm not MENSA material, but I'm no dolt either. Current health insurance is going up by over $500 this year. As far as I can tell, for no increase in coverage. We were not unhappy, but also not pleased with our insurance the last two years, but a catastrophic accident and the birth of two kids planted me firmly in the "we're not changing anything in the middle of this" mindset. So now, here it is, open season, and my family is shopping around. We know a few things * First, our current FSA option sucks; it's so cumbersome that it's not worth my time. It's literally money thrown away because I can't get reimbursed through their online program for anything without it going through two different rejections and having to write a statement for each item. A single $2 bottle of Hydrogen Peroxide, submit the receipt, picture of the label, address of the store purchased at .. rejected. More back and forth, submitting screenshots of bank statements with purchases notated, finally accepted. Sweet, only took me 2+ hours to get my $2 back - NOT worth the time, especially not when extrapolated to a hundred or so purchases. Co-pays, large bills, even those are a headache to get back. Watched hundreds of dollars just disappear last year unused from the FSA.. So, we'd like to shift to a high deductible HSA-eligible plan; I'd really like to just have a card in my wallet we only swipe for medical related expenses - that's something we can manage easily. * Next, I'd like to look into invisalign/ braces to fix some issues I wish my parents had when I was younger. * After that, my wife would like to look at Lasik. If not that, then her best options for good vision coverage. * Most importantly, we don't want to have to worry about walking into the "wrong" doctor's office if one of our kids has an emergency. Just got back from my employer's "health fair" (30+ reps packed into 600ish sq. ft.) and could not be more disappointed. I pulled my benefits statements before going over so I'd know what I'm currently covered for and paying in co-pays etc. thinking "this will make it easy, I'll just go down the list and see who offers what!" Wrong. There's an exception to everything. So here I am, a gigantic pile of brochures in front of me that you need a background in analysis to decipher, trudging through OPM's plan comparison tool. And I'm mad. Mad that none of these pamphlets are formatted the same. Mad that they use different measures and terms for the same services. Mad that they're nigh impossible to "side by side." Mad that no one can explain why my premium is going up so much for no new benefits. Mad that even trying to understand the difference between "basic option" and "standard option" is eye-bleedingly tedious. Mad that the reps can't answer questions about levels of coverage compared to their competitors, but can bring up no less than five times that they "cover 52 therapeutic massage visits per calendar year!" It almost feels deliberate - the difficulty here in trying to decide what's best for my family's health. The best response and info I've been able to get are from co-workers enrolled in other plans ... "what did you pay for this, where did you go for that" etc. etc.\ I'm frustrated. This is a major deal for me. I have worked hard to be in a position to provide for my family (we're single income and I'm also the benefits provider) but can't understand it all. I'm frustrated that I feel ignorant and un-educated on something so important. Rant off. Thanks for listening, PF - if you have any tips, I'm happy to listen.

I'm a grown-ass man, and I cannot understand the options available to me for Health/Dental/Vision Insurance.. This is infuriating.

821d56ec63d04d6d81930654c82f341f

b9a47762da9643d8bffbe6af6bfc47fb

So a few things. One costs are going up likely because a lot of the ACA required stuff has encouraged more people to actually seek out care and use their insurance. One of the secrets of insurance was that if no one uses it because they are afraid of having to pay out of pocket, then the insurance company wins. But when things like preventive care are mandated to be covered (typically for free), people use them. So now you have members that used to have basically 0 health expense now with 3-500 expense. That has to be paid by someone, and with the way insurance works, the costs get spread across all the members. We don't treat (at least not anymore) health insurance like cars. Otherwise it would cost 10 bucks a year for a 19 year old and 60,000 a year for a 60 year old. Now as far as understanding it, do you have specific questions? For the most part if you understand the terms, copay, deductible, out of pocket max, and coinsurance. You should be able to figure it out. Then after that its usually a matter of looking at the exclusions and special cases. Maybe plan A has a $500 maternity option whereas plan B just routes all maternity care thru the standard deductible and coinsurance rules. I've been working in healthcare for about 10 years, with a fair bit of experience with insurance from the provider side, so I can try to help you understand things if you have a specific question.

Oh and to address the items you mentioned. Lasik and Orthodontics (for adults) are almost always considered cosmetic and almost never covered. Like 0 dollars. You can use FSA dollars for these items though. In the off chance there was some coverage it would be in your vision and dental policies respectively. Emergency care and out of network. Just depends on the plan. Most DON"T charge an out of network penalty for the emergency room care. Now after the "Emergency" is over, and they admit you and you start getting different care. That might be different. Also there is a difference between a hospital ER, an Urgent Care clinic, and convenient care clinic and a standalone ER facility. They likely all have different rules. Keep in mind also that doctors AND facilities can be in or out of network. So "St. Josephs Hospital" might be in your network, but the anesthesiologist Dr. Vikek Patel (who is an independent provider) might not be. Some insurance plans will give you just reduced coverage for out of network and others will give you 0. You just have to read the fine print. Its a giant pain in the ass.

personalfinance

3vy6a0

I'll try not to rant for too long here.. Federal employee, married, two young children. I'm not MENSA material, but I'm no dolt either. Current health insurance is going up by over $500 this year. As far as I can tell, for no increase in coverage. We were not unhappy, but also not pleased with our insurance the last two years, but a catastrophic accident and the birth of two kids planted me firmly in the "we're not changing anything in the middle of this" mindset. So now, here it is, open season, and my family is shopping around. We know a few things * First, our current FSA option sucks; it's so cumbersome that it's not worth my time. It's literally money thrown away because I can't get reimbursed through their online program for anything without it going through two different rejections and having to write a statement for each item. A single $2 bottle of Hydrogen Peroxide, submit the receipt, picture of the label, address of the store purchased at .. rejected. More back and forth, submitting screenshots of bank statements with purchases notated, finally accepted. Sweet, only took me 2+ hours to get my $2 back - NOT worth the time, especially not when extrapolated to a hundred or so purchases. Co-pays, large bills, even those are a headache to get back. Watched hundreds of dollars just disappear last year unused from the FSA.. So, we'd like to shift to a high deductible HSA-eligible plan; I'd really like to just have a card in my wallet we only swipe for medical related expenses - that's something we can manage easily. * Next, I'd like to look into invisalign/ braces to fix some issues I wish my parents had when I was younger. * After that, my wife would like to look at Lasik. If not that, then her best options for good vision coverage. * Most importantly, we don't want to have to worry about walking into the "wrong" doctor's office if one of our kids has an emergency. Just got back from my employer's "health fair" (30+ reps packed into 600ish sq. ft.) and could not be more disappointed. I pulled my benefits statements before going over so I'd know what I'm currently covered for and paying in co-pays etc. thinking "this will make it easy, I'll just go down the list and see who offers what!" Wrong. There's an exception to everything. So here I am, a gigantic pile of brochures in front of me that you need a background in analysis to decipher, trudging through OPM's plan comparison tool. And I'm mad. Mad that none of these pamphlets are formatted the same. Mad that they use different measures and terms for the same services. Mad that they're nigh impossible to "side by side." Mad that no one can explain why my premium is going up so much for no new benefits. Mad that even trying to understand the difference between "basic option" and "standard option" is eye-bleedingly tedious. Mad that the reps can't answer questions about levels of coverage compared to their competitors, but can bring up no less than five times that they "cover 52 therapeutic massage visits per calendar year!" It almost feels deliberate - the difficulty here in trying to decide what's best for my family's health. The best response and info I've been able to get are from co-workers enrolled in other plans ... "what did you pay for this, where did you go for that" etc. etc.\ I'm frustrated. This is a major deal for me. I have worked hard to be in a position to provide for my family (we're single income and I'm also the benefits provider) but can't understand it all. I'm frustrated that I feel ignorant and un-educated on something so important. Rant off. Thanks for listening, PF - if you have any tips, I'm happy to listen.

I'm a grown-ass man, and I cannot understand the options available to me for Health/Dental/Vision Insurance.. This is infuriating.

6e5ba01fe09f4b309586ec740fc18610

2547388708934be88529f84826636414

I'm sure there will be plenty of criticism here about this response, but here's what I've done: Does the HSA your employer offer roll over? If so, I sign up for this, and set the contribution amount to be the same as if I was paying for the other insurance (the traditional plan) minus the cost of the HSA. Say the traditional insurance is $200 per pay period, and the HSA is $50. I set my contribution at $150 per pay period, so my out of pocket costs are the same. Then, after a few months, I have enough money in the account to cover my typical medical expenses (cough/cold, etc.) and screenings are free. I look at it like this: I don't go to the doctor often, nor does my spouse. If we did, an HSA would probably not work. However, our out of pocket expenses are the same, and instead of giving the money to an insurance company in the form of premiums, we're paying into an account that will eventually turn into either retirement savings or get spent on medical expenses. This is highly dependent on your situation.

Oh and to address the items you mentioned. Lasik and Orthodontics (for adults) are almost always considered cosmetic and almost never covered. Like 0 dollars. You can use FSA dollars for these items though. In the off chance there was some coverage it would be in your vision and dental policies respectively. Emergency care and out of network. Just depends on the plan. Most DON"T charge an out of network penalty for the emergency room care. Now after the "Emergency" is over, and they admit you and you start getting different care. That might be different. Also there is a difference between a hospital ER, an Urgent Care clinic, and convenient care clinic and a standalone ER facility. They likely all have different rules. Keep in mind also that doctors AND facilities can be in or out of network. So "St. Josephs Hospital" might be in your network, but the anesthesiologist Dr. Vikek Patel (who is an independent provider) might not be. Some insurance plans will give you just reduced coverage for out of network and others will give you 0. You just have to read the fine print. Its a giant pain in the ass.

personalfinance

3vy6a0

I'll try not to rant for too long here.. Federal employee, married, two young children. I'm not MENSA material, but I'm no dolt either. Current health insurance is going up by over $500 this year. As far as I can tell, for no increase in coverage. We were not unhappy, but also not pleased with our insurance the last two years, but a catastrophic accident and the birth of two kids planted me firmly in the "we're not changing anything in the middle of this" mindset. So now, here it is, open season, and my family is shopping around. We know a few things * First, our current FSA option sucks; it's so cumbersome that it's not worth my time. It's literally money thrown away because I can't get reimbursed through their online program for anything without it going through two different rejections and having to write a statement for each item. A single $2 bottle of Hydrogen Peroxide, submit the receipt, picture of the label, address of the store purchased at .. rejected. More back and forth, submitting screenshots of bank statements with purchases notated, finally accepted. Sweet, only took me 2+ hours to get my $2 back - NOT worth the time, especially not when extrapolated to a hundred or so purchases. Co-pays, large bills, even those are a headache to get back. Watched hundreds of dollars just disappear last year unused from the FSA.. So, we'd like to shift to a high deductible HSA-eligible plan; I'd really like to just have a card in my wallet we only swipe for medical related expenses - that's something we can manage easily. * Next, I'd like to look into invisalign/ braces to fix some issues I wish my parents had when I was younger. * After that, my wife would like to look at Lasik. If not that, then her best options for good vision coverage. * Most importantly, we don't want to have to worry about walking into the "wrong" doctor's office if one of our kids has an emergency. Just got back from my employer's "health fair" (30+ reps packed into 600ish sq. ft.) and could not be more disappointed. I pulled my benefits statements before going over so I'd know what I'm currently covered for and paying in co-pays etc. thinking "this will make it easy, I'll just go down the list and see who offers what!" Wrong. There's an exception to everything. So here I am, a gigantic pile of brochures in front of me that you need a background in analysis to decipher, trudging through OPM's plan comparison tool. And I'm mad. Mad that none of these pamphlets are formatted the same. Mad that they use different measures and terms for the same services. Mad that they're nigh impossible to "side by side." Mad that no one can explain why my premium is going up so much for no new benefits. Mad that even trying to understand the difference between "basic option" and "standard option" is eye-bleedingly tedious. Mad that the reps can't answer questions about levels of coverage compared to their competitors, but can bring up no less than five times that they "cover 52 therapeutic massage visits per calendar year!" It almost feels deliberate - the difficulty here in trying to decide what's best for my family's health. The best response and info I've been able to get are from co-workers enrolled in other plans ... "what did you pay for this, where did you go for that" etc. etc.\ I'm frustrated. This is a major deal for me. I have worked hard to be in a position to provide for my family (we're single income and I'm also the benefits provider) but can't understand it all. I'm frustrated that I feel ignorant and un-educated on something so important. Rant off. Thanks for listening, PF - if you have any tips, I'm happy to listen.

I'm a grown-ass man, and I cannot understand the options available to me for Health/Dental/Vision Insurance.. This is infuriating.

6e5ba01fe09f4b309586ec740fc18610

c81363b940d14650978e395990e13deb

I'm sure there will be plenty of criticism here about this response, but here's what I've done: Does the HSA your employer offer roll over? If so, I sign up for this, and set the contribution amount to be the same as if I was paying for the other insurance (the traditional plan) minus the cost of the HSA. Say the traditional insurance is $200 per pay period, and the HSA is $50. I set my contribution at $150 per pay period, so my out of pocket costs are the same. Then, after a few months, I have enough money in the account to cover my typical medical expenses (cough/cold, etc.) and screenings are free. I look at it like this: I don't go to the doctor often, nor does my spouse. If we did, an HSA would probably not work. However, our out of pocket expenses are the same, and instead of giving the money to an insurance company in the form of premiums, we're paying into an account that will eventually turn into either retirement savings or get spent on medical expenses. This is highly dependent on your situation.

So a few things. One costs are going up likely because a lot of the ACA required stuff has encouraged more people to actually seek out care and use their insurance. One of the secrets of insurance was that if no one uses it because they are afraid of having to pay out of pocket, then the insurance company wins. But when things like preventive care are mandated to be covered (typically for free), people use them. So now you have members that used to have basically 0 health expense now with 3-500 expense. That has to be paid by someone, and with the way insurance works, the costs get spread across all the members. We don't treat (at least not anymore) health insurance like cars. Otherwise it would cost 10 bucks a year for a 19 year old and 60,000 a year for a 60 year old. Now as far as understanding it, do you have specific questions? For the most part if you understand the terms, copay, deductible, out of pocket max, and coinsurance. You should be able to figure it out. Then after that its usually a matter of looking at the exclusions and special cases. Maybe plan A has a $500 maternity option whereas plan B just routes all maternity care thru the standard deductible and coinsurance rules. I've been working in healthcare for about 10 years, with a fair bit of experience with insurance from the provider side, so I can try to help you understand things if you have a specific question.

personalfinance

3vy6a0

I'll try not to rant for too long here.. Federal employee, married, two young children. I'm not MENSA material, but I'm no dolt either. Current health insurance is going up by over $500 this year. As far as I can tell, for no increase in coverage. We were not unhappy, but also not pleased with our insurance the last two years, but a catastrophic accident and the birth of two kids planted me firmly in the "we're not changing anything in the middle of this" mindset. So now, here it is, open season, and my family is shopping around. We know a few things * First, our current FSA option sucks; it's so cumbersome that it's not worth my time. It's literally money thrown away because I can't get reimbursed through their online program for anything without it going through two different rejections and having to write a statement for each item. A single $2 bottle of Hydrogen Peroxide, submit the receipt, picture of the label, address of the store purchased at .. rejected. More back and forth, submitting screenshots of bank statements with purchases notated, finally accepted. Sweet, only took me 2+ hours to get my $2 back - NOT worth the time, especially not when extrapolated to a hundred or so purchases. Co-pays, large bills, even those are a headache to get back. Watched hundreds of dollars just disappear last year unused from the FSA.. So, we'd like to shift to a high deductible HSA-eligible plan; I'd really like to just have a card in my wallet we only swipe for medical related expenses - that's something we can manage easily. * Next, I'd like to look into invisalign/ braces to fix some issues I wish my parents had when I was younger. * After that, my wife would like to look at Lasik. If not that, then her best options for good vision coverage. * Most importantly, we don't want to have to worry about walking into the "wrong" doctor's office if one of our kids has an emergency. Just got back from my employer's "health fair" (30+ reps packed into 600ish sq. ft.) and could not be more disappointed. I pulled my benefits statements before going over so I'd know what I'm currently covered for and paying in co-pays etc. thinking "this will make it easy, I'll just go down the list and see who offers what!" Wrong. There's an exception to everything. So here I am, a gigantic pile of brochures in front of me that you need a background in analysis to decipher, trudging through OPM's plan comparison tool. And I'm mad. Mad that none of these pamphlets are formatted the same. Mad that they use different measures and terms for the same services. Mad that they're nigh impossible to "side by side." Mad that no one can explain why my premium is going up so much for no new benefits. Mad that even trying to understand the difference between "basic option" and "standard option" is eye-bleedingly tedious. Mad that the reps can't answer questions about levels of coverage compared to their competitors, but can bring up no less than five times that they "cover 52 therapeutic massage visits per calendar year!" It almost feels deliberate - the difficulty here in trying to decide what's best for my family's health. The best response and info I've been able to get are from co-workers enrolled in other plans ... "what did you pay for this, where did you go for that" etc. etc.\ I'm frustrated. This is a major deal for me. I have worked hard to be in a position to provide for my family (we're single income and I'm also the benefits provider) but can't understand it all. I'm frustrated that I feel ignorant and un-educated on something so important. Rant off. Thanks for listening, PF - if you have any tips, I'm happy to listen.

I'm a grown-ass man, and I cannot understand the options available to me for Health/Dental/Vision Insurance.. This is infuriating.

6e5ba01fe09f4b309586ec740fc18610

905d4af35efa4deda8d36aba6e59c946

I'm sure there will be plenty of criticism here about this response, but here's what I've done: Does the HSA your employer offer roll over? If so, I sign up for this, and set the contribution amount to be the same as if I was paying for the other insurance (the traditional plan) minus the cost of the HSA. Say the traditional insurance is $200 per pay period, and the HSA is $50. I set my contribution at $150 per pay period, so my out of pocket costs are the same. Then, after a few months, I have enough money in the account to cover my typical medical expenses (cough/cold, etc.) and screenings are free. I look at it like this: I don't go to the doctor often, nor does my spouse. If we did, an HSA would probably not work. However, our out of pocket expenses are the same, and instead of giving the money to an insurance company in the form of premiums, we're paying into an account that will eventually turn into either retirement savings or get spent on medical expenses. This is highly dependent on your situation.

Oh and to address the items you mentioned. Lasik and Orthodontics (for adults) are almost always considered cosmetic and almost never covered. Like 0 dollars. You can use FSA dollars for these items though. In the off chance there was some coverage it would be in your vision and dental policies respectively. Emergency care and out of network. Just depends on the plan. Most DON"T charge an out of network penalty for the emergency room care. Now after the "Emergency" is over, and they admit you and you start getting different care. That might be different. Also there is a difference between a hospital ER, an Urgent Care clinic, and convenient care clinic and a standalone ER facility. They likely all have different rules. Keep in mind also that doctors AND facilities can be in or out of network. So "St. Josephs Hospital" might be in your network, but the anesthesiologist Dr. Vikek Patel (who is an independent provider) might not be. Some insurance plans will give you just reduced coverage for out of network and others will give you 0. You just have to read the fine print. Its a giant pain in the ass.

personalfinance

3vy6a0

I'll try not to rant for too long here.. Federal employee, married, two young children. I'm not MENSA material, but I'm no dolt either. Current health insurance is going up by over $500 this year. As far as I can tell, for no increase in coverage. We were not unhappy, but also not pleased with our insurance the last two years, but a catastrophic accident and the birth of two kids planted me firmly in the "we're not changing anything in the middle of this" mindset. So now, here it is, open season, and my family is shopping around. We know a few things * First, our current FSA option sucks; it's so cumbersome that it's not worth my time. It's literally money thrown away because I can't get reimbursed through their online program for anything without it going through two different rejections and having to write a statement for each item. A single $2 bottle of Hydrogen Peroxide, submit the receipt, picture of the label, address of the store purchased at .. rejected. More back and forth, submitting screenshots of bank statements with purchases notated, finally accepted. Sweet, only took me 2+ hours to get my $2 back - NOT worth the time, especially not when extrapolated to a hundred or so purchases. Co-pays, large bills, even those are a headache to get back. Watched hundreds of dollars just disappear last year unused from the FSA.. So, we'd like to shift to a high deductible HSA-eligible plan; I'd really like to just have a card in my wallet we only swipe for medical related expenses - that's something we can manage easily. * Next, I'd like to look into invisalign/ braces to fix some issues I wish my parents had when I was younger. * After that, my wife would like to look at Lasik. If not that, then her best options for good vision coverage. * Most importantly, we don't want to have to worry about walking into the "wrong" doctor's office if one of our kids has an emergency. Just got back from my employer's "health fair" (30+ reps packed into 600ish sq. ft.) and could not be more disappointed. I pulled my benefits statements before going over so I'd know what I'm currently covered for and paying in co-pays etc. thinking "this will make it easy, I'll just go down the list and see who offers what!" Wrong. There's an exception to everything. So here I am, a gigantic pile of brochures in front of me that you need a background in analysis to decipher, trudging through OPM's plan comparison tool. And I'm mad. Mad that none of these pamphlets are formatted the same. Mad that they use different measures and terms for the same services. Mad that they're nigh impossible to "side by side." Mad that no one can explain why my premium is going up so much for no new benefits. Mad that even trying to understand the difference between "basic option" and "standard option" is eye-bleedingly tedious. Mad that the reps can't answer questions about levels of coverage compared to their competitors, but can bring up no less than five times that they "cover 52 therapeutic massage visits per calendar year!" It almost feels deliberate - the difficulty here in trying to decide what's best for my family's health. The best response and info I've been able to get are from co-workers enrolled in other plans ... "what did you pay for this, where did you go for that" etc. etc.\ I'm frustrated. This is a major deal for me. I have worked hard to be in a position to provide for my family (we're single income and I'm also the benefits provider) but can't understand it all. I'm frustrated that I feel ignorant and un-educated on something so important. Rant off. Thanks for listening, PF - if you have any tips, I'm happy to listen.

I'm a grown-ass man, and I cannot understand the options available to me for Health/Dental/Vision Insurance.. This is infuriating.

6e5ba01fe09f4b309586ec740fc18610

a610b394b25549f28b2527e28831a65d

I'm sure there will be plenty of criticism here about this response, but here's what I've done: Does the HSA your employer offer roll over? If so, I sign up for this, and set the contribution amount to be the same as if I was paying for the other insurance (the traditional plan) minus the cost of the HSA. Say the traditional insurance is $200 per pay period, and the HSA is $50. I set my contribution at $150 per pay period, so my out of pocket costs are the same. Then, after a few months, I have enough money in the account to cover my typical medical expenses (cough/cold, etc.) and screenings are free. I look at it like this: I don't go to the doctor often, nor does my spouse. If we did, an HSA would probably not work. However, our out of pocket expenses are the same, and instead of giving the money to an insurance company in the form of premiums, we're paying into an account that will eventually turn into either retirement savings or get spent on medical expenses. This is highly dependent on your situation.

So a few things. One costs are going up likely because a lot of the ACA required stuff has encouraged more people to actually seek out care and use their insurance. One of the secrets of insurance was that if no one uses it because they are afraid of having to pay out of pocket, then the insurance company wins. But when things like preventive care are mandated to be covered (typically for free), people use them. So now you have members that used to have basically 0 health expense now with 3-500 expense. That has to be paid by someone, and with the way insurance works, the costs get spread across all the members. We don't treat (at least not anymore) health insurance like cars. Otherwise it would cost 10 bucks a year for a 19 year old and 60,000 a year for a 60 year old. Now as far as understanding it, do you have specific questions? For the most part if you understand the terms, copay, deductible, out of pocket max, and coinsurance. You should be able to figure it out. Then after that its usually a matter of looking at the exclusions and special cases. Maybe plan A has a $500 maternity option whereas plan B just routes all maternity care thru the standard deductible and coinsurance rules. I've been working in healthcare for about 10 years, with a fair bit of experience with insurance from the provider side, so I can try to help you understand things if you have a specific question.

personalfinance

3vy6a0

I'll try not to rant for too long here.. Federal employee, married, two young children. I'm not MENSA material, but I'm no dolt either. Current health insurance is going up by over $500 this year. As far as I can tell, for no increase in coverage. We were not unhappy, but also not pleased with our insurance the last two years, but a catastrophic accident and the birth of two kids planted me firmly in the "we're not changing anything in the middle of this" mindset. So now, here it is, open season, and my family is shopping around. We know a few things * First, our current FSA option sucks; it's so cumbersome that it's not worth my time. It's literally money thrown away because I can't get reimbursed through their online program for anything without it going through two different rejections and having to write a statement for each item. A single $2 bottle of Hydrogen Peroxide, submit the receipt, picture of the label, address of the store purchased at .. rejected. More back and forth, submitting screenshots of bank statements with purchases notated, finally accepted. Sweet, only took me 2+ hours to get my $2 back - NOT worth the time, especially not when extrapolated to a hundred or so purchases. Co-pays, large bills, even those are a headache to get back. Watched hundreds of dollars just disappear last year unused from the FSA.. So, we'd like to shift to a high deductible HSA-eligible plan; I'd really like to just have a card in my wallet we only swipe for medical related expenses - that's something we can manage easily. * Next, I'd like to look into invisalign/ braces to fix some issues I wish my parents had when I was younger. * After that, my wife would like to look at Lasik. If not that, then her best options for good vision coverage. * Most importantly, we don't want to have to worry about walking into the "wrong" doctor's office if one of our kids has an emergency. Just got back from my employer's "health fair" (30+ reps packed into 600ish sq. ft.) and could not be more disappointed. I pulled my benefits statements before going over so I'd know what I'm currently covered for and paying in co-pays etc. thinking "this will make it easy, I'll just go down the list and see who offers what!" Wrong. There's an exception to everything. So here I am, a gigantic pile of brochures in front of me that you need a background in analysis to decipher, trudging through OPM's plan comparison tool. And I'm mad. Mad that none of these pamphlets are formatted the same. Mad that they use different measures and terms for the same services. Mad that they're nigh impossible to "side by side." Mad that no one can explain why my premium is going up so much for no new benefits. Mad that even trying to understand the difference between "basic option" and "standard option" is eye-bleedingly tedious. Mad that the reps can't answer questions about levels of coverage compared to their competitors, but can bring up no less than five times that they "cover 52 therapeutic massage visits per calendar year!" It almost feels deliberate - the difficulty here in trying to decide what's best for my family's health. The best response and info I've been able to get are from co-workers enrolled in other plans ... "what did you pay for this, where did you go for that" etc. etc.\ I'm frustrated. This is a major deal for me. I have worked hard to be in a position to provide for my family (we're single income and I'm also the benefits provider) but can't understand it all. I'm frustrated that I feel ignorant and un-educated on something so important. Rant off. Thanks for listening, PF - if you have any tips, I'm happy to listen.

I'm a grown-ass man, and I cannot understand the options available to me for Health/Dental/Vision Insurance.. This is infuriating.

6e5ba01fe09f4b309586ec740fc18610

e2fadf7257264f8e861bc72aa4eda46c

I'm sure there will be plenty of criticism here about this response, but here's what I've done: Does the HSA your employer offer roll over? If so, I sign up for this, and set the contribution amount to be the same as if I was paying for the other insurance (the traditional plan) minus the cost of the HSA. Say the traditional insurance is $200 per pay period, and the HSA is $50. I set my contribution at $150 per pay period, so my out of pocket costs are the same. Then, after a few months, I have enough money in the account to cover my typical medical expenses (cough/cold, etc.) and screenings are free. I look at it like this: I don't go to the doctor often, nor does my spouse. If we did, an HSA would probably not work. However, our out of pocket expenses are the same, and instead of giving the money to an insurance company in the form of premiums, we're paying into an account that will eventually turn into either retirement savings or get spent on medical expenses. This is highly dependent on your situation.

Oh and to address the items you mentioned. Lasik and Orthodontics (for adults) are almost always considered cosmetic and almost never covered. Like 0 dollars. You can use FSA dollars for these items though. In the off chance there was some coverage it would be in your vision and dental policies respectively. Emergency care and out of network. Just depends on the plan. Most DON"T charge an out of network penalty for the emergency room care. Now after the "Emergency" is over, and they admit you and you start getting different care. That might be different. Also there is a difference between a hospital ER, an Urgent Care clinic, and convenient care clinic and a standalone ER facility. They likely all have different rules. Keep in mind also that doctors AND facilities can be in or out of network. So "St. Josephs Hospital" might be in your network, but the anesthesiologist Dr. Vikek Patel (who is an independent provider) might not be. Some insurance plans will give you just reduced coverage for out of network and others will give you 0. You just have to read the fine print. Its a giant pain in the ass.

personalfinance

3vy6a0

I'll try not to rant for too long here.. Federal employee, married, two young children. I'm not MENSA material, but I'm no dolt either. Current health insurance is going up by over $500 this year. As far as I can tell, for no increase in coverage. We were not unhappy, but also not pleased with our insurance the last two years, but a catastrophic accident and the birth of two kids planted me firmly in the "we're not changing anything in the middle of this" mindset. So now, here it is, open season, and my family is shopping around. We know a few things * First, our current FSA option sucks; it's so cumbersome that it's not worth my time. It's literally money thrown away because I can't get reimbursed through their online program for anything without it going through two different rejections and having to write a statement for each item. A single $2 bottle of Hydrogen Peroxide, submit the receipt, picture of the label, address of the store purchased at .. rejected. More back and forth, submitting screenshots of bank statements with purchases notated, finally accepted. Sweet, only took me 2+ hours to get my $2 back - NOT worth the time, especially not when extrapolated to a hundred or so purchases. Co-pays, large bills, even those are a headache to get back. Watched hundreds of dollars just disappear last year unused from the FSA.. So, we'd like to shift to a high deductible HSA-eligible plan; I'd really like to just have a card in my wallet we only swipe for medical related expenses - that's something we can manage easily. * Next, I'd like to look into invisalign/ braces to fix some issues I wish my parents had when I was younger. * After that, my wife would like to look at Lasik. If not that, then her best options for good vision coverage. * Most importantly, we don't want to have to worry about walking into the "wrong" doctor's office if one of our kids has an emergency. Just got back from my employer's "health fair" (30+ reps packed into 600ish sq. ft.) and could not be more disappointed. I pulled my benefits statements before going over so I'd know what I'm currently covered for and paying in co-pays etc. thinking "this will make it easy, I'll just go down the list and see who offers what!" Wrong. There's an exception to everything. So here I am, a gigantic pile of brochures in front of me that you need a background in analysis to decipher, trudging through OPM's plan comparison tool. And I'm mad. Mad that none of these pamphlets are formatted the same. Mad that they use different measures and terms for the same services. Mad that they're nigh impossible to "side by side." Mad that no one can explain why my premium is going up so much for no new benefits. Mad that even trying to understand the difference between "basic option" and "standard option" is eye-bleedingly tedious. Mad that the reps can't answer questions about levels of coverage compared to their competitors, but can bring up no less than five times that they "cover 52 therapeutic massage visits per calendar year!" It almost feels deliberate - the difficulty here in trying to decide what's best for my family's health. The best response and info I've been able to get are from co-workers enrolled in other plans ... "what did you pay for this, where did you go for that" etc. etc.\ I'm frustrated. This is a major deal for me. I have worked hard to be in a position to provide for my family (we're single income and I'm also the benefits provider) but can't understand it all. I'm frustrated that I feel ignorant and un-educated on something so important. Rant off. Thanks for listening, PF - if you have any tips, I'm happy to listen.

I'm a grown-ass man, and I cannot understand the options available to me for Health/Dental/Vision Insurance.. This is infuriating.

6e5ba01fe09f4b309586ec740fc18610

1ebb753cdcb64ffca7eb94aa87a13caa

I'm sure there will be plenty of criticism here about this response, but here's what I've done: Does the HSA your employer offer roll over? If so, I sign up for this, and set the contribution amount to be the same as if I was paying for the other insurance (the traditional plan) minus the cost of the HSA. Say the traditional insurance is $200 per pay period, and the HSA is $50. I set my contribution at $150 per pay period, so my out of pocket costs are the same. Then, after a few months, I have enough money in the account to cover my typical medical expenses (cough/cold, etc.) and screenings are free. I look at it like this: I don't go to the doctor often, nor does my spouse. If we did, an HSA would probably not work. However, our out of pocket expenses are the same, and instead of giving the money to an insurance company in the form of premiums, we're paying into an account that will eventually turn into either retirement savings or get spent on medical expenses. This is highly dependent on your situation.

So a few things. One costs are going up likely because a lot of the ACA required stuff has encouraged more people to actually seek out care and use their insurance. One of the secrets of insurance was that if no one uses it because they are afraid of having to pay out of pocket, then the insurance company wins. But when things like preventive care are mandated to be covered (typically for free), people use them. So now you have members that used to have basically 0 health expense now with 3-500 expense. That has to be paid by someone, and with the way insurance works, the costs get spread across all the members. We don't treat (at least not anymore) health insurance like cars. Otherwise it would cost 10 bucks a year for a 19 year old and 60,000 a year for a 60 year old. Now as far as understanding it, do you have specific questions? For the most part if you understand the terms, copay, deductible, out of pocket max, and coinsurance. You should be able to figure it out. Then after that its usually a matter of looking at the exclusions and special cases. Maybe plan A has a $500 maternity option whereas plan B just routes all maternity care thru the standard deductible and coinsurance rules. I've been working in healthcare for about 10 years, with a fair bit of experience with insurance from the provider side, so I can try to help you understand things if you have a specific question.

personalfinance

3vy6a0

I'll try not to rant for too long here.. Federal employee, married, two young children. I'm not MENSA material, but I'm no dolt either. Current health insurance is going up by over $500 this year. As far as I can tell, for no increase in coverage. We were not unhappy, but also not pleased with our insurance the last two years, but a catastrophic accident and the birth of two kids planted me firmly in the "we're not changing anything in the middle of this" mindset. So now, here it is, open season, and my family is shopping around. We know a few things * First, our current FSA option sucks; it's so cumbersome that it's not worth my time. It's literally money thrown away because I can't get reimbursed through their online program for anything without it going through two different rejections and having to write a statement for each item. A single $2 bottle of Hydrogen Peroxide, submit the receipt, picture of the label, address of the store purchased at .. rejected. More back and forth, submitting screenshots of bank statements with purchases notated, finally accepted. Sweet, only took me 2+ hours to get my $2 back - NOT worth the time, especially not when extrapolated to a hundred or so purchases. Co-pays, large bills, even those are a headache to get back. Watched hundreds of dollars just disappear last year unused from the FSA.. So, we'd like to shift to a high deductible HSA-eligible plan; I'd really like to just have a card in my wallet we only swipe for medical related expenses - that's something we can manage easily. * Next, I'd like to look into invisalign/ braces to fix some issues I wish my parents had when I was younger. * After that, my wife would like to look at Lasik. If not that, then her best options for good vision coverage. * Most importantly, we don't want to have to worry about walking into the "wrong" doctor's office if one of our kids has an emergency. Just got back from my employer's "health fair" (30+ reps packed into 600ish sq. ft.) and could not be more disappointed. I pulled my benefits statements before going over so I'd know what I'm currently covered for and paying in co-pays etc. thinking "this will make it easy, I'll just go down the list and see who offers what!" Wrong. There's an exception to everything. So here I am, a gigantic pile of brochures in front of me that you need a background in analysis to decipher, trudging through OPM's plan comparison tool. And I'm mad. Mad that none of these pamphlets are formatted the same. Mad that they use different measures and terms for the same services. Mad that they're nigh impossible to "side by side." Mad that no one can explain why my premium is going up so much for no new benefits. Mad that even trying to understand the difference between "basic option" and "standard option" is eye-bleedingly tedious. Mad that the reps can't answer questions about levels of coverage compared to their competitors, but can bring up no less than five times that they "cover 52 therapeutic massage visits per calendar year!" It almost feels deliberate - the difficulty here in trying to decide what's best for my family's health. The best response and info I've been able to get are from co-workers enrolled in other plans ... "what did you pay for this, where did you go for that" etc. etc.\ I'm frustrated. This is a major deal for me. I have worked hard to be in a position to provide for my family (we're single income and I'm also the benefits provider) but can't understand it all. I'm frustrated that I feel ignorant and un-educated on something so important. Rant off. Thanks for listening, PF - if you have any tips, I'm happy to listen.

I'm a grown-ass man, and I cannot understand the options available to me for Health/Dental/Vision Insurance.. This is infuriating.

6e5ba01fe09f4b309586ec740fc18610

d38d43156c39400baf3a5c77d90705b0

I'm sure there will be plenty of criticism here about this response, but here's what I've done: Does the HSA your employer offer roll over? If so, I sign up for this, and set the contribution amount to be the same as if I was paying for the other insurance (the traditional plan) minus the cost of the HSA. Say the traditional insurance is $200 per pay period, and the HSA is $50. I set my contribution at $150 per pay period, so my out of pocket costs are the same. Then, after a few months, I have enough money in the account to cover my typical medical expenses (cough/cold, etc.) and screenings are free. I look at it like this: I don't go to the doctor often, nor does my spouse. If we did, an HSA would probably not work. However, our out of pocket expenses are the same, and instead of giving the money to an insurance company in the form of premiums, we're paying into an account that will eventually turn into either retirement savings or get spent on medical expenses. This is highly dependent on your situation.

Oh and to address the items you mentioned. Lasik and Orthodontics (for adults) are almost always considered cosmetic and almost never covered. Like 0 dollars. You can use FSA dollars for these items though. In the off chance there was some coverage it would be in your vision and dental policies respectively. Emergency care and out of network. Just depends on the plan. Most DON"T charge an out of network penalty for the emergency room care. Now after the "Emergency" is over, and they admit you and you start getting different care. That might be different. Also there is a difference between a hospital ER, an Urgent Care clinic, and convenient care clinic and a standalone ER facility. They likely all have different rules. Keep in mind also that doctors AND facilities can be in or out of network. So "St. Josephs Hospital" might be in your network, but the anesthesiologist Dr. Vikek Patel (who is an independent provider) might not be. Some insurance plans will give you just reduced coverage for out of network and others will give you 0. You just have to read the fine print. Its a giant pain in the ass.

personalfinance

3vy6a0

I'll try not to rant for too long here.. Federal employee, married, two young children. I'm not MENSA material, but I'm no dolt either. Current health insurance is going up by over $500 this year. As far as I can tell, for no increase in coverage. We were not unhappy, but also not pleased with our insurance the last two years, but a catastrophic accident and the birth of two kids planted me firmly in the "we're not changing anything in the middle of this" mindset. So now, here it is, open season, and my family is shopping around. We know a few things * First, our current FSA option sucks; it's so cumbersome that it's not worth my time. It's literally money thrown away because I can't get reimbursed through their online program for anything without it going through two different rejections and having to write a statement for each item. A single $2 bottle of Hydrogen Peroxide, submit the receipt, picture of the label, address of the store purchased at .. rejected. More back and forth, submitting screenshots of bank statements with purchases notated, finally accepted. Sweet, only took me 2+ hours to get my $2 back - NOT worth the time, especially not when extrapolated to a hundred or so purchases. Co-pays, large bills, even those are a headache to get back. Watched hundreds of dollars just disappear last year unused from the FSA.. So, we'd like to shift to a high deductible HSA-eligible plan; I'd really like to just have a card in my wallet we only swipe for medical related expenses - that's something we can manage easily. * Next, I'd like to look into invisalign/ braces to fix some issues I wish my parents had when I was younger. * After that, my wife would like to look at Lasik. If not that, then her best options for good vision coverage. * Most importantly, we don't want to have to worry about walking into the "wrong" doctor's office if one of our kids has an emergency. Just got back from my employer's "health fair" (30+ reps packed into 600ish sq. ft.) and could not be more disappointed. I pulled my benefits statements before going over so I'd know what I'm currently covered for and paying in co-pays etc. thinking "this will make it easy, I'll just go down the list and see who offers what!" Wrong. There's an exception to everything. So here I am, a gigantic pile of brochures in front of me that you need a background in analysis to decipher, trudging through OPM's plan comparison tool. And I'm mad. Mad that none of these pamphlets are formatted the same. Mad that they use different measures and terms for the same services. Mad that they're nigh impossible to "side by side." Mad that no one can explain why my premium is going up so much for no new benefits. Mad that even trying to understand the difference between "basic option" and "standard option" is eye-bleedingly tedious. Mad that the reps can't answer questions about levels of coverage compared to their competitors, but can bring up no less than five times that they "cover 52 therapeutic massage visits per calendar year!" It almost feels deliberate - the difficulty here in trying to decide what's best for my family's health. The best response and info I've been able to get are from co-workers enrolled in other plans ... "what did you pay for this, where did you go for that" etc. etc.\ I'm frustrated. This is a major deal for me. I have worked hard to be in a position to provide for my family (we're single income and I'm also the benefits provider) but can't understand it all. I'm frustrated that I feel ignorant and un-educated on something so important. Rant off. Thanks for listening, PF - if you have any tips, I'm happy to listen.

I'm a grown-ass man, and I cannot understand the options available to me for Health/Dental/Vision Insurance.. This is infuriating.

6e5ba01fe09f4b309586ec740fc18610

4872b2ab592b4dce9fe9eba930c2e3cc

I'm sure there will be plenty of criticism here about this response, but here's what I've done: Does the HSA your employer offer roll over? If so, I sign up for this, and set the contribution amount to be the same as if I was paying for the other insurance (the traditional plan) minus the cost of the HSA. Say the traditional insurance is $200 per pay period, and the HSA is $50. I set my contribution at $150 per pay period, so my out of pocket costs are the same. Then, after a few months, I have enough money in the account to cover my typical medical expenses (cough/cold, etc.) and screenings are free. I look at it like this: I don't go to the doctor often, nor does my spouse. If we did, an HSA would probably not work. However, our out of pocket expenses are the same, and instead of giving the money to an insurance company in the form of premiums, we're paying into an account that will eventually turn into either retirement savings or get spent on medical expenses. This is highly dependent on your situation.

So a few things. One costs are going up likely because a lot of the ACA required stuff has encouraged more people to actually seek out care and use their insurance. One of the secrets of insurance was that if no one uses it because they are afraid of having to pay out of pocket, then the insurance company wins. But when things like preventive care are mandated to be covered (typically for free), people use them. So now you have members that used to have basically 0 health expense now with 3-500 expense. That has to be paid by someone, and with the way insurance works, the costs get spread across all the members. We don't treat (at least not anymore) health insurance like cars. Otherwise it would cost 10 bucks a year for a 19 year old and 60,000 a year for a 60 year old. Now as far as understanding it, do you have specific questions? For the most part if you understand the terms, copay, deductible, out of pocket max, and coinsurance. You should be able to figure it out. Then after that its usually a matter of looking at the exclusions and special cases. Maybe plan A has a $500 maternity option whereas plan B just routes all maternity care thru the standard deductible and coinsurance rules. I've been working in healthcare for about 10 years, with a fair bit of experience with insurance from the provider side, so I can try to help you understand things if you have a specific question.

personalfinance

3vy6a0

I'll try not to rant for too long here.. Federal employee, married, two young children. I'm not MENSA material, but I'm no dolt either. Current health insurance is going up by over $500 this year. As far as I can tell, for no increase in coverage. We were not unhappy, but also not pleased with our insurance the last two years, but a catastrophic accident and the birth of two kids planted me firmly in the "we're not changing anything in the middle of this" mindset. So now, here it is, open season, and my family is shopping around. We know a few things * First, our current FSA option sucks; it's so cumbersome that it's not worth my time. It's literally money thrown away because I can't get reimbursed through their online program for anything without it going through two different rejections and having to write a statement for each item. A single $2 bottle of Hydrogen Peroxide, submit the receipt, picture of the label, address of the store purchased at .. rejected. More back and forth, submitting screenshots of bank statements with purchases notated, finally accepted. Sweet, only took me 2+ hours to get my $2 back - NOT worth the time, especially not when extrapolated to a hundred or so purchases. Co-pays, large bills, even those are a headache to get back. Watched hundreds of dollars just disappear last year unused from the FSA.. So, we'd like to shift to a high deductible HSA-eligible plan; I'd really like to just have a card in my wallet we only swipe for medical related expenses - that's something we can manage easily. * Next, I'd like to look into invisalign/ braces to fix some issues I wish my parents had when I was younger. * After that, my wife would like to look at Lasik. If not that, then her best options for good vision coverage. * Most importantly, we don't want to have to worry about walking into the "wrong" doctor's office if one of our kids has an emergency. Just got back from my employer's "health fair" (30+ reps packed into 600ish sq. ft.) and could not be more disappointed. I pulled my benefits statements before going over so I'd know what I'm currently covered for and paying in co-pays etc. thinking "this will make it easy, I'll just go down the list and see who offers what!" Wrong. There's an exception to everything. So here I am, a gigantic pile of brochures in front of me that you need a background in analysis to decipher, trudging through OPM's plan comparison tool. And I'm mad. Mad that none of these pamphlets are formatted the same. Mad that they use different measures and terms for the same services. Mad that they're nigh impossible to "side by side." Mad that no one can explain why my premium is going up so much for no new benefits. Mad that even trying to understand the difference between "basic option" and "standard option" is eye-bleedingly tedious. Mad that the reps can't answer questions about levels of coverage compared to their competitors, but can bring up no less than five times that they "cover 52 therapeutic massage visits per calendar year!" It almost feels deliberate - the difficulty here in trying to decide what's best for my family's health. The best response and info I've been able to get are from co-workers enrolled in other plans ... "what did you pay for this, where did you go for that" etc. etc.\ I'm frustrated. This is a major deal for me. I have worked hard to be in a position to provide for my family (we're single income and I'm also the benefits provider) but can't understand it all. I'm frustrated that I feel ignorant and un-educated on something so important. Rant off. Thanks for listening, PF - if you have any tips, I'm happy to listen.

I'm a grown-ass man, and I cannot understand the options available to me for Health/Dental/Vision Insurance.. This is infuriating.

6e5ba01fe09f4b309586ec740fc18610

38d4f3dae6204bc5a9665fdd2145c715

I'm sure there will be plenty of criticism here about this response, but here's what I've done: Does the HSA your employer offer roll over? If so, I sign up for this, and set the contribution amount to be the same as if I was paying for the other insurance (the traditional plan) minus the cost of the HSA. Say the traditional insurance is $200 per pay period, and the HSA is $50. I set my contribution at $150 per pay period, so my out of pocket costs are the same. Then, after a few months, I have enough money in the account to cover my typical medical expenses (cough/cold, etc.) and screenings are free. I look at it like this: I don't go to the doctor often, nor does my spouse. If we did, an HSA would probably not work. However, our out of pocket expenses are the same, and instead of giving the money to an insurance company in the form of premiums, we're paying into an account that will eventually turn into either retirement savings or get spent on medical expenses. This is highly dependent on your situation.

Oh and to address the items you mentioned. Lasik and Orthodontics (for adults) are almost always considered cosmetic and almost never covered. Like 0 dollars. You can use FSA dollars for these items though. In the off chance there was some coverage it would be in your vision and dental policies respectively. Emergency care and out of network. Just depends on the plan. Most DON"T charge an out of network penalty for the emergency room care. Now after the "Emergency" is over, and they admit you and you start getting different care. That might be different. Also there is a difference between a hospital ER, an Urgent Care clinic, and convenient care clinic and a standalone ER facility. They likely all have different rules. Keep in mind also that doctors AND facilities can be in or out of network. So "St. Josephs Hospital" might be in your network, but the anesthesiologist Dr. Vikek Patel (who is an independent provider) might not be. Some insurance plans will give you just reduced coverage for out of network and others will give you 0. You just have to read the fine print. Its a giant pain in the ass.

personalfinance

3vy6a0

I'll try not to rant for too long here.. Federal employee, married, two young children. I'm not MENSA material, but I'm no dolt either. Current health insurance is going up by over $500 this year. As far as I can tell, for no increase in coverage. We were not unhappy, but also not pleased with our insurance the last two years, but a catastrophic accident and the birth of two kids planted me firmly in the "we're not changing anything in the middle of this" mindset. So now, here it is, open season, and my family is shopping around. We know a few things * First, our current FSA option sucks; it's so cumbersome that it's not worth my time. It's literally money thrown away because I can't get reimbursed through their online program for anything without it going through two different rejections and having to write a statement for each item. A single $2 bottle of Hydrogen Peroxide, submit the receipt, picture of the label, address of the store purchased at .. rejected. More back and forth, submitting screenshots of bank statements with purchases notated, finally accepted. Sweet, only took me 2+ hours to get my $2 back - NOT worth the time, especially not when extrapolated to a hundred or so purchases. Co-pays, large bills, even those are a headache to get back. Watched hundreds of dollars just disappear last year unused from the FSA.. So, we'd like to shift to a high deductible HSA-eligible plan; I'd really like to just have a card in my wallet we only swipe for medical related expenses - that's something we can manage easily. * Next, I'd like to look into invisalign/ braces to fix some issues I wish my parents had when I was younger. * After that, my wife would like to look at Lasik. If not that, then her best options for good vision coverage. * Most importantly, we don't want to have to worry about walking into the "wrong" doctor's office if one of our kids has an emergency. Just got back from my employer's "health fair" (30+ reps packed into 600ish sq. ft.) and could not be more disappointed. I pulled my benefits statements before going over so I'd know what I'm currently covered for and paying in co-pays etc. thinking "this will make it easy, I'll just go down the list and see who offers what!" Wrong. There's an exception to everything. So here I am, a gigantic pile of brochures in front of me that you need a background in analysis to decipher, trudging through OPM's plan comparison tool. And I'm mad. Mad that none of these pamphlets are formatted the same. Mad that they use different measures and terms for the same services. Mad that they're nigh impossible to "side by side." Mad that no one can explain why my premium is going up so much for no new benefits. Mad that even trying to understand the difference between "basic option" and "standard option" is eye-bleedingly tedious. Mad that the reps can't answer questions about levels of coverage compared to their competitors, but can bring up no less than five times that they "cover 52 therapeutic massage visits per calendar year!" It almost feels deliberate - the difficulty here in trying to decide what's best for my family's health. The best response and info I've been able to get are from co-workers enrolled in other plans ... "what did you pay for this, where did you go for that" etc. etc.\ I'm frustrated. This is a major deal for me. I have worked hard to be in a position to provide for my family (we're single income and I'm also the benefits provider) but can't understand it all. I'm frustrated that I feel ignorant and un-educated on something so important. Rant off. Thanks for listening, PF - if you have any tips, I'm happy to listen.

I'm a grown-ass man, and I cannot understand the options available to me for Health/Dental/Vision Insurance.. This is infuriating.

6e5ba01fe09f4b309586ec740fc18610

925468a5843047aaa06c3ded464d795b

I'm sure there will be plenty of criticism here about this response, but here's what I've done: Does the HSA your employer offer roll over? If so, I sign up for this, and set the contribution amount to be the same as if I was paying for the other insurance (the traditional plan) minus the cost of the HSA. Say the traditional insurance is $200 per pay period, and the HSA is $50. I set my contribution at $150 per pay period, so my out of pocket costs are the same. Then, after a few months, I have enough money in the account to cover my typical medical expenses (cough/cold, etc.) and screenings are free. I look at it like this: I don't go to the doctor often, nor does my spouse. If we did, an HSA would probably not work. However, our out of pocket expenses are the same, and instead of giving the money to an insurance company in the form of premiums, we're paying into an account that will eventually turn into either retirement savings or get spent on medical expenses. This is highly dependent on your situation.

Orthodontist and former General Dentist here: Dental insurance is a waste of money UNLESS your employer is paying for a good portion of it for you, OR you actually have dental work that needs to be done. If you need to buy it yourself, save your money. If it's offered by the company do your financial due diligence on how much it actually will cost. Also, look into company health flex spending. If all you are receiving is preventative care, you're likely to spend about $200-$400 a year (Exam and cleaning 2x a year, and various xrays 1x a year). If your premium for the dental plan is $600/year for $1000 of "benefit" it's a waste of money. Don't forget that there are copays and deductibles for different procedures and different tiers of insurance. When you have family plans and such is where it gets to be closer to worthwhile. TL;DR: dental insurance depends on what you intend on using it for.

personalfinance

3vy6a0

I'll try not to rant for too long here.. Federal employee, married, two young children. I'm not MENSA material, but I'm no dolt either. Current health insurance is going up by over $500 this year. As far as I can tell, for no increase in coverage. We were not unhappy, but also not pleased with our insurance the last two years, but a catastrophic accident and the birth of two kids planted me firmly in the "we're not changing anything in the middle of this" mindset. So now, here it is, open season, and my family is shopping around. We know a few things * First, our current FSA option sucks; it's so cumbersome that it's not worth my time. It's literally money thrown away because I can't get reimbursed through their online program for anything without it going through two different rejections and having to write a statement for each item. A single $2 bottle of Hydrogen Peroxide, submit the receipt, picture of the label, address of the store purchased at .. rejected. More back and forth, submitting screenshots of bank statements with purchases notated, finally accepted. Sweet, only took me 2+ hours to get my $2 back - NOT worth the time, especially not when extrapolated to a hundred or so purchases. Co-pays, large bills, even those are a headache to get back. Watched hundreds of dollars just disappear last year unused from the FSA.. So, we'd like to shift to a high deductible HSA-eligible plan; I'd really like to just have a card in my wallet we only swipe for medical related expenses - that's something we can manage easily. * Next, I'd like to look into invisalign/ braces to fix some issues I wish my parents had when I was younger. * After that, my wife would like to look at Lasik. If not that, then her best options for good vision coverage. * Most importantly, we don't want to have to worry about walking into the "wrong" doctor's office if one of our kids has an emergency. Just got back from my employer's "health fair" (30+ reps packed into 600ish sq. ft.) and could not be more disappointed. I pulled my benefits statements before going over so I'd know what I'm currently covered for and paying in co-pays etc. thinking "this will make it easy, I'll just go down the list and see who offers what!" Wrong. There's an exception to everything. So here I am, a gigantic pile of brochures in front of me that you need a background in analysis to decipher, trudging through OPM's plan comparison tool. And I'm mad. Mad that none of these pamphlets are formatted the same. Mad that they use different measures and terms for the same services. Mad that they're nigh impossible to "side by side." Mad that no one can explain why my premium is going up so much for no new benefits. Mad that even trying to understand the difference between "basic option" and "standard option" is eye-bleedingly tedious. Mad that the reps can't answer questions about levels of coverage compared to their competitors, but can bring up no less than five times that they "cover 52 therapeutic massage visits per calendar year!" It almost feels deliberate - the difficulty here in trying to decide what's best for my family's health. The best response and info I've been able to get are from co-workers enrolled in other plans ... "what did you pay for this, where did you go for that" etc. etc.\ I'm frustrated. This is a major deal for me. I have worked hard to be in a position to provide for my family (we're single income and I'm also the benefits provider) but can't understand it all. I'm frustrated that I feel ignorant and un-educated on something so important. Rant off. Thanks for listening, PF - if you have any tips, I'm happy to listen.

I'm a grown-ass man, and I cannot understand the options available to me for Health/Dental/Vision Insurance.. This is infuriating.

6e5ba01fe09f4b309586ec740fc18610

1a210bb66fd54b0489880b7a96e8d8c6

I'm sure there will be plenty of criticism here about this response, but here's what I've done: Does the HSA your employer offer roll over? If so, I sign up for this, and set the contribution amount to be the same as if I was paying for the other insurance (the traditional plan) minus the cost of the HSA. Say the traditional insurance is $200 per pay period, and the HSA is $50. I set my contribution at $150 per pay period, so my out of pocket costs are the same. Then, after a few months, I have enough money in the account to cover my typical medical expenses (cough/cold, etc.) and screenings are free. I look at it like this: I don't go to the doctor often, nor does my spouse. If we did, an HSA would probably not work. However, our out of pocket expenses are the same, and instead of giving the money to an insurance company in the form of premiums, we're paying into an account that will eventually turn into either retirement savings or get spent on medical expenses. This is highly dependent on your situation.

I was under the impression that all plans are now required to have a 1-page summary sheet available that shows most of the important information. I'd start by looking for those online.

personalfinance

3vy6a0

I'll try not to rant for too long here.. Federal employee, married, two young children. I'm not MENSA material, but I'm no dolt either. Current health insurance is going up by over $500 this year. As far as I can tell, for no increase in coverage. We were not unhappy, but also not pleased with our insurance the last two years, but a catastrophic accident and the birth of two kids planted me firmly in the "we're not changing anything in the middle of this" mindset. So now, here it is, open season, and my family is shopping around. We know a few things * First, our current FSA option sucks; it's so cumbersome that it's not worth my time. It's literally money thrown away because I can't get reimbursed through their online program for anything without it going through two different rejections and having to write a statement for each item. A single $2 bottle of Hydrogen Peroxide, submit the receipt, picture of the label, address of the store purchased at .. rejected. More back and forth, submitting screenshots of bank statements with purchases notated, finally accepted. Sweet, only took me 2+ hours to get my $2 back - NOT worth the time, especially not when extrapolated to a hundred or so purchases. Co-pays, large bills, even those are a headache to get back. Watched hundreds of dollars just disappear last year unused from the FSA.. So, we'd like to shift to a high deductible HSA-eligible plan; I'd really like to just have a card in my wallet we only swipe for medical related expenses - that's something we can manage easily. * Next, I'd like to look into invisalign/ braces to fix some issues I wish my parents had when I was younger. * After that, my wife would like to look at Lasik. If not that, then her best options for good vision coverage. * Most importantly, we don't want to have to worry about walking into the "wrong" doctor's office if one of our kids has an emergency. Just got back from my employer's "health fair" (30+ reps packed into 600ish sq. ft.) and could not be more disappointed. I pulled my benefits statements before going over so I'd know what I'm currently covered for and paying in co-pays etc. thinking "this will make it easy, I'll just go down the list and see who offers what!" Wrong. There's an exception to everything. So here I am, a gigantic pile of brochures in front of me that you need a background in analysis to decipher, trudging through OPM's plan comparison tool. And I'm mad. Mad that none of these pamphlets are formatted the same. Mad that they use different measures and terms for the same services. Mad that they're nigh impossible to "side by side." Mad that no one can explain why my premium is going up so much for no new benefits. Mad that even trying to understand the difference between "basic option" and "standard option" is eye-bleedingly tedious. Mad that the reps can't answer questions about levels of coverage compared to their competitors, but can bring up no less than five times that they "cover 52 therapeutic massage visits per calendar year!" It almost feels deliberate - the difficulty here in trying to decide what's best for my family's health. The best response and info I've been able to get are from co-workers enrolled in other plans ... "what did you pay for this, where did you go for that" etc. etc.\ I'm frustrated. This is a major deal for me. I have worked hard to be in a position to provide for my family (we're single income and I'm also the benefits provider) but can't understand it all. I'm frustrated that I feel ignorant and un-educated on something so important. Rant off. Thanks for listening, PF - if you have any tips, I'm happy to listen.

I'm a grown-ass man, and I cannot understand the options available to me for Health/Dental/Vision Insurance.. This is infuriating.

6e5ba01fe09f4b309586ec740fc18610

11e024a68a0549e2bd8862c7cb2956f3

I'm sure there will be plenty of criticism here about this response, but here's what I've done: Does the HSA your employer offer roll over? If so, I sign up for this, and set the contribution amount to be the same as if I was paying for the other insurance (the traditional plan) minus the cost of the HSA. Say the traditional insurance is $200 per pay period, and the HSA is $50. I set my contribution at $150 per pay period, so my out of pocket costs are the same. Then, after a few months, I have enough money in the account to cover my typical medical expenses (cough/cold, etc.) and screenings are free. I look at it like this: I don't go to the doctor often, nor does my spouse. If we did, an HSA would probably not work. However, our out of pocket expenses are the same, and instead of giving the money to an insurance company in the form of premiums, we're paying into an account that will eventually turn into either retirement savings or get spent on medical expenses. This is highly dependent on your situation.

Oh and to address the items you mentioned. Lasik and Orthodontics (for adults) are almost always considered cosmetic and almost never covered. Like 0 dollars. You can use FSA dollars for these items though. In the off chance there was some coverage it would be in your vision and dental policies respectively. Emergency care and out of network. Just depends on the plan. Most DON"T charge an out of network penalty for the emergency room care. Now after the "Emergency" is over, and they admit you and you start getting different care. That might be different. Also there is a difference between a hospital ER, an Urgent Care clinic, and convenient care clinic and a standalone ER facility. They likely all have different rules. Keep in mind also that doctors AND facilities can be in or out of network. So "St. Josephs Hospital" might be in your network, but the anesthesiologist Dr. Vikek Patel (who is an independent provider) might not be. Some insurance plans will give you just reduced coverage for out of network and others will give you 0. You just have to read the fine print. Its a giant pain in the ass.

personalfinance

3vy6a0

I'll try not to rant for too long here.. Federal employee, married, two young children. I'm not MENSA material, but I'm no dolt either. Current health insurance is going up by over $500 this year. As far as I can tell, for no increase in coverage. We were not unhappy, but also not pleased with our insurance the last two years, but a catastrophic accident and the birth of two kids planted me firmly in the "we're not changing anything in the middle of this" mindset. So now, here it is, open season, and my family is shopping around. We know a few things * First, our current FSA option sucks; it's so cumbersome that it's not worth my time. It's literally money thrown away because I can't get reimbursed through their online program for anything without it going through two different rejections and having to write a statement for each item. A single $2 bottle of Hydrogen Peroxide, submit the receipt, picture of the label, address of the store purchased at .. rejected. More back and forth, submitting screenshots of bank statements with purchases notated, finally accepted. Sweet, only took me 2+ hours to get my $2 back - NOT worth the time, especially not when extrapolated to a hundred or so purchases. Co-pays, large bills, even those are a headache to get back. Watched hundreds of dollars just disappear last year unused from the FSA.. So, we'd like to shift to a high deductible HSA-eligible plan; I'd really like to just have a card in my wallet we only swipe for medical related expenses - that's something we can manage easily. * Next, I'd like to look into invisalign/ braces to fix some issues I wish my parents had when I was younger. * After that, my wife would like to look at Lasik. If not that, then her best options for good vision coverage. * Most importantly, we don't want to have to worry about walking into the "wrong" doctor's office if one of our kids has an emergency. Just got back from my employer's "health fair" (30+ reps packed into 600ish sq. ft.) and could not be more disappointed. I pulled my benefits statements before going over so I'd know what I'm currently covered for and paying in co-pays etc. thinking "this will make it easy, I'll just go down the list and see who offers what!" Wrong. There's an exception to everything. So here I am, a gigantic pile of brochures in front of me that you need a background in analysis to decipher, trudging through OPM's plan comparison tool. And I'm mad. Mad that none of these pamphlets are formatted the same. Mad that they use different measures and terms for the same services. Mad that they're nigh impossible to "side by side." Mad that no one can explain why my premium is going up so much for no new benefits. Mad that even trying to understand the difference between "basic option" and "standard option" is eye-bleedingly tedious. Mad that the reps can't answer questions about levels of coverage compared to their competitors, but can bring up no less than five times that they "cover 52 therapeutic massage visits per calendar year!" It almost feels deliberate - the difficulty here in trying to decide what's best for my family's health. The best response and info I've been able to get are from co-workers enrolled in other plans ... "what did you pay for this, where did you go for that" etc. etc.\ I'm frustrated. This is a major deal for me. I have worked hard to be in a position to provide for my family (we're single income and I'm also the benefits provider) but can't understand it all. I'm frustrated that I feel ignorant and un-educated on something so important. Rant off. Thanks for listening, PF - if you have any tips, I'm happy to listen.

I'm a grown-ass man, and I cannot understand the options available to me for Health/Dental/Vision Insurance.. This is infuriating.

6e5ba01fe09f4b309586ec740fc18610

8d3e030ab295444ab7d43f2310d9f87a

I'm sure there will be plenty of criticism here about this response, but here's what I've done: Does the HSA your employer offer roll over? If so, I sign up for this, and set the contribution amount to be the same as if I was paying for the other insurance (the traditional plan) minus the cost of the HSA. Say the traditional insurance is $200 per pay period, and the HSA is $50. I set my contribution at $150 per pay period, so my out of pocket costs are the same. Then, after a few months, I have enough money in the account to cover my typical medical expenses (cough/cold, etc.) and screenings are free. I look at it like this: I don't go to the doctor often, nor does my spouse. If we did, an HSA would probably not work. However, our out of pocket expenses are the same, and instead of giving the money to an insurance company in the form of premiums, we're paying into an account that will eventually turn into either retirement savings or get spent on medical expenses. This is highly dependent on your situation.

Orthodontist and former General Dentist here: Dental insurance is a waste of money UNLESS your employer is paying for a good portion of it for you, OR you actually have dental work that needs to be done. If you need to buy it yourself, save your money. If it's offered by the company do your financial due diligence on how much it actually will cost. Also, look into company health flex spending. If all you are receiving is preventative care, you're likely to spend about $200-$400 a year (Exam and cleaning 2x a year, and various xrays 1x a year). If your premium for the dental plan is $600/year for $1000 of "benefit" it's a waste of money. Don't forget that there are copays and deductibles for different procedures and different tiers of insurance. When you have family plans and such is where it gets to be closer to worthwhile. TL;DR: dental insurance depends on what you intend on using it for.

personalfinance

3vy6a0

I'll try not to rant for too long here.. Federal employee, married, two young children. I'm not MENSA material, but I'm no dolt either. Current health insurance is going up by over $500 this year. As far as I can tell, for no increase in coverage. We were not unhappy, but also not pleased with our insurance the last two years, but a catastrophic accident and the birth of two kids planted me firmly in the "we're not changing anything in the middle of this" mindset. So now, here it is, open season, and my family is shopping around. We know a few things * First, our current FSA option sucks; it's so cumbersome that it's not worth my time. It's literally money thrown away because I can't get reimbursed through their online program for anything without it going through two different rejections and having to write a statement for each item. A single $2 bottle of Hydrogen Peroxide, submit the receipt, picture of the label, address of the store purchased at .. rejected. More back and forth, submitting screenshots of bank statements with purchases notated, finally accepted. Sweet, only took me 2+ hours to get my $2 back - NOT worth the time, especially not when extrapolated to a hundred or so purchases. Co-pays, large bills, even those are a headache to get back. Watched hundreds of dollars just disappear last year unused from the FSA.. So, we'd like to shift to a high deductible HSA-eligible plan; I'd really like to just have a card in my wallet we only swipe for medical related expenses - that's something we can manage easily. * Next, I'd like to look into invisalign/ braces to fix some issues I wish my parents had when I was younger. * After that, my wife would like to look at Lasik. If not that, then her best options for good vision coverage. * Most importantly, we don't want to have to worry about walking into the "wrong" doctor's office if one of our kids has an emergency. Just got back from my employer's "health fair" (30+ reps packed into 600ish sq. ft.) and could not be more disappointed. I pulled my benefits statements before going over so I'd know what I'm currently covered for and paying in co-pays etc. thinking "this will make it easy, I'll just go down the list and see who offers what!" Wrong. There's an exception to everything. So here I am, a gigantic pile of brochures in front of me that you need a background in analysis to decipher, trudging through OPM's plan comparison tool. And I'm mad. Mad that none of these pamphlets are formatted the same. Mad that they use different measures and terms for the same services. Mad that they're nigh impossible to "side by side." Mad that no one can explain why my premium is going up so much for no new benefits. Mad that even trying to understand the difference between "basic option" and "standard option" is eye-bleedingly tedious. Mad that the reps can't answer questions about levels of coverage compared to their competitors, but can bring up no less than five times that they "cover 52 therapeutic massage visits per calendar year!" It almost feels deliberate - the difficulty here in trying to decide what's best for my family's health. The best response and info I've been able to get are from co-workers enrolled in other plans ... "what did you pay for this, where did you go for that" etc. etc.\ I'm frustrated. This is a major deal for me. I have worked hard to be in a position to provide for my family (we're single income and I'm also the benefits provider) but can't understand it all. I'm frustrated that I feel ignorant and un-educated on something so important. Rant off. Thanks for listening, PF - if you have any tips, I'm happy to listen.

I'm a grown-ass man, and I cannot understand the options available to me for Health/Dental/Vision Insurance.. This is infuriating.

6e5ba01fe09f4b309586ec740fc18610

5cfa505ea8b340f58801cd0837356150

I'm sure there will be plenty of criticism here about this response, but here's what I've done: Does the HSA your employer offer roll over? If so, I sign up for this, and set the contribution amount to be the same as if I was paying for the other insurance (the traditional plan) minus the cost of the HSA. Say the traditional insurance is $200 per pay period, and the HSA is $50. I set my contribution at $150 per pay period, so my out of pocket costs are the same. Then, after a few months, I have enough money in the account to cover my typical medical expenses (cough/cold, etc.) and screenings are free. I look at it like this: I don't go to the doctor often, nor does my spouse. If we did, an HSA would probably not work. However, our out of pocket expenses are the same, and instead of giving the money to an insurance company in the form of premiums, we're paying into an account that will eventually turn into either retirement savings or get spent on medical expenses. This is highly dependent on your situation.

I'm an MD and I don't understand either side (insurance/medicare wise) of this cluster fuck we call healthcare. Whatever happened to just paying for a service? Now we employ armies of coders etc in order to extract a partial payment from the insurance who say we are owed more than we'd bill straight out. By a wide margin.

personalfinance

3vy6a0

I'll try not to rant for too long here.. Federal employee, married, two young children. I'm not MENSA material, but I'm no dolt either. Current health insurance is going up by over $500 this year. As far as I can tell, for no increase in coverage. We were not unhappy, but also not pleased with our insurance the last two years, but a catastrophic accident and the birth of two kids planted me firmly in the "we're not changing anything in the middle of this" mindset. So now, here it is, open season, and my family is shopping around. We know a few things * First, our current FSA option sucks; it's so cumbersome that it's not worth my time. It's literally money thrown away because I can't get reimbursed through their online program for anything without it going through two different rejections and having to write a statement for each item. A single $2 bottle of Hydrogen Peroxide, submit the receipt, picture of the label, address of the store purchased at .. rejected. More back and forth, submitting screenshots of bank statements with purchases notated, finally accepted. Sweet, only took me 2+ hours to get my $2 back - NOT worth the time, especially not when extrapolated to a hundred or so purchases. Co-pays, large bills, even those are a headache to get back. Watched hundreds of dollars just disappear last year unused from the FSA.. So, we'd like to shift to a high deductible HSA-eligible plan; I'd really like to just have a card in my wallet we only swipe for medical related expenses - that's something we can manage easily. * Next, I'd like to look into invisalign/ braces to fix some issues I wish my parents had when I was younger. * After that, my wife would like to look at Lasik. If not that, then her best options for good vision coverage. * Most importantly, we don't want to have to worry about walking into the "wrong" doctor's office if one of our kids has an emergency. Just got back from my employer's "health fair" (30+ reps packed into 600ish sq. ft.) and could not be more disappointed. I pulled my benefits statements before going over so I'd know what I'm currently covered for and paying in co-pays etc. thinking "this will make it easy, I'll just go down the list and see who offers what!" Wrong. There's an exception to everything. So here I am, a gigantic pile of brochures in front of me that you need a background in analysis to decipher, trudging through OPM's plan comparison tool. And I'm mad. Mad that none of these pamphlets are formatted the same. Mad that they use different measures and terms for the same services. Mad that they're nigh impossible to "side by side." Mad that no one can explain why my premium is going up so much for no new benefits. Mad that even trying to understand the difference between "basic option" and "standard option" is eye-bleedingly tedious. Mad that the reps can't answer questions about levels of coverage compared to their competitors, but can bring up no less than five times that they "cover 52 therapeutic massage visits per calendar year!" It almost feels deliberate - the difficulty here in trying to decide what's best for my family's health. The best response and info I've been able to get are from co-workers enrolled in other plans ... "what did you pay for this, where did you go for that" etc. etc.\ I'm frustrated. This is a major deal for me. I have worked hard to be in a position to provide for my family (we're single income and I'm also the benefits provider) but can't understand it all. I'm frustrated that I feel ignorant and un-educated on something so important. Rant off. Thanks for listening, PF - if you have any tips, I'm happy to listen.

I'm a grown-ass man, and I cannot understand the options available to me for Health/Dental/Vision Insurance.. This is infuriating.

6e5ba01fe09f4b309586ec740fc18610

86503a01ca904fdcb150b82707fa1929

I'm sure there will be plenty of criticism here about this response, but here's what I've done: Does the HSA your employer offer roll over? If so, I sign up for this, and set the contribution amount to be the same as if I was paying for the other insurance (the traditional plan) minus the cost of the HSA. Say the traditional insurance is $200 per pay period, and the HSA is $50. I set my contribution at $150 per pay period, so my out of pocket costs are the same. Then, after a few months, I have enough money in the account to cover my typical medical expenses (cough/cold, etc.) and screenings are free. I look at it like this: I don't go to the doctor often, nor does my spouse. If we did, an HSA would probably not work. However, our out of pocket expenses are the same, and instead of giving the money to an insurance company in the form of premiums, we're paying into an account that will eventually turn into either retirement savings or get spent on medical expenses. This is highly dependent on your situation.

Oh and to address the items you mentioned. Lasik and Orthodontics (for adults) are almost always considered cosmetic and almost never covered. Like 0 dollars. You can use FSA dollars for these items though. In the off chance there was some coverage it would be in your vision and dental policies respectively. Emergency care and out of network. Just depends on the plan. Most DON"T charge an out of network penalty for the emergency room care. Now after the "Emergency" is over, and they admit you and you start getting different care. That might be different. Also there is a difference between a hospital ER, an Urgent Care clinic, and convenient care clinic and a standalone ER facility. They likely all have different rules. Keep in mind also that doctors AND facilities can be in or out of network. So "St. Josephs Hospital" might be in your network, but the anesthesiologist Dr. Vikek Patel (who is an independent provider) might not be. Some insurance plans will give you just reduced coverage for out of network and others will give you 0. You just have to read the fine print. Its a giant pain in the ass.

personalfinance

3vy6a0

I'll try not to rant for too long here.. Federal employee, married, two young children. I'm not MENSA material, but I'm no dolt either. Current health insurance is going up by over $500 this year. As far as I can tell, for no increase in coverage. We were not unhappy, but also not pleased with our insurance the last two years, but a catastrophic accident and the birth of two kids planted me firmly in the "we're not changing anything in the middle of this" mindset. So now, here it is, open season, and my family is shopping around. We know a few things * First, our current FSA option sucks; it's so cumbersome that it's not worth my time. It's literally money thrown away because I can't get reimbursed through their online program for anything without it going through two different rejections and having to write a statement for each item. A single $2 bottle of Hydrogen Peroxide, submit the receipt, picture of the label, address of the store purchased at .. rejected. More back and forth, submitting screenshots of bank statements with purchases notated, finally accepted. Sweet, only took me 2+ hours to get my $2 back - NOT worth the time, especially not when extrapolated to a hundred or so purchases. Co-pays, large bills, even those are a headache to get back. Watched hundreds of dollars just disappear last year unused from the FSA.. So, we'd like to shift to a high deductible HSA-eligible plan; I'd really like to just have a card in my wallet we only swipe for medical related expenses - that's something we can manage easily. * Next, I'd like to look into invisalign/ braces to fix some issues I wish my parents had when I was younger. * After that, my wife would like to look at Lasik. If not that, then her best options for good vision coverage. * Most importantly, we don't want to have to worry about walking into the "wrong" doctor's office if one of our kids has an emergency. Just got back from my employer's "health fair" (30+ reps packed into 600ish sq. ft.) and could not be more disappointed. I pulled my benefits statements before going over so I'd know what I'm currently covered for and paying in co-pays etc. thinking "this will make it easy, I'll just go down the list and see who offers what!" Wrong. There's an exception to everything. So here I am, a gigantic pile of brochures in front of me that you need a background in analysis to decipher, trudging through OPM's plan comparison tool. And I'm mad. Mad that none of these pamphlets are formatted the same. Mad that they use different measures and terms for the same services. Mad that they're nigh impossible to "side by side." Mad that no one can explain why my premium is going up so much for no new benefits. Mad that even trying to understand the difference between "basic option" and "standard option" is eye-bleedingly tedious. Mad that the reps can't answer questions about levels of coverage compared to their competitors, but can bring up no less than five times that they "cover 52 therapeutic massage visits per calendar year!" It almost feels deliberate - the difficulty here in trying to decide what's best for my family's health. The best response and info I've been able to get are from co-workers enrolled in other plans ... "what did you pay for this, where did you go for that" etc. etc.\ I'm frustrated. This is a major deal for me. I have worked hard to be in a position to provide for my family (we're single income and I'm also the benefits provider) but can't understand it all. I'm frustrated that I feel ignorant and un-educated on something so important. Rant off. Thanks for listening, PF - if you have any tips, I'm happy to listen.

I'm a grown-ass man, and I cannot understand the options available to me for Health/Dental/Vision Insurance.. This is infuriating.

6e5ba01fe09f4b309586ec740fc18610

5775ed3ac0ac4e1b96c653da6ec1514d

I'm sure there will be plenty of criticism here about this response, but here's what I've done: Does the HSA your employer offer roll over? If so, I sign up for this, and set the contribution amount to be the same as if I was paying for the other insurance (the traditional plan) minus the cost of the HSA. Say the traditional insurance is $200 per pay period, and the HSA is $50. I set my contribution at $150 per pay period, so my out of pocket costs are the same. Then, after a few months, I have enough money in the account to cover my typical medical expenses (cough/cold, etc.) and screenings are free. I look at it like this: I don't go to the doctor often, nor does my spouse. If we did, an HSA would probably not work. However, our out of pocket expenses are the same, and instead of giving the money to an insurance company in the form of premiums, we're paying into an account that will eventually turn into either retirement savings or get spent on medical expenses. This is highly dependent on your situation.

So a few things. One costs are going up likely because a lot of the ACA required stuff has encouraged more people to actually seek out care and use their insurance. One of the secrets of insurance was that if no one uses it because they are afraid of having to pay out of pocket, then the insurance company wins. But when things like preventive care are mandated to be covered (typically for free), people use them. So now you have members that used to have basically 0 health expense now with 3-500 expense. That has to be paid by someone, and with the way insurance works, the costs get spread across all the members. We don't treat (at least not anymore) health insurance like cars. Otherwise it would cost 10 bucks a year for a 19 year old and 60,000 a year for a 60 year old. Now as far as understanding it, do you have specific questions? For the most part if you understand the terms, copay, deductible, out of pocket max, and coinsurance. You should be able to figure it out. Then after that its usually a matter of looking at the exclusions and special cases. Maybe plan A has a $500 maternity option whereas plan B just routes all maternity care thru the standard deductible and coinsurance rules. I've been working in healthcare for about 10 years, with a fair bit of experience with insurance from the provider side, so I can try to help you understand things if you have a specific question.

personalfinance

3vy6a0

I'll try not to rant for too long here.. Federal employee, married, two young children. I'm not MENSA material, but I'm no dolt either. Current health insurance is going up by over $500 this year. As far as I can tell, for no increase in coverage. We were not unhappy, but also not pleased with our insurance the last two years, but a catastrophic accident and the birth of two kids planted me firmly in the "we're not changing anything in the middle of this" mindset. So now, here it is, open season, and my family is shopping around. We know a few things * First, our current FSA option sucks; it's so cumbersome that it's not worth my time. It's literally money thrown away because I can't get reimbursed through their online program for anything without it going through two different rejections and having to write a statement for each item. A single $2 bottle of Hydrogen Peroxide, submit the receipt, picture of the label, address of the store purchased at .. rejected. More back and forth, submitting screenshots of bank statements with purchases notated, finally accepted. Sweet, only took me 2+ hours to get my $2 back - NOT worth the time, especially not when extrapolated to a hundred or so purchases. Co-pays, large bills, even those are a headache to get back. Watched hundreds of dollars just disappear last year unused from the FSA.. So, we'd like to shift to a high deductible HSA-eligible plan; I'd really like to just have a card in my wallet we only swipe for medical related expenses - that's something we can manage easily. * Next, I'd like to look into invisalign/ braces to fix some issues I wish my parents had when I was younger. * After that, my wife would like to look at Lasik. If not that, then her best options for good vision coverage. * Most importantly, we don't want to have to worry about walking into the "wrong" doctor's office if one of our kids has an emergency. Just got back from my employer's "health fair" (30+ reps packed into 600ish sq. ft.) and could not be more disappointed. I pulled my benefits statements before going over so I'd know what I'm currently covered for and paying in co-pays etc. thinking "this will make it easy, I'll just go down the list and see who offers what!" Wrong. There's an exception to everything. So here I am, a gigantic pile of brochures in front of me that you need a background in analysis to decipher, trudging through OPM's plan comparison tool. And I'm mad. Mad that none of these pamphlets are formatted the same. Mad that they use different measures and terms for the same services. Mad that they're nigh impossible to "side by side." Mad that no one can explain why my premium is going up so much for no new benefits. Mad that even trying to understand the difference between "basic option" and "standard option" is eye-bleedingly tedious. Mad that the reps can't answer questions about levels of coverage compared to their competitors, but can bring up no less than five times that they "cover 52 therapeutic massage visits per calendar year!" It almost feels deliberate - the difficulty here in trying to decide what's best for my family's health. The best response and info I've been able to get are from co-workers enrolled in other plans ... "what did you pay for this, where did you go for that" etc. etc.\ I'm frustrated. This is a major deal for me. I have worked hard to be in a position to provide for my family (we're single income and I'm also the benefits provider) but can't understand it all. I'm frustrated that I feel ignorant and un-educated on something so important. Rant off. Thanks for listening, PF - if you have any tips, I'm happy to listen.

I'm a grown-ass man, and I cannot understand the options available to me for Health/Dental/Vision Insurance.. This is infuriating.

6e5ba01fe09f4b309586ec740fc18610

728fcd7b3eeb457a9fdb5dd922d7265d

I'm sure there will be plenty of criticism here about this response, but here's what I've done: Does the HSA your employer offer roll over? If so, I sign up for this, and set the contribution amount to be the same as if I was paying for the other insurance (the traditional plan) minus the cost of the HSA. Say the traditional insurance is $200 per pay period, and the HSA is $50. I set my contribution at $150 per pay period, so my out of pocket costs are the same. Then, after a few months, I have enough money in the account to cover my typical medical expenses (cough/cold, etc.) and screenings are free. I look at it like this: I don't go to the doctor often, nor does my spouse. If we did, an HSA would probably not work. However, our out of pocket expenses are the same, and instead of giving the money to an insurance company in the form of premiums, we're paying into an account that will eventually turn into either retirement savings or get spent on medical expenses. This is highly dependent on your situation.

All i know is we pay 750 a month for health, vision, and dental. Thats for my wife, myself, and our one kid. Also it goes up every year, which is just stupid. Its just another bill the working class have to pay for. Also I really enjoyed your rant, and let this be known you are not alone when it comes to this shit. They make it difficult for a reason, and all insurance companies basically do this shit. Shopping for car insurance and living in Wayne County (MI) is fucking terrible. Oh my insurance went up 100$ more a month because ive never got a ticket or accident. This also happens yearly. Its just a giant fucking money sink. Just consider this shit the workingmans tax.

personalfinance

3vy6a0

I'll try not to rant for too long here.. Federal employee, married, two young children. I'm not MENSA material, but I'm no dolt either. Current health insurance is going up by over $500 this year. As far as I can tell, for no increase in coverage. We were not unhappy, but also not pleased with our insurance the last two years, but a catastrophic accident and the birth of two kids planted me firmly in the "we're not changing anything in the middle of this" mindset. So now, here it is, open season, and my family is shopping around. We know a few things * First, our current FSA option sucks; it's so cumbersome that it's not worth my time. It's literally money thrown away because I can't get reimbursed through their online program for anything without it going through two different rejections and having to write a statement for each item. A single $2 bottle of Hydrogen Peroxide, submit the receipt, picture of the label, address of the store purchased at .. rejected. More back and forth, submitting screenshots of bank statements with purchases notated, finally accepted. Sweet, only took me 2+ hours to get my $2 back - NOT worth the time, especially not when extrapolated to a hundred or so purchases. Co-pays, large bills, even those are a headache to get back. Watched hundreds of dollars just disappear last year unused from the FSA.. So, we'd like to shift to a high deductible HSA-eligible plan; I'd really like to just have a card in my wallet we only swipe for medical related expenses - that's something we can manage easily. * Next, I'd like to look into invisalign/ braces to fix some issues I wish my parents had when I was younger. * After that, my wife would like to look at Lasik. If not that, then her best options for good vision coverage. * Most importantly, we don't want to have to worry about walking into the "wrong" doctor's office if one of our kids has an emergency. Just got back from my employer's "health fair" (30+ reps packed into 600ish sq. ft.) and could not be more disappointed. I pulled my benefits statements before going over so I'd know what I'm currently covered for and paying in co-pays etc. thinking "this will make it easy, I'll just go down the list and see who offers what!" Wrong. There's an exception to everything. So here I am, a gigantic pile of brochures in front of me that you need a background in analysis to decipher, trudging through OPM's plan comparison tool. And I'm mad. Mad that none of these pamphlets are formatted the same. Mad that they use different measures and terms for the same services. Mad that they're nigh impossible to "side by side." Mad that no one can explain why my premium is going up so much for no new benefits. Mad that even trying to understand the difference between "basic option" and "standard option" is eye-bleedingly tedious. Mad that the reps can't answer questions about levels of coverage compared to their competitors, but can bring up no less than five times that they "cover 52 therapeutic massage visits per calendar year!" It almost feels deliberate - the difficulty here in trying to decide what's best for my family's health. The best response and info I've been able to get are from co-workers enrolled in other plans ... "what did you pay for this, where did you go for that" etc. etc.\ I'm frustrated. This is a major deal for me. I have worked hard to be in a position to provide for my family (we're single income and I'm also the benefits provider) but can't understand it all. I'm frustrated that I feel ignorant and un-educated on something so important. Rant off. Thanks for listening, PF - if you have any tips, I'm happy to listen.

I'm a grown-ass man, and I cannot understand the options available to me for Health/Dental/Vision Insurance.. This is infuriating.

6e5ba01fe09f4b309586ec740fc18610

f30872096e8249b381e0eb56bf26ae03

I'm sure there will be plenty of criticism here about this response, but here's what I've done: Does the HSA your employer offer roll over? If so, I sign up for this, and set the contribution amount to be the same as if I was paying for the other insurance (the traditional plan) minus the cost of the HSA. Say the traditional insurance is $200 per pay period, and the HSA is $50. I set my contribution at $150 per pay period, so my out of pocket costs are the same. Then, after a few months, I have enough money in the account to cover my typical medical expenses (cough/cold, etc.) and screenings are free. I look at it like this: I don't go to the doctor often, nor does my spouse. If we did, an HSA would probably not work. However, our out of pocket expenses are the same, and instead of giving the money to an insurance company in the form of premiums, we're paying into an account that will eventually turn into either retirement savings or get spent on medical expenses. This is highly dependent on your situation.

Orthodontist and former General Dentist here: Dental insurance is a waste of money UNLESS your employer is paying for a good portion of it for you, OR you actually have dental work that needs to be done. If you need to buy it yourself, save your money. If it's offered by the company do your financial due diligence on how much it actually will cost. Also, look into company health flex spending. If all you are receiving is preventative care, you're likely to spend about $200-$400 a year (Exam and cleaning 2x a year, and various xrays 1x a year). If your premium for the dental plan is $600/year for $1000 of "benefit" it's a waste of money. Don't forget that there are copays and deductibles for different procedures and different tiers of insurance. When you have family plans and such is where it gets to be closer to worthwhile. TL;DR: dental insurance depends on what you intend on using it for.

personalfinance

3vy6a0

I'll try not to rant for too long here.. Federal employee, married, two young children. I'm not MENSA material, but I'm no dolt either. Current health insurance is going up by over $500 this year. As far as I can tell, for no increase in coverage. We were not unhappy, but also not pleased with our insurance the last two years, but a catastrophic accident and the birth of two kids planted me firmly in the "we're not changing anything in the middle of this" mindset. So now, here it is, open season, and my family is shopping around. We know a few things * First, our current FSA option sucks; it's so cumbersome that it's not worth my time. It's literally money thrown away because I can't get reimbursed through their online program for anything without it going through two different rejections and having to write a statement for each item. A single $2 bottle of Hydrogen Peroxide, submit the receipt, picture of the label, address of the store purchased at .. rejected. More back and forth, submitting screenshots of bank statements with purchases notated, finally accepted. Sweet, only took me 2+ hours to get my $2 back - NOT worth the time, especially not when extrapolated to a hundred or so purchases. Co-pays, large bills, even those are a headache to get back. Watched hundreds of dollars just disappear last year unused from the FSA.. So, we'd like to shift to a high deductible HSA-eligible plan; I'd really like to just have a card in my wallet we only swipe for medical related expenses - that's something we can manage easily. * Next, I'd like to look into invisalign/ braces to fix some issues I wish my parents had when I was younger. * After that, my wife would like to look at Lasik. If not that, then her best options for good vision coverage. * Most importantly, we don't want to have to worry about walking into the "wrong" doctor's office if one of our kids has an emergency. Just got back from my employer's "health fair" (30+ reps packed into 600ish sq. ft.) and could not be more disappointed. I pulled my benefits statements before going over so I'd know what I'm currently covered for and paying in co-pays etc. thinking "this will make it easy, I'll just go down the list and see who offers what!" Wrong. There's an exception to everything. So here I am, a gigantic pile of brochures in front of me that you need a background in analysis to decipher, trudging through OPM's plan comparison tool. And I'm mad. Mad that none of these pamphlets are formatted the same. Mad that they use different measures and terms for the same services. Mad that they're nigh impossible to "side by side." Mad that no one can explain why my premium is going up so much for no new benefits. Mad that even trying to understand the difference between "basic option" and "standard option" is eye-bleedingly tedious. Mad that the reps can't answer questions about levels of coverage compared to their competitors, but can bring up no less than five times that they "cover 52 therapeutic massage visits per calendar year!" It almost feels deliberate - the difficulty here in trying to decide what's best for my family's health. The best response and info I've been able to get are from co-workers enrolled in other plans ... "what did you pay for this, where did you go for that" etc. etc.\ I'm frustrated. This is a major deal for me. I have worked hard to be in a position to provide for my family (we're single income and I'm also the benefits provider) but can't understand it all. I'm frustrated that I feel ignorant and un-educated on something so important. Rant off. Thanks for listening, PF - if you have any tips, I'm happy to listen.

I'm a grown-ass man, and I cannot understand the options available to me for Health/Dental/Vision Insurance.. This is infuriating.

6e5ba01fe09f4b309586ec740fc18610

1aa6fb40e7fd464491a6945588309564

I'm sure there will be plenty of criticism here about this response, but here's what I've done: Does the HSA your employer offer roll over? If so, I sign up for this, and set the contribution amount to be the same as if I was paying for the other insurance (the traditional plan) minus the cost of the HSA. Say the traditional insurance is $200 per pay period, and the HSA is $50. I set my contribution at $150 per pay period, so my out of pocket costs are the same. Then, after a few months, I have enough money in the account to cover my typical medical expenses (cough/cold, etc.) and screenings are free. I look at it like this: I don't go to the doctor often, nor does my spouse. If we did, an HSA would probably not work. However, our out of pocket expenses are the same, and instead of giving the money to an insurance company in the form of premiums, we're paying into an account that will eventually turn into either retirement savings or get spent on medical expenses. This is highly dependent on your situation.

Who are the vision providers who cover any part of lasik? My wife works in healthcare and has access to just about any provider we want. I shopped around every single one and was laughed off the phone when I asked if or how much of Lasik they would cover.

personalfinance

3vy6a0

I'll try not to rant for too long here.. Federal employee, married, two young children. I'm not MENSA material, but I'm no dolt either. Current health insurance is going up by over $500 this year. As far as I can tell, for no increase in coverage. We were not unhappy, but also not pleased with our insurance the last two years, but a catastrophic accident and the birth of two kids planted me firmly in the "we're not changing anything in the middle of this" mindset. So now, here it is, open season, and my family is shopping around. We know a few things * First, our current FSA option sucks; it's so cumbersome that it's not worth my time. It's literally money thrown away because I can't get reimbursed through their online program for anything without it going through two different rejections and having to write a statement for each item. A single $2 bottle of Hydrogen Peroxide, submit the receipt, picture of the label, address of the store purchased at .. rejected. More back and forth, submitting screenshots of bank statements with purchases notated, finally accepted. Sweet, only took me 2+ hours to get my $2 back - NOT worth the time, especially not when extrapolated to a hundred or so purchases. Co-pays, large bills, even those are a headache to get back. Watched hundreds of dollars just disappear last year unused from the FSA.. So, we'd like to shift to a high deductible HSA-eligible plan; I'd really like to just have a card in my wallet we only swipe for medical related expenses - that's something we can manage easily. * Next, I'd like to look into invisalign/ braces to fix some issues I wish my parents had when I was younger. * After that, my wife would like to look at Lasik. If not that, then her best options for good vision coverage. * Most importantly, we don't want to have to worry about walking into the "wrong" doctor's office if one of our kids has an emergency. Just got back from my employer's "health fair" (30+ reps packed into 600ish sq. ft.) and could not be more disappointed. I pulled my benefits statements before going over so I'd know what I'm currently covered for and paying in co-pays etc. thinking "this will make it easy, I'll just go down the list and see who offers what!" Wrong. There's an exception to everything. So here I am, a gigantic pile of brochures in front of me that you need a background in analysis to decipher, trudging through OPM's plan comparison tool. And I'm mad. Mad that none of these pamphlets are formatted the same. Mad that they use different measures and terms for the same services. Mad that they're nigh impossible to "side by side." Mad that no one can explain why my premium is going up so much for no new benefits. Mad that even trying to understand the difference between "basic option" and "standard option" is eye-bleedingly tedious. Mad that the reps can't answer questions about levels of coverage compared to their competitors, but can bring up no less than five times that they "cover 52 therapeutic massage visits per calendar year!" It almost feels deliberate - the difficulty here in trying to decide what's best for my family's health. The best response and info I've been able to get are from co-workers enrolled in other plans ... "what did you pay for this, where did you go for that" etc. etc.\ I'm frustrated. This is a major deal for me. I have worked hard to be in a position to provide for my family (we're single income and I'm also the benefits provider) but can't understand it all. I'm frustrated that I feel ignorant and un-educated on something so important. Rant off. Thanks for listening, PF - if you have any tips, I'm happy to listen.

I'm a grown-ass man, and I cannot understand the options available to me for Health/Dental/Vision Insurance.. This is infuriating.

6e5ba01fe09f4b309586ec740fc18610

e64b4827c8c3450bbd6c97b8d1320b12

I'm sure there will be plenty of criticism here about this response, but here's what I've done: Does the HSA your employer offer roll over? If so, I sign up for this, and set the contribution amount to be the same as if I was paying for the other insurance (the traditional plan) minus the cost of the HSA. Say the traditional insurance is $200 per pay period, and the HSA is $50. I set my contribution at $150 per pay period, so my out of pocket costs are the same. Then, after a few months, I have enough money in the account to cover my typical medical expenses (cough/cold, etc.) and screenings are free. I look at it like this: I don't go to the doctor often, nor does my spouse. If we did, an HSA would probably not work. However, our out of pocket expenses are the same, and instead of giving the money to an insurance company in the form of premiums, we're paying into an account that will eventually turn into either retirement savings or get spent on medical expenses. This is highly dependent on your situation.

I have no help to offer but I just do the following: Pick *some* insurance, it seems pretty clear having none is bad and illegal. As far as I can tell there is *no* way to tell what will or won't be covered, before or after you've gotten it. They are so poorly worded and there are so many fine prints and gotchas that they can basically do whatever they want whenever they want. So I just avoid visiting doctors as much as possible, and make a point of asking them the cost of everything on the rare occasions it seems absolutely necessary. They never know the cost, but if they know you are concerned they may charge less. Then hope for the best and as the bills come in over the next few months pay them. Does this sounds terrible? It is, but I can't figure out any other options so I've stopped trying to understand the system that clearly does not work or make any sense. I'm also a grown-ass man myself, and by most accounts very intelligent, but there is no way I could ever figure this stuff out, and I strongly suspect the people who think they have this stuff figured out are deceiving themselves. tl;dr Sorry, but bend over and expect to be fucked, its the only option US Healthcare offers. (Sorry also ranting)

personalfinance

3vy6a0

I'll try not to rant for too long here.. Federal employee, married, two young children. I'm not MENSA material, but I'm no dolt either. Current health insurance is going up by over $500 this year. As far as I can tell, for no increase in coverage. We were not unhappy, but also not pleased with our insurance the last two years, but a catastrophic accident and the birth of two kids planted me firmly in the "we're not changing anything in the middle of this" mindset. So now, here it is, open season, and my family is shopping around. We know a few things * First, our current FSA option sucks; it's so cumbersome that it's not worth my time. It's literally money thrown away because I can't get reimbursed through their online program for anything without it going through two different rejections and having to write a statement for each item. A single $2 bottle of Hydrogen Peroxide, submit the receipt, picture of the label, address of the store purchased at .. rejected. More back and forth, submitting screenshots of bank statements with purchases notated, finally accepted. Sweet, only took me 2+ hours to get my $2 back - NOT worth the time, especially not when extrapolated to a hundred or so purchases. Co-pays, large bills, even those are a headache to get back. Watched hundreds of dollars just disappear last year unused from the FSA.. So, we'd like to shift to a high deductible HSA-eligible plan; I'd really like to just have a card in my wallet we only swipe for medical related expenses - that's something we can manage easily. * Next, I'd like to look into invisalign/ braces to fix some issues I wish my parents had when I was younger. * After that, my wife would like to look at Lasik. If not that, then her best options for good vision coverage. * Most importantly, we don't want to have to worry about walking into the "wrong" doctor's office if one of our kids has an emergency. Just got back from my employer's "health fair" (30+ reps packed into 600ish sq. ft.) and could not be more disappointed. I pulled my benefits statements before going over so I'd know what I'm currently covered for and paying in co-pays etc. thinking "this will make it easy, I'll just go down the list and see who offers what!" Wrong. There's an exception to everything. So here I am, a gigantic pile of brochures in front of me that you need a background in analysis to decipher, trudging through OPM's plan comparison tool. And I'm mad. Mad that none of these pamphlets are formatted the same. Mad that they use different measures and terms for the same services. Mad that they're nigh impossible to "side by side." Mad that no one can explain why my premium is going up so much for no new benefits. Mad that even trying to understand the difference between "basic option" and "standard option" is eye-bleedingly tedious. Mad that the reps can't answer questions about levels of coverage compared to their competitors, but can bring up no less than five times that they "cover 52 therapeutic massage visits per calendar year!" It almost feels deliberate - the difficulty here in trying to decide what's best for my family's health. The best response and info I've been able to get are from co-workers enrolled in other plans ... "what did you pay for this, where did you go for that" etc. etc.\ I'm frustrated. This is a major deal for me. I have worked hard to be in a position to provide for my family (we're single income and I'm also the benefits provider) but can't understand it all. I'm frustrated that I feel ignorant and un-educated on something so important. Rant off. Thanks for listening, PF - if you have any tips, I'm happy to listen.

I'm a grown-ass man, and I cannot understand the options available to me for Health/Dental/Vision Insurance.. This is infuriating.

6e5ba01fe09f4b309586ec740fc18610

58dcb406a703459c9fd91012b567f39c

I'm sure there will be plenty of criticism here about this response, but here's what I've done: Does the HSA your employer offer roll over? If so, I sign up for this, and set the contribution amount to be the same as if I was paying for the other insurance (the traditional plan) minus the cost of the HSA. Say the traditional insurance is $200 per pay period, and the HSA is $50. I set my contribution at $150 per pay period, so my out of pocket costs are the same. Then, after a few months, I have enough money in the account to cover my typical medical expenses (cough/cold, etc.) and screenings are free. I look at it like this: I don't go to the doctor often, nor does my spouse. If we did, an HSA would probably not work. However, our out of pocket expenses are the same, and instead of giving the money to an insurance company in the form of premiums, we're paying into an account that will eventually turn into either retirement savings or get spent on medical expenses. This is highly dependent on your situation.

Oh and to address the items you mentioned. Lasik and Orthodontics (for adults) are almost always considered cosmetic and almost never covered. Like 0 dollars. You can use FSA dollars for these items though. In the off chance there was some coverage it would be in your vision and dental policies respectively. Emergency care and out of network. Just depends on the plan. Most DON"T charge an out of network penalty for the emergency room care. Now after the "Emergency" is over, and they admit you and you start getting different care. That might be different. Also there is a difference between a hospital ER, an Urgent Care clinic, and convenient care clinic and a standalone ER facility. They likely all have different rules. Keep in mind also that doctors AND facilities can be in or out of network. So "St. Josephs Hospital" might be in your network, but the anesthesiologist Dr. Vikek Patel (who is an independent provider) might not be. Some insurance plans will give you just reduced coverage for out of network and others will give you 0. You just have to read the fine print. Its a giant pain in the ass.

personalfinance

3vy6a0

I'll try not to rant for too long here.. Federal employee, married, two young children. I'm not MENSA material, but I'm no dolt either. Current health insurance is going up by over $500 this year. As far as I can tell, for no increase in coverage. We were not unhappy, but also not pleased with our insurance the last two years, but a catastrophic accident and the birth of two kids planted me firmly in the "we're not changing anything in the middle of this" mindset. So now, here it is, open season, and my family is shopping around. We know a few things * First, our current FSA option sucks; it's so cumbersome that it's not worth my time. It's literally money thrown away because I can't get reimbursed through their online program for anything without it going through two different rejections and having to write a statement for each item. A single $2 bottle of Hydrogen Peroxide, submit the receipt, picture of the label, address of the store purchased at .. rejected. More back and forth, submitting screenshots of bank statements with purchases notated, finally accepted. Sweet, only took me 2+ hours to get my $2 back - NOT worth the time, especially not when extrapolated to a hundred or so purchases. Co-pays, large bills, even those are a headache to get back. Watched hundreds of dollars just disappear last year unused from the FSA.. So, we'd like to shift to a high deductible HSA-eligible plan; I'd really like to just have a card in my wallet we only swipe for medical related expenses - that's something we can manage easily. * Next, I'd like to look into invisalign/ braces to fix some issues I wish my parents had when I was younger. * After that, my wife would like to look at Lasik. If not that, then her best options for good vision coverage. * Most importantly, we don't want to have to worry about walking into the "wrong" doctor's office if one of our kids has an emergency. Just got back from my employer's "health fair" (30+ reps packed into 600ish sq. ft.) and could not be more disappointed. I pulled my benefits statements before going over so I'd know what I'm currently covered for and paying in co-pays etc. thinking "this will make it easy, I'll just go down the list and see who offers what!" Wrong. There's an exception to everything. So here I am, a gigantic pile of brochures in front of me that you need a background in analysis to decipher, trudging through OPM's plan comparison tool. And I'm mad. Mad that none of these pamphlets are formatted the same. Mad that they use different measures and terms for the same services. Mad that they're nigh impossible to "side by side." Mad that no one can explain why my premium is going up so much for no new benefits. Mad that even trying to understand the difference between "basic option" and "standard option" is eye-bleedingly tedious. Mad that the reps can't answer questions about levels of coverage compared to their competitors, but can bring up no less than five times that they "cover 52 therapeutic massage visits per calendar year!" It almost feels deliberate - the difficulty here in trying to decide what's best for my family's health. The best response and info I've been able to get are from co-workers enrolled in other plans ... "what did you pay for this, where did you go for that" etc. etc.\ I'm frustrated. This is a major deal for me. I have worked hard to be in a position to provide for my family (we're single income and I'm also the benefits provider) but can't understand it all. I'm frustrated that I feel ignorant and un-educated on something so important. Rant off. Thanks for listening, PF - if you have any tips, I'm happy to listen.

I'm a grown-ass man, and I cannot understand the options available to me for Health/Dental/Vision Insurance.. This is infuriating.

4c029dddd88c413f95c55c6ed926dac1

34f7e95b9bbc45678e7f0e89aa9a0250

Use the OPM comparison tool, this isn't hard and the feds have a MUCH better process than everywhere I've worked in private industry.

Oh and to address the items you mentioned. Lasik and Orthodontics (for adults) are almost always considered cosmetic and almost never covered. Like 0 dollars. You can use FSA dollars for these items though. In the off chance there was some coverage it would be in your vision and dental policies respectively. Emergency care and out of network. Just depends on the plan. Most DON"T charge an out of network penalty for the emergency room care. Now after the "Emergency" is over, and they admit you and you start getting different care. That might be different. Also there is a difference between a hospital ER, an Urgent Care clinic, and convenient care clinic and a standalone ER facility. They likely all have different rules. Keep in mind also that doctors AND facilities can be in or out of network. So "St. Josephs Hospital" might be in your network, but the anesthesiologist Dr. Vikek Patel (who is an independent provider) might not be. Some insurance plans will give you just reduced coverage for out of network and others will give you 0. You just have to read the fine print. Its a giant pain in the ass.

personalfinance

3vy6a0

I'll try not to rant for too long here.. Federal employee, married, two young children. I'm not MENSA material, but I'm no dolt either. Current health insurance is going up by over $500 this year. As far as I can tell, for no increase in coverage. We were not unhappy, but also not pleased with our insurance the last two years, but a catastrophic accident and the birth of two kids planted me firmly in the "we're not changing anything in the middle of this" mindset. So now, here it is, open season, and my family is shopping around. We know a few things * First, our current FSA option sucks; it's so cumbersome that it's not worth my time. It's literally money thrown away because I can't get reimbursed through their online program for anything without it going through two different rejections and having to write a statement for each item. A single $2 bottle of Hydrogen Peroxide, submit the receipt, picture of the label, address of the store purchased at .. rejected. More back and forth, submitting screenshots of bank statements with purchases notated, finally accepted. Sweet, only took me 2+ hours to get my $2 back - NOT worth the time, especially not when extrapolated to a hundred or so purchases. Co-pays, large bills, even those are a headache to get back. Watched hundreds of dollars just disappear last year unused from the FSA.. So, we'd like to shift to a high deductible HSA-eligible plan; I'd really like to just have a card in my wallet we only swipe for medical related expenses - that's something we can manage easily. * Next, I'd like to look into invisalign/ braces to fix some issues I wish my parents had when I was younger. * After that, my wife would like to look at Lasik. If not that, then her best options for good vision coverage. * Most importantly, we don't want to have to worry about walking into the "wrong" doctor's office if one of our kids has an emergency. Just got back from my employer's "health fair" (30+ reps packed into 600ish sq. ft.) and could not be more disappointed. I pulled my benefits statements before going over so I'd know what I'm currently covered for and paying in co-pays etc. thinking "this will make it easy, I'll just go down the list and see who offers what!" Wrong. There's an exception to everything. So here I am, a gigantic pile of brochures in front of me that you need a background in analysis to decipher, trudging through OPM's plan comparison tool. And I'm mad. Mad that none of these pamphlets are formatted the same. Mad that they use different measures and terms for the same services. Mad that they're nigh impossible to "side by side." Mad that no one can explain why my premium is going up so much for no new benefits. Mad that even trying to understand the difference between "basic option" and "standard option" is eye-bleedingly tedious. Mad that the reps can't answer questions about levels of coverage compared to their competitors, but can bring up no less than five times that they "cover 52 therapeutic massage visits per calendar year!" It almost feels deliberate - the difficulty here in trying to decide what's best for my family's health. The best response and info I've been able to get are from co-workers enrolled in other plans ... "what did you pay for this, where did you go for that" etc. etc.\ I'm frustrated. This is a major deal for me. I have worked hard to be in a position to provide for my family (we're single income and I'm also the benefits provider) but can't understand it all. I'm frustrated that I feel ignorant and un-educated on something so important. Rant off. Thanks for listening, PF - if you have any tips, I'm happy to listen.

I'm a grown-ass man, and I cannot understand the options available to me for Health/Dental/Vision Insurance.. This is infuriating.

4c029dddd88c413f95c55c6ed926dac1

c81363b940d14650978e395990e13deb

Use the OPM comparison tool, this isn't hard and the feds have a MUCH better process than everywhere I've worked in private industry.

So a few things. One costs are going up likely because a lot of the ACA required stuff has encouraged more people to actually seek out care and use their insurance. One of the secrets of insurance was that if no one uses it because they are afraid of having to pay out of pocket, then the insurance company wins. But when things like preventive care are mandated to be covered (typically for free), people use them. So now you have members that used to have basically 0 health expense now with 3-500 expense. That has to be paid by someone, and with the way insurance works, the costs get spread across all the members. We don't treat (at least not anymore) health insurance like cars. Otherwise it would cost 10 bucks a year for a 19 year old and 60,000 a year for a 60 year old. Now as far as understanding it, do you have specific questions? For the most part if you understand the terms, copay, deductible, out of pocket max, and coinsurance. You should be able to figure it out. Then after that its usually a matter of looking at the exclusions and special cases. Maybe plan A has a $500 maternity option whereas plan B just routes all maternity care thru the standard deductible and coinsurance rules. I've been working in healthcare for about 10 years, with a fair bit of experience with insurance from the provider side, so I can try to help you understand things if you have a specific question.

personalfinance

3vy6a0

I'll try not to rant for too long here.. Federal employee, married, two young children. I'm not MENSA material, but I'm no dolt either. Current health insurance is going up by over $500 this year. As far as I can tell, for no increase in coverage. We were not unhappy, but also not pleased with our insurance the last two years, but a catastrophic accident and the birth of two kids planted me firmly in the "we're not changing anything in the middle of this" mindset. So now, here it is, open season, and my family is shopping around. We know a few things * First, our current FSA option sucks; it's so cumbersome that it's not worth my time. It's literally money thrown away because I can't get reimbursed through their online program for anything without it going through two different rejections and having to write a statement for each item. A single $2 bottle of Hydrogen Peroxide, submit the receipt, picture of the label, address of the store purchased at .. rejected. More back and forth, submitting screenshots of bank statements with purchases notated, finally accepted. Sweet, only took me 2+ hours to get my $2 back - NOT worth the time, especially not when extrapolated to a hundred or so purchases. Co-pays, large bills, even those are a headache to get back. Watched hundreds of dollars just disappear last year unused from the FSA.. So, we'd like to shift to a high deductible HSA-eligible plan; I'd really like to just have a card in my wallet we only swipe for medical related expenses - that's something we can manage easily. * Next, I'd like to look into invisalign/ braces to fix some issues I wish my parents had when I was younger. * After that, my wife would like to look at Lasik. If not that, then her best options for good vision coverage. * Most importantly, we don't want to have to worry about walking into the "wrong" doctor's office if one of our kids has an emergency. Just got back from my employer's "health fair" (30+ reps packed into 600ish sq. ft.) and could not be more disappointed. I pulled my benefits statements before going over so I'd know what I'm currently covered for and paying in co-pays etc. thinking "this will make it easy, I'll just go down the list and see who offers what!" Wrong. There's an exception to everything. So here I am, a gigantic pile of brochures in front of me that you need a background in analysis to decipher, trudging through OPM's plan comparison tool. And I'm mad. Mad that none of these pamphlets are formatted the same. Mad that they use different measures and terms for the same services. Mad that they're nigh impossible to "side by side." Mad that no one can explain why my premium is going up so much for no new benefits. Mad that even trying to understand the difference between "basic option" and "standard option" is eye-bleedingly tedious. Mad that the reps can't answer questions about levels of coverage compared to their competitors, but can bring up no less than five times that they "cover 52 therapeutic massage visits per calendar year!" It almost feels deliberate - the difficulty here in trying to decide what's best for my family's health. The best response and info I've been able to get are from co-workers enrolled in other plans ... "what did you pay for this, where did you go for that" etc. etc.\ I'm frustrated. This is a major deal for me. I have worked hard to be in a position to provide for my family (we're single income and I'm also the benefits provider) but can't understand it all. I'm frustrated that I feel ignorant and un-educated on something so important. Rant off. Thanks for listening, PF - if you have any tips, I'm happy to listen.

I'm a grown-ass man, and I cannot understand the options available to me for Health/Dental/Vision Insurance.. This is infuriating.

4c029dddd88c413f95c55c6ed926dac1

905d4af35efa4deda8d36aba6e59c946

Use the OPM comparison tool, this isn't hard and the feds have a MUCH better process than everywhere I've worked in private industry.

Oh and to address the items you mentioned. Lasik and Orthodontics (for adults) are almost always considered cosmetic and almost never covered. Like 0 dollars. You can use FSA dollars for these items though. In the off chance there was some coverage it would be in your vision and dental policies respectively. Emergency care and out of network. Just depends on the plan. Most DON"T charge an out of network penalty for the emergency room care. Now after the "Emergency" is over, and they admit you and you start getting different care. That might be different. Also there is a difference between a hospital ER, an Urgent Care clinic, and convenient care clinic and a standalone ER facility. They likely all have different rules. Keep in mind also that doctors AND facilities can be in or out of network. So "St. Josephs Hospital" might be in your network, but the anesthesiologist Dr. Vikek Patel (who is an independent provider) might not be. Some insurance plans will give you just reduced coverage for out of network and others will give you 0. You just have to read the fine print. Its a giant pain in the ass.

personalfinance

3vy6a0

I'll try not to rant for too long here.. Federal employee, married, two young children. I'm not MENSA material, but I'm no dolt either. Current health insurance is going up by over $500 this year. As far as I can tell, for no increase in coverage. We were not unhappy, but also not pleased with our insurance the last two years, but a catastrophic accident and the birth of two kids planted me firmly in the "we're not changing anything in the middle of this" mindset. So now, here it is, open season, and my family is shopping around. We know a few things * First, our current FSA option sucks; it's so cumbersome that it's not worth my time. It's literally money thrown away because I can't get reimbursed through their online program for anything without it going through two different rejections and having to write a statement for each item. A single $2 bottle of Hydrogen Peroxide, submit the receipt, picture of the label, address of the store purchased at .. rejected. More back and forth, submitting screenshots of bank statements with purchases notated, finally accepted. Sweet, only took me 2+ hours to get my $2 back - NOT worth the time, especially not when extrapolated to a hundred or so purchases. Co-pays, large bills, even those are a headache to get back. Watched hundreds of dollars just disappear last year unused from the FSA.. So, we'd like to shift to a high deductible HSA-eligible plan; I'd really like to just have a card in my wallet we only swipe for medical related expenses - that's something we can manage easily. * Next, I'd like to look into invisalign/ braces to fix some issues I wish my parents had when I was younger. * After that, my wife would like to look at Lasik. If not that, then her best options for good vision coverage. * Most importantly, we don't want to have to worry about walking into the "wrong" doctor's office if one of our kids has an emergency. Just got back from my employer's "health fair" (30+ reps packed into 600ish sq. ft.) and could not be more disappointed. I pulled my benefits statements before going over so I'd know what I'm currently covered for and paying in co-pays etc. thinking "this will make it easy, I'll just go down the list and see who offers what!" Wrong. There's an exception to everything. So here I am, a gigantic pile of brochures in front of me that you need a background in analysis to decipher, trudging through OPM's plan comparison tool. And I'm mad. Mad that none of these pamphlets are formatted the same. Mad that they use different measures and terms for the same services. Mad that they're nigh impossible to "side by side." Mad that no one can explain why my premium is going up so much for no new benefits. Mad that even trying to understand the difference between "basic option" and "standard option" is eye-bleedingly tedious. Mad that the reps can't answer questions about levels of coverage compared to their competitors, but can bring up no less than five times that they "cover 52 therapeutic massage visits per calendar year!" It almost feels deliberate - the difficulty here in trying to decide what's best for my family's health. The best response and info I've been able to get are from co-workers enrolled in other plans ... "what did you pay for this, where did you go for that" etc. etc.\ I'm frustrated. This is a major deal for me. I have worked hard to be in a position to provide for my family (we're single income and I'm also the benefits provider) but can't understand it all. I'm frustrated that I feel ignorant and un-educated on something so important. Rant off. Thanks for listening, PF - if you have any tips, I'm happy to listen.

I'm a grown-ass man, and I cannot understand the options available to me for Health/Dental/Vision Insurance.. This is infuriating.

4c029dddd88c413f95c55c6ed926dac1

a610b394b25549f28b2527e28831a65d

Use the OPM comparison tool, this isn't hard and the feds have a MUCH better process than everywhere I've worked in private industry.

So a few things. One costs are going up likely because a lot of the ACA required stuff has encouraged more people to actually seek out care and use their insurance. One of the secrets of insurance was that if no one uses it because they are afraid of having to pay out of pocket, then the insurance company wins. But when things like preventive care are mandated to be covered (typically for free), people use them. So now you have members that used to have basically 0 health expense now with 3-500 expense. That has to be paid by someone, and with the way insurance works, the costs get spread across all the members. We don't treat (at least not anymore) health insurance like cars. Otherwise it would cost 10 bucks a year for a 19 year old and 60,000 a year for a 60 year old. Now as far as understanding it, do you have specific questions? For the most part if you understand the terms, copay, deductible, out of pocket max, and coinsurance. You should be able to figure it out. Then after that its usually a matter of looking at the exclusions and special cases. Maybe plan A has a $500 maternity option whereas plan B just routes all maternity care thru the standard deductible and coinsurance rules. I've been working in healthcare for about 10 years, with a fair bit of experience with insurance from the provider side, so I can try to help you understand things if you have a specific question.

personalfinance

3vy6a0

I'll try not to rant for too long here.. Federal employee, married, two young children. I'm not MENSA material, but I'm no dolt either. Current health insurance is going up by over $500 this year. As far as I can tell, for no increase in coverage. We were not unhappy, but also not pleased with our insurance the last two years, but a catastrophic accident and the birth of two kids planted me firmly in the "we're not changing anything in the middle of this" mindset. So now, here it is, open season, and my family is shopping around. We know a few things * First, our current FSA option sucks; it's so cumbersome that it's not worth my time. It's literally money thrown away because I can't get reimbursed through their online program for anything without it going through two different rejections and having to write a statement for each item. A single $2 bottle of Hydrogen Peroxide, submit the receipt, picture of the label, address of the store purchased at .. rejected. More back and forth, submitting screenshots of bank statements with purchases notated, finally accepted. Sweet, only took me 2+ hours to get my $2 back - NOT worth the time, especially not when extrapolated to a hundred or so purchases. Co-pays, large bills, even those are a headache to get back. Watched hundreds of dollars just disappear last year unused from the FSA.. So, we'd like to shift to a high deductible HSA-eligible plan; I'd really like to just have a card in my wallet we only swipe for medical related expenses - that's something we can manage easily. * Next, I'd like to look into invisalign/ braces to fix some issues I wish my parents had when I was younger. * After that, my wife would like to look at Lasik. If not that, then her best options for good vision coverage. * Most importantly, we don't want to have to worry about walking into the "wrong" doctor's office if one of our kids has an emergency. Just got back from my employer's "health fair" (30+ reps packed into 600ish sq. ft.) and could not be more disappointed. I pulled my benefits statements before going over so I'd know what I'm currently covered for and paying in co-pays etc. thinking "this will make it easy, I'll just go down the list and see who offers what!" Wrong. There's an exception to everything. So here I am, a gigantic pile of brochures in front of me that you need a background in analysis to decipher, trudging through OPM's plan comparison tool. And I'm mad. Mad that none of these pamphlets are formatted the same. Mad that they use different measures and terms for the same services. Mad that they're nigh impossible to "side by side." Mad that no one can explain why my premium is going up so much for no new benefits. Mad that even trying to understand the difference between "basic option" and "standard option" is eye-bleedingly tedious. Mad that the reps can't answer questions about levels of coverage compared to their competitors, but can bring up no less than five times that they "cover 52 therapeutic massage visits per calendar year!" It almost feels deliberate - the difficulty here in trying to decide what's best for my family's health. The best response and info I've been able to get are from co-workers enrolled in other plans ... "what did you pay for this, where did you go for that" etc. etc.\ I'm frustrated. This is a major deal for me. I have worked hard to be in a position to provide for my family (we're single income and I'm also the benefits provider) but can't understand it all. I'm frustrated that I feel ignorant and un-educated on something so important. Rant off. Thanks for listening, PF - if you have any tips, I'm happy to listen.

I'm a grown-ass man, and I cannot understand the options available to me for Health/Dental/Vision Insurance.. This is infuriating.

4c029dddd88c413f95c55c6ed926dac1

e2fadf7257264f8e861bc72aa4eda46c

Use the OPM comparison tool, this isn't hard and the feds have a MUCH better process than everywhere I've worked in private industry.

Oh and to address the items you mentioned. Lasik and Orthodontics (for adults) are almost always considered cosmetic and almost never covered. Like 0 dollars. You can use FSA dollars for these items though. In the off chance there was some coverage it would be in your vision and dental policies respectively. Emergency care and out of network. Just depends on the plan. Most DON"T charge an out of network penalty for the emergency room care. Now after the "Emergency" is over, and they admit you and you start getting different care. That might be different. Also there is a difference between a hospital ER, an Urgent Care clinic, and convenient care clinic and a standalone ER facility. They likely all have different rules. Keep in mind also that doctors AND facilities can be in or out of network. So "St. Josephs Hospital" might be in your network, but the anesthesiologist Dr. Vikek Patel (who is an independent provider) might not be. Some insurance plans will give you just reduced coverage for out of network and others will give you 0. You just have to read the fine print. Its a giant pain in the ass.

personalfinance

3vy6a0

I'll try not to rant for too long here.. Federal employee, married, two young children. I'm not MENSA material, but I'm no dolt either. Current health insurance is going up by over $500 this year. As far as I can tell, for no increase in coverage. We were not unhappy, but also not pleased with our insurance the last two years, but a catastrophic accident and the birth of two kids planted me firmly in the "we're not changing anything in the middle of this" mindset. So now, here it is, open season, and my family is shopping around. We know a few things * First, our current FSA option sucks; it's so cumbersome that it's not worth my time. It's literally money thrown away because I can't get reimbursed through their online program for anything without it going through two different rejections and having to write a statement for each item. A single $2 bottle of Hydrogen Peroxide, submit the receipt, picture of the label, address of the store purchased at .. rejected. More back and forth, submitting screenshots of bank statements with purchases notated, finally accepted. Sweet, only took me 2+ hours to get my $2 back - NOT worth the time, especially not when extrapolated to a hundred or so purchases. Co-pays, large bills, even those are a headache to get back. Watched hundreds of dollars just disappear last year unused from the FSA.. So, we'd like to shift to a high deductible HSA-eligible plan; I'd really like to just have a card in my wallet we only swipe for medical related expenses - that's something we can manage easily. * Next, I'd like to look into invisalign/ braces to fix some issues I wish my parents had when I was younger. * After that, my wife would like to look at Lasik. If not that, then her best options for good vision coverage. * Most importantly, we don't want to have to worry about walking into the "wrong" doctor's office if one of our kids has an emergency. Just got back from my employer's "health fair" (30+ reps packed into 600ish sq. ft.) and could not be more disappointed. I pulled my benefits statements before going over so I'd know what I'm currently covered for and paying in co-pays etc. thinking "this will make it easy, I'll just go down the list and see who offers what!" Wrong. There's an exception to everything. So here I am, a gigantic pile of brochures in front of me that you need a background in analysis to decipher, trudging through OPM's plan comparison tool. And I'm mad. Mad that none of these pamphlets are formatted the same. Mad that they use different measures and terms for the same services. Mad that they're nigh impossible to "side by side." Mad that no one can explain why my premium is going up so much for no new benefits. Mad that even trying to understand the difference between "basic option" and "standard option" is eye-bleedingly tedious. Mad that the reps can't answer questions about levels of coverage compared to their competitors, but can bring up no less than five times that they "cover 52 therapeutic massage visits per calendar year!" It almost feels deliberate - the difficulty here in trying to decide what's best for my family's health. The best response and info I've been able to get are from co-workers enrolled in other plans ... "what did you pay for this, where did you go for that" etc. etc.\ I'm frustrated. This is a major deal for me. I have worked hard to be in a position to provide for my family (we're single income and I'm also the benefits provider) but can't understand it all. I'm frustrated that I feel ignorant and un-educated on something so important. Rant off. Thanks for listening, PF - if you have any tips, I'm happy to listen.

I'm a grown-ass man, and I cannot understand the options available to me for Health/Dental/Vision Insurance.. This is infuriating.

4c029dddd88c413f95c55c6ed926dac1

1ebb753cdcb64ffca7eb94aa87a13caa

Use the OPM comparison tool, this isn't hard and the feds have a MUCH better process than everywhere I've worked in private industry.

So a few things. One costs are going up likely because a lot of the ACA required stuff has encouraged more people to actually seek out care and use their insurance. One of the secrets of insurance was that if no one uses it because they are afraid of having to pay out of pocket, then the insurance company wins. But when things like preventive care are mandated to be covered (typically for free), people use them. So now you have members that used to have basically 0 health expense now with 3-500 expense. That has to be paid by someone, and with the way insurance works, the costs get spread across all the members. We don't treat (at least not anymore) health insurance like cars. Otherwise it would cost 10 bucks a year for a 19 year old and 60,000 a year for a 60 year old. Now as far as understanding it, do you have specific questions? For the most part if you understand the terms, copay, deductible, out of pocket max, and coinsurance. You should be able to figure it out. Then after that its usually a matter of looking at the exclusions and special cases. Maybe plan A has a $500 maternity option whereas plan B just routes all maternity care thru the standard deductible and coinsurance rules. I've been working in healthcare for about 10 years, with a fair bit of experience with insurance from the provider side, so I can try to help you understand things if you have a specific question.

personalfinance

3vy6a0

I'll try not to rant for too long here.. Federal employee, married, two young children. I'm not MENSA material, but I'm no dolt either. Current health insurance is going up by over $500 this year. As far as I can tell, for no increase in coverage. We were not unhappy, but also not pleased with our insurance the last two years, but a catastrophic accident and the birth of two kids planted me firmly in the "we're not changing anything in the middle of this" mindset. So now, here it is, open season, and my family is shopping around. We know a few things * First, our current FSA option sucks; it's so cumbersome that it's not worth my time. It's literally money thrown away because I can't get reimbursed through their online program for anything without it going through two different rejections and having to write a statement for each item. A single $2 bottle of Hydrogen Peroxide, submit the receipt, picture of the label, address of the store purchased at .. rejected. More back and forth, submitting screenshots of bank statements with purchases notated, finally accepted. Sweet, only took me 2+ hours to get my $2 back - NOT worth the time, especially not when extrapolated to a hundred or so purchases. Co-pays, large bills, even those are a headache to get back. Watched hundreds of dollars just disappear last year unused from the FSA.. So, we'd like to shift to a high deductible HSA-eligible plan; I'd really like to just have a card in my wallet we only swipe for medical related expenses - that's something we can manage easily. * Next, I'd like to look into invisalign/ braces to fix some issues I wish my parents had when I was younger. * After that, my wife would like to look at Lasik. If not that, then her best options for good vision coverage. * Most importantly, we don't want to have to worry about walking into the "wrong" doctor's office if one of our kids has an emergency. Just got back from my employer's "health fair" (30+ reps packed into 600ish sq. ft.) and could not be more disappointed. I pulled my benefits statements before going over so I'd know what I'm currently covered for and paying in co-pays etc. thinking "this will make it easy, I'll just go down the list and see who offers what!" Wrong. There's an exception to everything. So here I am, a gigantic pile of brochures in front of me that you need a background in analysis to decipher, trudging through OPM's plan comparison tool. And I'm mad. Mad that none of these pamphlets are formatted the same. Mad that they use different measures and terms for the same services. Mad that they're nigh impossible to "side by side." Mad that no one can explain why my premium is going up so much for no new benefits. Mad that even trying to understand the difference between "basic option" and "standard option" is eye-bleedingly tedious. Mad that the reps can't answer questions about levels of coverage compared to their competitors, but can bring up no less than five times that they "cover 52 therapeutic massage visits per calendar year!" It almost feels deliberate - the difficulty here in trying to decide what's best for my family's health. The best response and info I've been able to get are from co-workers enrolled in other plans ... "what did you pay for this, where did you go for that" etc. etc.\ I'm frustrated. This is a major deal for me. I have worked hard to be in a position to provide for my family (we're single income and I'm also the benefits provider) but can't understand it all. I'm frustrated that I feel ignorant and un-educated on something so important. Rant off. Thanks for listening, PF - if you have any tips, I'm happy to listen.

I'm a grown-ass man, and I cannot understand the options available to me for Health/Dental/Vision Insurance.. This is infuriating.

4c029dddd88c413f95c55c6ed926dac1

d38d43156c39400baf3a5c77d90705b0

Use the OPM comparison tool, this isn't hard and the feds have a MUCH better process than everywhere I've worked in private industry.

Oh and to address the items you mentioned. Lasik and Orthodontics (for adults) are almost always considered cosmetic and almost never covered. Like 0 dollars. You can use FSA dollars for these items though. In the off chance there was some coverage it would be in your vision and dental policies respectively. Emergency care and out of network. Just depends on the plan. Most DON"T charge an out of network penalty for the emergency room care. Now after the "Emergency" is over, and they admit you and you start getting different care. That might be different. Also there is a difference between a hospital ER, an Urgent Care clinic, and convenient care clinic and a standalone ER facility. They likely all have different rules. Keep in mind also that doctors AND facilities can be in or out of network. So "St. Josephs Hospital" might be in your network, but the anesthesiologist Dr. Vikek Patel (who is an independent provider) might not be. Some insurance plans will give you just reduced coverage for out of network and others will give you 0. You just have to read the fine print. Its a giant pain in the ass.

personalfinance

3vy6a0

I'll try not to rant for too long here.. Federal employee, married, two young children. I'm not MENSA material, but I'm no dolt either. Current health insurance is going up by over $500 this year. As far as I can tell, for no increase in coverage. We were not unhappy, but also not pleased with our insurance the last two years, but a catastrophic accident and the birth of two kids planted me firmly in the "we're not changing anything in the middle of this" mindset. So now, here it is, open season, and my family is shopping around. We know a few things * First, our current FSA option sucks; it's so cumbersome that it's not worth my time. It's literally money thrown away because I can't get reimbursed through their online program for anything without it going through two different rejections and having to write a statement for each item. A single $2 bottle of Hydrogen Peroxide, submit the receipt, picture of the label, address of the store purchased at .. rejected. More back and forth, submitting screenshots of bank statements with purchases notated, finally accepted. Sweet, only took me 2+ hours to get my $2 back - NOT worth the time, especially not when extrapolated to a hundred or so purchases. Co-pays, large bills, even those are a headache to get back. Watched hundreds of dollars just disappear last year unused from the FSA.. So, we'd like to shift to a high deductible HSA-eligible plan; I'd really like to just have a card in my wallet we only swipe for medical related expenses - that's something we can manage easily. * Next, I'd like to look into invisalign/ braces to fix some issues I wish my parents had when I was younger. * After that, my wife would like to look at Lasik. If not that, then her best options for good vision coverage. * Most importantly, we don't want to have to worry about walking into the "wrong" doctor's office if one of our kids has an emergency. Just got back from my employer's "health fair" (30+ reps packed into 600ish sq. ft.) and could not be more disappointed. I pulled my benefits statements before going over so I'd know what I'm currently covered for and paying in co-pays etc. thinking "this will make it easy, I'll just go down the list and see who offers what!" Wrong. There's an exception to everything. So here I am, a gigantic pile of brochures in front of me that you need a background in analysis to decipher, trudging through OPM's plan comparison tool. And I'm mad. Mad that none of these pamphlets are formatted the same. Mad that they use different measures and terms for the same services. Mad that they're nigh impossible to "side by side." Mad that no one can explain why my premium is going up so much for no new benefits. Mad that even trying to understand the difference between "basic option" and "standard option" is eye-bleedingly tedious. Mad that the reps can't answer questions about levels of coverage compared to their competitors, but can bring up no less than five times that they "cover 52 therapeutic massage visits per calendar year!" It almost feels deliberate - the difficulty here in trying to decide what's best for my family's health. The best response and info I've been able to get are from co-workers enrolled in other plans ... "what did you pay for this, where did you go for that" etc. etc.\ I'm frustrated. This is a major deal for me. I have worked hard to be in a position to provide for my family (we're single income and I'm also the benefits provider) but can't understand it all. I'm frustrated that I feel ignorant and un-educated on something so important. Rant off. Thanks for listening, PF - if you have any tips, I'm happy to listen.

I'm a grown-ass man, and I cannot understand the options available to me for Health/Dental/Vision Insurance.. This is infuriating.

4c029dddd88c413f95c55c6ed926dac1

4872b2ab592b4dce9fe9eba930c2e3cc

Use the OPM comparison tool, this isn't hard and the feds have a MUCH better process than everywhere I've worked in private industry.

So a few things. One costs are going up likely because a lot of the ACA required stuff has encouraged more people to actually seek out care and use their insurance. One of the secrets of insurance was that if no one uses it because they are afraid of having to pay out of pocket, then the insurance company wins. But when things like preventive care are mandated to be covered (typically for free), people use them. So now you have members that used to have basically 0 health expense now with 3-500 expense. That has to be paid by someone, and with the way insurance works, the costs get spread across all the members. We don't treat (at least not anymore) health insurance like cars. Otherwise it would cost 10 bucks a year for a 19 year old and 60,000 a year for a 60 year old. Now as far as understanding it, do you have specific questions? For the most part if you understand the terms, copay, deductible, out of pocket max, and coinsurance. You should be able to figure it out. Then after that its usually a matter of looking at the exclusions and special cases. Maybe plan A has a $500 maternity option whereas plan B just routes all maternity care thru the standard deductible and coinsurance rules. I've been working in healthcare for about 10 years, with a fair bit of experience with insurance from the provider side, so I can try to help you understand things if you have a specific question.

personalfinance

3vy6a0

I'll try not to rant for too long here.. Federal employee, married, two young children. I'm not MENSA material, but I'm no dolt either. Current health insurance is going up by over $500 this year. As far as I can tell, for no increase in coverage. We were not unhappy, but also not pleased with our insurance the last two years, but a catastrophic accident and the birth of two kids planted me firmly in the "we're not changing anything in the middle of this" mindset. So now, here it is, open season, and my family is shopping around. We know a few things * First, our current FSA option sucks; it's so cumbersome that it's not worth my time. It's literally money thrown away because I can't get reimbursed through their online program for anything without it going through two different rejections and having to write a statement for each item. A single $2 bottle of Hydrogen Peroxide, submit the receipt, picture of the label, address of the store purchased at .. rejected. More back and forth, submitting screenshots of bank statements with purchases notated, finally accepted. Sweet, only took me 2+ hours to get my $2 back - NOT worth the time, especially not when extrapolated to a hundred or so purchases. Co-pays, large bills, even those are a headache to get back. Watched hundreds of dollars just disappear last year unused from the FSA.. So, we'd like to shift to a high deductible HSA-eligible plan; I'd really like to just have a card in my wallet we only swipe for medical related expenses - that's something we can manage easily. * Next, I'd like to look into invisalign/ braces to fix some issues I wish my parents had when I was younger. * After that, my wife would like to look at Lasik. If not that, then her best options for good vision coverage. * Most importantly, we don't want to have to worry about walking into the "wrong" doctor's office if one of our kids has an emergency. Just got back from my employer's "health fair" (30+ reps packed into 600ish sq. ft.) and could not be more disappointed. I pulled my benefits statements before going over so I'd know what I'm currently covered for and paying in co-pays etc. thinking "this will make it easy, I'll just go down the list and see who offers what!" Wrong. There's an exception to everything. So here I am, a gigantic pile of brochures in front of me that you need a background in analysis to decipher, trudging through OPM's plan comparison tool. And I'm mad. Mad that none of these pamphlets are formatted the same. Mad that they use different measures and terms for the same services. Mad that they're nigh impossible to "side by side." Mad that no one can explain why my premium is going up so much for no new benefits. Mad that even trying to understand the difference between "basic option" and "standard option" is eye-bleedingly tedious. Mad that the reps can't answer questions about levels of coverage compared to their competitors, but can bring up no less than five times that they "cover 52 therapeutic massage visits per calendar year!" It almost feels deliberate - the difficulty here in trying to decide what's best for my family's health. The best response and info I've been able to get are from co-workers enrolled in other plans ... "what did you pay for this, where did you go for that" etc. etc.\ I'm frustrated. This is a major deal for me. I have worked hard to be in a position to provide for my family (we're single income and I'm also the benefits provider) but can't understand it all. I'm frustrated that I feel ignorant and un-educated on something so important. Rant off. Thanks for listening, PF - if you have any tips, I'm happy to listen.

I'm a grown-ass man, and I cannot understand the options available to me for Health/Dental/Vision Insurance.. This is infuriating.

4c029dddd88c413f95c55c6ed926dac1

38d4f3dae6204bc5a9665fdd2145c715

Use the OPM comparison tool, this isn't hard and the feds have a MUCH better process than everywhere I've worked in private industry.

Oh and to address the items you mentioned. Lasik and Orthodontics (for adults) are almost always considered cosmetic and almost never covered. Like 0 dollars. You can use FSA dollars for these items though. In the off chance there was some coverage it would be in your vision and dental policies respectively. Emergency care and out of network. Just depends on the plan. Most DON"T charge an out of network penalty for the emergency room care. Now after the "Emergency" is over, and they admit you and you start getting different care. That might be different. Also there is a difference between a hospital ER, an Urgent Care clinic, and convenient care clinic and a standalone ER facility. They likely all have different rules. Keep in mind also that doctors AND facilities can be in or out of network. So "St. Josephs Hospital" might be in your network, but the anesthesiologist Dr. Vikek Patel (who is an independent provider) might not be. Some insurance plans will give you just reduced coverage for out of network and others will give you 0. You just have to read the fine print. Its a giant pain in the ass.

personalfinance

3vy6a0

I'll try not to rant for too long here.. Federal employee, married, two young children. I'm not MENSA material, but I'm no dolt either. Current health insurance is going up by over $500 this year. As far as I can tell, for no increase in coverage. We were not unhappy, but also not pleased with our insurance the last two years, but a catastrophic accident and the birth of two kids planted me firmly in the "we're not changing anything in the middle of this" mindset. So now, here it is, open season, and my family is shopping around. We know a few things * First, our current FSA option sucks; it's so cumbersome that it's not worth my time. It's literally money thrown away because I can't get reimbursed through their online program for anything without it going through two different rejections and having to write a statement for each item. A single $2 bottle of Hydrogen Peroxide, submit the receipt, picture of the label, address of the store purchased at .. rejected. More back and forth, submitting screenshots of bank statements with purchases notated, finally accepted. Sweet, only took me 2+ hours to get my $2 back - NOT worth the time, especially not when extrapolated to a hundred or so purchases. Co-pays, large bills, even those are a headache to get back. Watched hundreds of dollars just disappear last year unused from the FSA.. So, we'd like to shift to a high deductible HSA-eligible plan; I'd really like to just have a card in my wallet we only swipe for medical related expenses - that's something we can manage easily. * Next, I'd like to look into invisalign/ braces to fix some issues I wish my parents had when I was younger. * After that, my wife would like to look at Lasik. If not that, then her best options for good vision coverage. * Most importantly, we don't want to have to worry about walking into the "wrong" doctor's office if one of our kids has an emergency. Just got back from my employer's "health fair" (30+ reps packed into 600ish sq. ft.) and could not be more disappointed. I pulled my benefits statements before going over so I'd know what I'm currently covered for and paying in co-pays etc. thinking "this will make it easy, I'll just go down the list and see who offers what!" Wrong. There's an exception to everything. So here I am, a gigantic pile of brochures in front of me that you need a background in analysis to decipher, trudging through OPM's plan comparison tool. And I'm mad. Mad that none of these pamphlets are formatted the same. Mad that they use different measures and terms for the same services. Mad that they're nigh impossible to "side by side." Mad that no one can explain why my premium is going up so much for no new benefits. Mad that even trying to understand the difference between "basic option" and "standard option" is eye-bleedingly tedious. Mad that the reps can't answer questions about levels of coverage compared to their competitors, but can bring up no less than five times that they "cover 52 therapeutic massage visits per calendar year!" It almost feels deliberate - the difficulty here in trying to decide what's best for my family's health. The best response and info I've been able to get are from co-workers enrolled in other plans ... "what did you pay for this, where did you go for that" etc. etc.\ I'm frustrated. This is a major deal for me. I have worked hard to be in a position to provide for my family (we're single income and I'm also the benefits provider) but can't understand it all. I'm frustrated that I feel ignorant and un-educated on something so important. Rant off. Thanks for listening, PF - if you have any tips, I'm happy to listen.

I'm a grown-ass man, and I cannot understand the options available to me for Health/Dental/Vision Insurance.. This is infuriating.

4c029dddd88c413f95c55c6ed926dac1

925468a5843047aaa06c3ded464d795b

Use the OPM comparison tool, this isn't hard and the feds have a MUCH better process than everywhere I've worked in private industry.

Orthodontist and former General Dentist here: Dental insurance is a waste of money UNLESS your employer is paying for a good portion of it for you, OR you actually have dental work that needs to be done. If you need to buy it yourself, save your money. If it's offered by the company do your financial due diligence on how much it actually will cost. Also, look into company health flex spending. If all you are receiving is preventative care, you're likely to spend about $200-$400 a year (Exam and cleaning 2x a year, and various xrays 1x a year). If your premium for the dental plan is $600/year for $1000 of "benefit" it's a waste of money. Don't forget that there are copays and deductibles for different procedures and different tiers of insurance. When you have family plans and such is where it gets to be closer to worthwhile. TL;DR: dental insurance depends on what you intend on using it for.

personalfinance

3vy6a0

I'll try not to rant for too long here.. Federal employee, married, two young children. I'm not MENSA material, but I'm no dolt either. Current health insurance is going up by over $500 this year. As far as I can tell, for no increase in coverage. We were not unhappy, but also not pleased with our insurance the last two years, but a catastrophic accident and the birth of two kids planted me firmly in the "we're not changing anything in the middle of this" mindset. So now, here it is, open season, and my family is shopping around. We know a few things * First, our current FSA option sucks; it's so cumbersome that it's not worth my time. It's literally money thrown away because I can't get reimbursed through their online program for anything without it going through two different rejections and having to write a statement for each item. A single $2 bottle of Hydrogen Peroxide, submit the receipt, picture of the label, address of the store purchased at .. rejected. More back and forth, submitting screenshots of bank statements with purchases notated, finally accepted. Sweet, only took me 2+ hours to get my $2 back - NOT worth the time, especially not when extrapolated to a hundred or so purchases. Co-pays, large bills, even those are a headache to get back. Watched hundreds of dollars just disappear last year unused from the FSA.. So, we'd like to shift to a high deductible HSA-eligible plan; I'd really like to just have a card in my wallet we only swipe for medical related expenses - that's something we can manage easily. * Next, I'd like to look into invisalign/ braces to fix some issues I wish my parents had when I was younger. * After that, my wife would like to look at Lasik. If not that, then her best options for good vision coverage. * Most importantly, we don't want to have to worry about walking into the "wrong" doctor's office if one of our kids has an emergency. Just got back from my employer's "health fair" (30+ reps packed into 600ish sq. ft.) and could not be more disappointed. I pulled my benefits statements before going over so I'd know what I'm currently covered for and paying in co-pays etc. thinking "this will make it easy, I'll just go down the list and see who offers what!" Wrong. There's an exception to everything. So here I am, a gigantic pile of brochures in front of me that you need a background in analysis to decipher, trudging through OPM's plan comparison tool. And I'm mad. Mad that none of these pamphlets are formatted the same. Mad that they use different measures and terms for the same services. Mad that they're nigh impossible to "side by side." Mad that no one can explain why my premium is going up so much for no new benefits. Mad that even trying to understand the difference between "basic option" and "standard option" is eye-bleedingly tedious. Mad that the reps can't answer questions about levels of coverage compared to their competitors, but can bring up no less than five times that they "cover 52 therapeutic massage visits per calendar year!" It almost feels deliberate - the difficulty here in trying to decide what's best for my family's health. The best response and info I've been able to get are from co-workers enrolled in other plans ... "what did you pay for this, where did you go for that" etc. etc.\ I'm frustrated. This is a major deal for me. I have worked hard to be in a position to provide for my family (we're single income and I'm also the benefits provider) but can't understand it all. I'm frustrated that I feel ignorant and un-educated on something so important. Rant off. Thanks for listening, PF - if you have any tips, I'm happy to listen.

I'm a grown-ass man, and I cannot understand the options available to me for Health/Dental/Vision Insurance.. This is infuriating.

4c029dddd88c413f95c55c6ed926dac1

1a210bb66fd54b0489880b7a96e8d8c6

Use the OPM comparison tool, this isn't hard and the feds have a MUCH better process than everywhere I've worked in private industry.

I was under the impression that all plans are now required to have a 1-page summary sheet available that shows most of the important information. I'd start by looking for those online.

personalfinance

3vy6a0

I'll try not to rant for too long here.. Federal employee, married, two young children. I'm not MENSA material, but I'm no dolt either. Current health insurance is going up by over $500 this year. As far as I can tell, for no increase in coverage. We were not unhappy, but also not pleased with our insurance the last two years, but a catastrophic accident and the birth of two kids planted me firmly in the "we're not changing anything in the middle of this" mindset. So now, here it is, open season, and my family is shopping around. We know a few things * First, our current FSA option sucks; it's so cumbersome that it's not worth my time. It's literally money thrown away because I can't get reimbursed through their online program for anything without it going through two different rejections and having to write a statement for each item. A single $2 bottle of Hydrogen Peroxide, submit the receipt, picture of the label, address of the store purchased at .. rejected. More back and forth, submitting screenshots of bank statements with purchases notated, finally accepted. Sweet, only took me 2+ hours to get my $2 back - NOT worth the time, especially not when extrapolated to a hundred or so purchases. Co-pays, large bills, even those are a headache to get back. Watched hundreds of dollars just disappear last year unused from the FSA.. So, we'd like to shift to a high deductible HSA-eligible plan; I'd really like to just have a card in my wallet we only swipe for medical related expenses - that's something we can manage easily. * Next, I'd like to look into invisalign/ braces to fix some issues I wish my parents had when I was younger. * After that, my wife would like to look at Lasik. If not that, then her best options for good vision coverage. * Most importantly, we don't want to have to worry about walking into the "wrong" doctor's office if one of our kids has an emergency. Just got back from my employer's "health fair" (30+ reps packed into 600ish sq. ft.) and could not be more disappointed. I pulled my benefits statements before going over so I'd know what I'm currently covered for and paying in co-pays etc. thinking "this will make it easy, I'll just go down the list and see who offers what!" Wrong. There's an exception to everything. So here I am, a gigantic pile of brochures in front of me that you need a background in analysis to decipher, trudging through OPM's plan comparison tool. And I'm mad. Mad that none of these pamphlets are formatted the same. Mad that they use different measures and terms for the same services. Mad that they're nigh impossible to "side by side." Mad that no one can explain why my premium is going up so much for no new benefits. Mad that even trying to understand the difference between "basic option" and "standard option" is eye-bleedingly tedious. Mad that the reps can't answer questions about levels of coverage compared to their competitors, but can bring up no less than five times that they "cover 52 therapeutic massage visits per calendar year!" It almost feels deliberate - the difficulty here in trying to decide what's best for my family's health. The best response and info I've been able to get are from co-workers enrolled in other plans ... "what did you pay for this, where did you go for that" etc. etc.\ I'm frustrated. This is a major deal for me. I have worked hard to be in a position to provide for my family (we're single income and I'm also the benefits provider) but can't understand it all. I'm frustrated that I feel ignorant and un-educated on something so important. Rant off. Thanks for listening, PF - if you have any tips, I'm happy to listen.

I'm a grown-ass man, and I cannot understand the options available to me for Health/Dental/Vision Insurance.. This is infuriating.

4c029dddd88c413f95c55c6ed926dac1

11e024a68a0549e2bd8862c7cb2956f3

Use the OPM comparison tool, this isn't hard and the feds have a MUCH better process than everywhere I've worked in private industry.

Oh and to address the items you mentioned. Lasik and Orthodontics (for adults) are almost always considered cosmetic and almost never covered. Like 0 dollars. You can use FSA dollars for these items though. In the off chance there was some coverage it would be in your vision and dental policies respectively. Emergency care and out of network. Just depends on the plan. Most DON"T charge an out of network penalty for the emergency room care. Now after the "Emergency" is over, and they admit you and you start getting different care. That might be different. Also there is a difference between a hospital ER, an Urgent Care clinic, and convenient care clinic and a standalone ER facility. They likely all have different rules. Keep in mind also that doctors AND facilities can be in or out of network. So "St. Josephs Hospital" might be in your network, but the anesthesiologist Dr. Vikek Patel (who is an independent provider) might not be. Some insurance plans will give you just reduced coverage for out of network and others will give you 0. You just have to read the fine print. Its a giant pain in the ass.

personalfinance

3vy6a0

I'll try not to rant for too long here.. Federal employee, married, two young children. I'm not MENSA material, but I'm no dolt either. Current health insurance is going up by over $500 this year. As far as I can tell, for no increase in coverage. We were not unhappy, but also not pleased with our insurance the last two years, but a catastrophic accident and the birth of two kids planted me firmly in the "we're not changing anything in the middle of this" mindset. So now, here it is, open season, and my family is shopping around. We know a few things * First, our current FSA option sucks; it's so cumbersome that it's not worth my time. It's literally money thrown away because I can't get reimbursed through their online program for anything without it going through two different rejections and having to write a statement for each item. A single $2 bottle of Hydrogen Peroxide, submit the receipt, picture of the label, address of the store purchased at .. rejected. More back and forth, submitting screenshots of bank statements with purchases notated, finally accepted. Sweet, only took me 2+ hours to get my $2 back - NOT worth the time, especially not when extrapolated to a hundred or so purchases. Co-pays, large bills, even those are a headache to get back. Watched hundreds of dollars just disappear last year unused from the FSA.. So, we'd like to shift to a high deductible HSA-eligible plan; I'd really like to just have a card in my wallet we only swipe for medical related expenses - that's something we can manage easily. * Next, I'd like to look into invisalign/ braces to fix some issues I wish my parents had when I was younger. * After that, my wife would like to look at Lasik. If not that, then her best options for good vision coverage. * Most importantly, we don't want to have to worry about walking into the "wrong" doctor's office if one of our kids has an emergency. Just got back from my employer's "health fair" (30+ reps packed into 600ish sq. ft.) and could not be more disappointed. I pulled my benefits statements before going over so I'd know what I'm currently covered for and paying in co-pays etc. thinking "this will make it easy, I'll just go down the list and see who offers what!" Wrong. There's an exception to everything. So here I am, a gigantic pile of brochures in front of me that you need a background in analysis to decipher, trudging through OPM's plan comparison tool. And I'm mad. Mad that none of these pamphlets are formatted the same. Mad that they use different measures and terms for the same services. Mad that they're nigh impossible to "side by side." Mad that no one can explain why my premium is going up so much for no new benefits. Mad that even trying to understand the difference between "basic option" and "standard option" is eye-bleedingly tedious. Mad that the reps can't answer questions about levels of coverage compared to their competitors, but can bring up no less than five times that they "cover 52 therapeutic massage visits per calendar year!" It almost feels deliberate - the difficulty here in trying to decide what's best for my family's health. The best response and info I've been able to get are from co-workers enrolled in other plans ... "what did you pay for this, where did you go for that" etc. etc.\ I'm frustrated. This is a major deal for me. I have worked hard to be in a position to provide for my family (we're single income and I'm also the benefits provider) but can't understand it all. I'm frustrated that I feel ignorant and un-educated on something so important. Rant off. Thanks for listening, PF - if you have any tips, I'm happy to listen.

I'm a grown-ass man, and I cannot understand the options available to me for Health/Dental/Vision Insurance.. This is infuriating.

4c029dddd88c413f95c55c6ed926dac1

8d3e030ab295444ab7d43f2310d9f87a

Use the OPM comparison tool, this isn't hard and the feds have a MUCH better process than everywhere I've worked in private industry.

Orthodontist and former General Dentist here: Dental insurance is a waste of money UNLESS your employer is paying for a good portion of it for you, OR you actually have dental work that needs to be done. If you need to buy it yourself, save your money. If it's offered by the company do your financial due diligence on how much it actually will cost. Also, look into company health flex spending. If all you are receiving is preventative care, you're likely to spend about $200-$400 a year (Exam and cleaning 2x a year, and various xrays 1x a year). If your premium for the dental plan is $600/year for $1000 of "benefit" it's a waste of money. Don't forget that there are copays and deductibles for different procedures and different tiers of insurance. When you have family plans and such is where it gets to be closer to worthwhile. TL;DR: dental insurance depends on what you intend on using it for.

personalfinance

3vy6a0

I'll try not to rant for too long here.. Federal employee, married, two young children. I'm not MENSA material, but I'm no dolt either. Current health insurance is going up by over $500 this year. As far as I can tell, for no increase in coverage. We were not unhappy, but also not pleased with our insurance the last two years, but a catastrophic accident and the birth of two kids planted me firmly in the "we're not changing anything in the middle of this" mindset. So now, here it is, open season, and my family is shopping around. We know a few things * First, our current FSA option sucks; it's so cumbersome that it's not worth my time. It's literally money thrown away because I can't get reimbursed through their online program for anything without it going through two different rejections and having to write a statement for each item. A single $2 bottle of Hydrogen Peroxide, submit the receipt, picture of the label, address of the store purchased at .. rejected. More back and forth, submitting screenshots of bank statements with purchases notated, finally accepted. Sweet, only took me 2+ hours to get my $2 back - NOT worth the time, especially not when extrapolated to a hundred or so purchases. Co-pays, large bills, even those are a headache to get back. Watched hundreds of dollars just disappear last year unused from the FSA.. So, we'd like to shift to a high deductible HSA-eligible plan; I'd really like to just have a card in my wallet we only swipe for medical related expenses - that's something we can manage easily. * Next, I'd like to look into invisalign/ braces to fix some issues I wish my parents had when I was younger. * After that, my wife would like to look at Lasik. If not that, then her best options for good vision coverage. * Most importantly, we don't want to have to worry about walking into the "wrong" doctor's office if one of our kids has an emergency. Just got back from my employer's "health fair" (30+ reps packed into 600ish sq. ft.) and could not be more disappointed. I pulled my benefits statements before going over so I'd know what I'm currently covered for and paying in co-pays etc. thinking "this will make it easy, I'll just go down the list and see who offers what!" Wrong. There's an exception to everything. So here I am, a gigantic pile of brochures in front of me that you need a background in analysis to decipher, trudging through OPM's plan comparison tool. And I'm mad. Mad that none of these pamphlets are formatted the same. Mad that they use different measures and terms for the same services. Mad that they're nigh impossible to "side by side." Mad that no one can explain why my premium is going up so much for no new benefits. Mad that even trying to understand the difference between "basic option" and "standard option" is eye-bleedingly tedious. Mad that the reps can't answer questions about levels of coverage compared to their competitors, but can bring up no less than five times that they "cover 52 therapeutic massage visits per calendar year!" It almost feels deliberate - the difficulty here in trying to decide what's best for my family's health. The best response and info I've been able to get are from co-workers enrolled in other plans ... "what did you pay for this, where did you go for that" etc. etc.\ I'm frustrated. This is a major deal for me. I have worked hard to be in a position to provide for my family (we're single income and I'm also the benefits provider) but can't understand it all. I'm frustrated that I feel ignorant and un-educated on something so important. Rant off. Thanks for listening, PF - if you have any tips, I'm happy to listen.

I'm a grown-ass man, and I cannot understand the options available to me for Health/Dental/Vision Insurance.. This is infuriating.

4c029dddd88c413f95c55c6ed926dac1

5cfa505ea8b340f58801cd0837356150

Use the OPM comparison tool, this isn't hard and the feds have a MUCH better process than everywhere I've worked in private industry.

I'm an MD and I don't understand either side (insurance/medicare wise) of this cluster fuck we call healthcare. Whatever happened to just paying for a service? Now we employ armies of coders etc in order to extract a partial payment from the insurance who say we are owed more than we'd bill straight out. By a wide margin.

personalfinance

3vy6a0

I'll try not to rant for too long here.. Federal employee, married, two young children. I'm not MENSA material, but I'm no dolt either. Current health insurance is going up by over $500 this year. As far as I can tell, for no increase in coverage. We were not unhappy, but also not pleased with our insurance the last two years, but a catastrophic accident and the birth of two kids planted me firmly in the "we're not changing anything in the middle of this" mindset. So now, here it is, open season, and my family is shopping around. We know a few things * First, our current FSA option sucks; it's so cumbersome that it's not worth my time. It's literally money thrown away because I can't get reimbursed through their online program for anything without it going through two different rejections and having to write a statement for each item. A single $2 bottle of Hydrogen Peroxide, submit the receipt, picture of the label, address of the store purchased at .. rejected. More back and forth, submitting screenshots of bank statements with purchases notated, finally accepted. Sweet, only took me 2+ hours to get my $2 back - NOT worth the time, especially not when extrapolated to a hundred or so purchases. Co-pays, large bills, even those are a headache to get back. Watched hundreds of dollars just disappear last year unused from the FSA.. So, we'd like to shift to a high deductible HSA-eligible plan; I'd really like to just have a card in my wallet we only swipe for medical related expenses - that's something we can manage easily. * Next, I'd like to look into invisalign/ braces to fix some issues I wish my parents had when I was younger. * After that, my wife would like to look at Lasik. If not that, then her best options for good vision coverage. * Most importantly, we don't want to have to worry about walking into the "wrong" doctor's office if one of our kids has an emergency. Just got back from my employer's "health fair" (30+ reps packed into 600ish sq. ft.) and could not be more disappointed. I pulled my benefits statements before going over so I'd know what I'm currently covered for and paying in co-pays etc. thinking "this will make it easy, I'll just go down the list and see who offers what!" Wrong. There's an exception to everything. So here I am, a gigantic pile of brochures in front of me that you need a background in analysis to decipher, trudging through OPM's plan comparison tool. And I'm mad. Mad that none of these pamphlets are formatted the same. Mad that they use different measures and terms for the same services. Mad that they're nigh impossible to "side by side." Mad that no one can explain why my premium is going up so much for no new benefits. Mad that even trying to understand the difference between "basic option" and "standard option" is eye-bleedingly tedious. Mad that the reps can't answer questions about levels of coverage compared to their competitors, but can bring up no less than five times that they "cover 52 therapeutic massage visits per calendar year!" It almost feels deliberate - the difficulty here in trying to decide what's best for my family's health. The best response and info I've been able to get are from co-workers enrolled in other plans ... "what did you pay for this, where did you go for that" etc. etc.\ I'm frustrated. This is a major deal for me. I have worked hard to be in a position to provide for my family (we're single income and I'm also the benefits provider) but can't understand it all. I'm frustrated that I feel ignorant and un-educated on something so important. Rant off. Thanks for listening, PF - if you have any tips, I'm happy to listen.

I'm a grown-ass man, and I cannot understand the options available to me for Health/Dental/Vision Insurance.. This is infuriating.

4c029dddd88c413f95c55c6ed926dac1

b0fab35fd959454db8ce3def9de4a6a4

Use the OPM comparison tool, this isn't hard and the feds have a MUCH better process than everywhere I've worked in private industry.

I'm sure there will be plenty of criticism here about this response, but here's what I've done: Does the HSA your employer offer roll over? If so, I sign up for this, and set the contribution amount to be the same as if I was paying for the other insurance (the traditional plan) minus the cost of the HSA. Say the traditional insurance is $200 per pay period, and the HSA is $50. I set my contribution at $150 per pay period, so my out of pocket costs are the same. Then, after a few months, I have enough money in the account to cover my typical medical expenses (cough/cold, etc.) and screenings are free. I look at it like this: I don't go to the doctor often, nor does my spouse. If we did, an HSA would probably not work. However, our out of pocket expenses are the same, and instead of giving the money to an insurance company in the form of premiums, we're paying into an account that will eventually turn into either retirement savings or get spent on medical expenses. This is highly dependent on your situation.

personalfinance

3vy6a0

I'll try not to rant for too long here.. Federal employee, married, two young children. I'm not MENSA material, but I'm no dolt either. Current health insurance is going up by over $500 this year. As far as I can tell, for no increase in coverage. We were not unhappy, but also not pleased with our insurance the last two years, but a catastrophic accident and the birth of two kids planted me firmly in the "we're not changing anything in the middle of this" mindset. So now, here it is, open season, and my family is shopping around. We know a few things * First, our current FSA option sucks; it's so cumbersome that it's not worth my time. It's literally money thrown away because I can't get reimbursed through their online program for anything without it going through two different rejections and having to write a statement for each item. A single $2 bottle of Hydrogen Peroxide, submit the receipt, picture of the label, address of the store purchased at .. rejected. More back and forth, submitting screenshots of bank statements with purchases notated, finally accepted. Sweet, only took me 2+ hours to get my $2 back - NOT worth the time, especially not when extrapolated to a hundred or so purchases. Co-pays, large bills, even those are a headache to get back. Watched hundreds of dollars just disappear last year unused from the FSA.. So, we'd like to shift to a high deductible HSA-eligible plan; I'd really like to just have a card in my wallet we only swipe for medical related expenses - that's something we can manage easily. * Next, I'd like to look into invisalign/ braces to fix some issues I wish my parents had when I was younger. * After that, my wife would like to look at Lasik. If not that, then her best options for good vision coverage. * Most importantly, we don't want to have to worry about walking into the "wrong" doctor's office if one of our kids has an emergency. Just got back from my employer's "health fair" (30+ reps packed into 600ish sq. ft.) and could not be more disappointed. I pulled my benefits statements before going over so I'd know what I'm currently covered for and paying in co-pays etc. thinking "this will make it easy, I'll just go down the list and see who offers what!" Wrong. There's an exception to everything. So here I am, a gigantic pile of brochures in front of me that you need a background in analysis to decipher, trudging through OPM's plan comparison tool. And I'm mad. Mad that none of these pamphlets are formatted the same. Mad that they use different measures and terms for the same services. Mad that they're nigh impossible to "side by side." Mad that no one can explain why my premium is going up so much for no new benefits. Mad that even trying to understand the difference between "basic option" and "standard option" is eye-bleedingly tedious. Mad that the reps can't answer questions about levels of coverage compared to their competitors, but can bring up no less than five times that they "cover 52 therapeutic massage visits per calendar year!" It almost feels deliberate - the difficulty here in trying to decide what's best for my family's health. The best response and info I've been able to get are from co-workers enrolled in other plans ... "what did you pay for this, where did you go for that" etc. etc.\ I'm frustrated. This is a major deal for me. I have worked hard to be in a position to provide for my family (we're single income and I'm also the benefits provider) but can't understand it all. I'm frustrated that I feel ignorant and un-educated on something so important. Rant off. Thanks for listening, PF - if you have any tips, I'm happy to listen.

I'm a grown-ass man, and I cannot understand the options available to me for Health/Dental/Vision Insurance.. This is infuriating.

4c029dddd88c413f95c55c6ed926dac1

86503a01ca904fdcb150b82707fa1929

Use the OPM comparison tool, this isn't hard and the feds have a MUCH better process than everywhere I've worked in private industry.

Oh and to address the items you mentioned. Lasik and Orthodontics (for adults) are almost always considered cosmetic and almost never covered. Like 0 dollars. You can use FSA dollars for these items though. In the off chance there was some coverage it would be in your vision and dental policies respectively. Emergency care and out of network. Just depends on the plan. Most DON"T charge an out of network penalty for the emergency room care. Now after the "Emergency" is over, and they admit you and you start getting different care. That might be different. Also there is a difference between a hospital ER, an Urgent Care clinic, and convenient care clinic and a standalone ER facility. They likely all have different rules. Keep in mind also that doctors AND facilities can be in or out of network. So "St. Josephs Hospital" might be in your network, but the anesthesiologist Dr. Vikek Patel (who is an independent provider) might not be. Some insurance plans will give you just reduced coverage for out of network and others will give you 0. You just have to read the fine print. Its a giant pain in the ass.

personalfinance

3vy6a0

I'll try not to rant for too long here.. Federal employee, married, two young children. I'm not MENSA material, but I'm no dolt either. Current health insurance is going up by over $500 this year. As far as I can tell, for no increase in coverage. We were not unhappy, but also not pleased with our insurance the last two years, but a catastrophic accident and the birth of two kids planted me firmly in the "we're not changing anything in the middle of this" mindset. So now, here it is, open season, and my family is shopping around. We know a few things * First, our current FSA option sucks; it's so cumbersome that it's not worth my time. It's literally money thrown away because I can't get reimbursed through their online program for anything without it going through two different rejections and having to write a statement for each item. A single $2 bottle of Hydrogen Peroxide, submit the receipt, picture of the label, address of the store purchased at .. rejected. More back and forth, submitting screenshots of bank statements with purchases notated, finally accepted. Sweet, only took me 2+ hours to get my $2 back - NOT worth the time, especially not when extrapolated to a hundred or so purchases. Co-pays, large bills, even those are a headache to get back. Watched hundreds of dollars just disappear last year unused from the FSA.. So, we'd like to shift to a high deductible HSA-eligible plan; I'd really like to just have a card in my wallet we only swipe for medical related expenses - that's something we can manage easily. * Next, I'd like to look into invisalign/ braces to fix some issues I wish my parents had when I was younger. * After that, my wife would like to look at Lasik. If not that, then her best options for good vision coverage. * Most importantly, we don't want to have to worry about walking into the "wrong" doctor's office if one of our kids has an emergency. Just got back from my employer's "health fair" (30+ reps packed into 600ish sq. ft.) and could not be more disappointed. I pulled my benefits statements before going over so I'd know what I'm currently covered for and paying in co-pays etc. thinking "this will make it easy, I'll just go down the list and see who offers what!" Wrong. There's an exception to everything. So here I am, a gigantic pile of brochures in front of me that you need a background in analysis to decipher, trudging through OPM's plan comparison tool. And I'm mad. Mad that none of these pamphlets are formatted the same. Mad that they use different measures and terms for the same services. Mad that they're nigh impossible to "side by side." Mad that no one can explain why my premium is going up so much for no new benefits. Mad that even trying to understand the difference between "basic option" and "standard option" is eye-bleedingly tedious. Mad that the reps can't answer questions about levels of coverage compared to their competitors, but can bring up no less than five times that they "cover 52 therapeutic massage visits per calendar year!" It almost feels deliberate - the difficulty here in trying to decide what's best for my family's health. The best response and info I've been able to get are from co-workers enrolled in other plans ... "what did you pay for this, where did you go for that" etc. etc.\ I'm frustrated. This is a major deal for me. I have worked hard to be in a position to provide for my family (we're single income and I'm also the benefits provider) but can't understand it all. I'm frustrated that I feel ignorant and un-educated on something so important. Rant off. Thanks for listening, PF - if you have any tips, I'm happy to listen.

I'm a grown-ass man, and I cannot understand the options available to me for Health/Dental/Vision Insurance.. This is infuriating.

4c029dddd88c413f95c55c6ed926dac1

5775ed3ac0ac4e1b96c653da6ec1514d

Use the OPM comparison tool, this isn't hard and the feds have a MUCH better process than everywhere I've worked in private industry.

So a few things. One costs are going up likely because a lot of the ACA required stuff has encouraged more people to actually seek out care and use their insurance. One of the secrets of insurance was that if no one uses it because they are afraid of having to pay out of pocket, then the insurance company wins. But when things like preventive care are mandated to be covered (typically for free), people use them. So now you have members that used to have basically 0 health expense now with 3-500 expense. That has to be paid by someone, and with the way insurance works, the costs get spread across all the members. We don't treat (at least not anymore) health insurance like cars. Otherwise it would cost 10 bucks a year for a 19 year old and 60,000 a year for a 60 year old. Now as far as understanding it, do you have specific questions? For the most part if you understand the terms, copay, deductible, out of pocket max, and coinsurance. You should be able to figure it out. Then after that its usually a matter of looking at the exclusions and special cases. Maybe plan A has a $500 maternity option whereas plan B just routes all maternity care thru the standard deductible and coinsurance rules. I've been working in healthcare for about 10 years, with a fair bit of experience with insurance from the provider side, so I can try to help you understand things if you have a specific question.

personalfinance

3vy6a0

I'll try not to rant for too long here.. Federal employee, married, two young children. I'm not MENSA material, but I'm no dolt either. Current health insurance is going up by over $500 this year. As far as I can tell, for no increase in coverage. We were not unhappy, but also not pleased with our insurance the last two years, but a catastrophic accident and the birth of two kids planted me firmly in the "we're not changing anything in the middle of this" mindset. So now, here it is, open season, and my family is shopping around. We know a few things * First, our current FSA option sucks; it's so cumbersome that it's not worth my time. It's literally money thrown away because I can't get reimbursed through their online program for anything without it going through two different rejections and having to write a statement for each item. A single $2 bottle of Hydrogen Peroxide, submit the receipt, picture of the label, address of the store purchased at .. rejected. More back and forth, submitting screenshots of bank statements with purchases notated, finally accepted. Sweet, only took me 2+ hours to get my $2 back - NOT worth the time, especially not when extrapolated to a hundred or so purchases. Co-pays, large bills, even those are a headache to get back. Watched hundreds of dollars just disappear last year unused from the FSA.. So, we'd like to shift to a high deductible HSA-eligible plan; I'd really like to just have a card in my wallet we only swipe for medical related expenses - that's something we can manage easily. * Next, I'd like to look into invisalign/ braces to fix some issues I wish my parents had when I was younger. * After that, my wife would like to look at Lasik. If not that, then her best options for good vision coverage. * Most importantly, we don't want to have to worry about walking into the "wrong" doctor's office if one of our kids has an emergency. Just got back from my employer's "health fair" (30+ reps packed into 600ish sq. ft.) and could not be more disappointed. I pulled my benefits statements before going over so I'd know what I'm currently covered for and paying in co-pays etc. thinking "this will make it easy, I'll just go down the list and see who offers what!" Wrong. There's an exception to everything. So here I am, a gigantic pile of brochures in front of me that you need a background in analysis to decipher, trudging through OPM's plan comparison tool. And I'm mad. Mad that none of these pamphlets are formatted the same. Mad that they use different measures and terms for the same services. Mad that they're nigh impossible to "side by side." Mad that no one can explain why my premium is going up so much for no new benefits. Mad that even trying to understand the difference between "basic option" and "standard option" is eye-bleedingly tedious. Mad that the reps can't answer questions about levels of coverage compared to their competitors, but can bring up no less than five times that they "cover 52 therapeutic massage visits per calendar year!" It almost feels deliberate - the difficulty here in trying to decide what's best for my family's health. The best response and info I've been able to get are from co-workers enrolled in other plans ... "what did you pay for this, where did you go for that" etc. etc.\ I'm frustrated. This is a major deal for me. I have worked hard to be in a position to provide for my family (we're single income and I'm also the benefits provider) but can't understand it all. I'm frustrated that I feel ignorant and un-educated on something so important. Rant off. Thanks for listening, PF - if you have any tips, I'm happy to listen.

I'm a grown-ass man, and I cannot understand the options available to me for Health/Dental/Vision Insurance.. This is infuriating.

4c029dddd88c413f95c55c6ed926dac1

728fcd7b3eeb457a9fdb5dd922d7265d

Use the OPM comparison tool, this isn't hard and the feds have a MUCH better process than everywhere I've worked in private industry.

All i know is we pay 750 a month for health, vision, and dental. Thats for my wife, myself, and our one kid. Also it goes up every year, which is just stupid. Its just another bill the working class have to pay for. Also I really enjoyed your rant, and let this be known you are not alone when it comes to this shit. They make it difficult for a reason, and all insurance companies basically do this shit. Shopping for car insurance and living in Wayne County (MI) is fucking terrible. Oh my insurance went up 100$ more a month because ive never got a ticket or accident. This also happens yearly. Its just a giant fucking money sink. Just consider this shit the workingmans tax.

personalfinance

3vy6a0

I'll try not to rant for too long here.. Federal employee, married, two young children. I'm not MENSA material, but I'm no dolt either. Current health insurance is going up by over $500 this year. As far as I can tell, for no increase in coverage. We were not unhappy, but also not pleased with our insurance the last two years, but a catastrophic accident and the birth of two kids planted me firmly in the "we're not changing anything in the middle of this" mindset. So now, here it is, open season, and my family is shopping around. We know a few things * First, our current FSA option sucks; it's so cumbersome that it's not worth my time. It's literally money thrown away because I can't get reimbursed through their online program for anything without it going through two different rejections and having to write a statement for each item. A single $2 bottle of Hydrogen Peroxide, submit the receipt, picture of the label, address of the store purchased at .. rejected. More back and forth, submitting screenshots of bank statements with purchases notated, finally accepted. Sweet, only took me 2+ hours to get my $2 back - NOT worth the time, especially not when extrapolated to a hundred or so purchases. Co-pays, large bills, even those are a headache to get back. Watched hundreds of dollars just disappear last year unused from the FSA.. So, we'd like to shift to a high deductible HSA-eligible plan; I'd really like to just have a card in my wallet we only swipe for medical related expenses - that's something we can manage easily. * Next, I'd like to look into invisalign/ braces to fix some issues I wish my parents had when I was younger. * After that, my wife would like to look at Lasik. If not that, then her best options for good vision coverage. * Most importantly, we don't want to have to worry about walking into the "wrong" doctor's office if one of our kids has an emergency. Just got back from my employer's "health fair" (30+ reps packed into 600ish sq. ft.) and could not be more disappointed. I pulled my benefits statements before going over so I'd know what I'm currently covered for and paying in co-pays etc. thinking "this will make it easy, I'll just go down the list and see who offers what!" Wrong. There's an exception to everything. So here I am, a gigantic pile of brochures in front of me that you need a background in analysis to decipher, trudging through OPM's plan comparison tool. And I'm mad. Mad that none of these pamphlets are formatted the same. Mad that they use different measures and terms for the same services. Mad that they're nigh impossible to "side by side." Mad that no one can explain why my premium is going up so much for no new benefits. Mad that even trying to understand the difference between "basic option" and "standard option" is eye-bleedingly tedious. Mad that the reps can't answer questions about levels of coverage compared to their competitors, but can bring up no less than five times that they "cover 52 therapeutic massage visits per calendar year!" It almost feels deliberate - the difficulty here in trying to decide what's best for my family's health. The best response and info I've been able to get are from co-workers enrolled in other plans ... "what did you pay for this, where did you go for that" etc. etc.\ I'm frustrated. This is a major deal for me. I have worked hard to be in a position to provide for my family (we're single income and I'm also the benefits provider) but can't understand it all. I'm frustrated that I feel ignorant and un-educated on something so important. Rant off. Thanks for listening, PF - if you have any tips, I'm happy to listen.

I'm a grown-ass man, and I cannot understand the options available to me for Health/Dental/Vision Insurance.. This is infuriating.

4c029dddd88c413f95c55c6ed926dac1

f30872096e8249b381e0eb56bf26ae03

Use the OPM comparison tool, this isn't hard and the feds have a MUCH better process than everywhere I've worked in private industry.

Orthodontist and former General Dentist here: Dental insurance is a waste of money UNLESS your employer is paying for a good portion of it for you, OR you actually have dental work that needs to be done. If you need to buy it yourself, save your money. If it's offered by the company do your financial due diligence on how much it actually will cost. Also, look into company health flex spending. If all you are receiving is preventative care, you're likely to spend about $200-$400 a year (Exam and cleaning 2x a year, and various xrays 1x a year). If your premium for the dental plan is $600/year for $1000 of "benefit" it's a waste of money. Don't forget that there are copays and deductibles for different procedures and different tiers of insurance. When you have family plans and such is where it gets to be closer to worthwhile. TL;DR: dental insurance depends on what you intend on using it for.

personalfinance

3vy6a0

I'll try not to rant for too long here.. Federal employee, married, two young children. I'm not MENSA material, but I'm no dolt either. Current health insurance is going up by over $500 this year. As far as I can tell, for no increase in coverage. We were not unhappy, but also not pleased with our insurance the last two years, but a catastrophic accident and the birth of two kids planted me firmly in the "we're not changing anything in the middle of this" mindset. So now, here it is, open season, and my family is shopping around. We know a few things * First, our current FSA option sucks; it's so cumbersome that it's not worth my time. It's literally money thrown away because I can't get reimbursed through their online program for anything without it going through two different rejections and having to write a statement for each item. A single $2 bottle of Hydrogen Peroxide, submit the receipt, picture of the label, address of the store purchased at .. rejected. More back and forth, submitting screenshots of bank statements with purchases notated, finally accepted. Sweet, only took me 2+ hours to get my $2 back - NOT worth the time, especially not when extrapolated to a hundred or so purchases. Co-pays, large bills, even those are a headache to get back. Watched hundreds of dollars just disappear last year unused from the FSA.. So, we'd like to shift to a high deductible HSA-eligible plan; I'd really like to just have a card in my wallet we only swipe for medical related expenses - that's something we can manage easily. * Next, I'd like to look into invisalign/ braces to fix some issues I wish my parents had when I was younger. * After that, my wife would like to look at Lasik. If not that, then her best options for good vision coverage. * Most importantly, we don't want to have to worry about walking into the "wrong" doctor's office if one of our kids has an emergency. Just got back from my employer's "health fair" (30+ reps packed into 600ish sq. ft.) and could not be more disappointed. I pulled my benefits statements before going over so I'd know what I'm currently covered for and paying in co-pays etc. thinking "this will make it easy, I'll just go down the list and see who offers what!" Wrong. There's an exception to everything. So here I am, a gigantic pile of brochures in front of me that you need a background in analysis to decipher, trudging through OPM's plan comparison tool. And I'm mad. Mad that none of these pamphlets are formatted the same. Mad that they use different measures and terms for the same services. Mad that they're nigh impossible to "side by side." Mad that no one can explain why my premium is going up so much for no new benefits. Mad that even trying to understand the difference between "basic option" and "standard option" is eye-bleedingly tedious. Mad that the reps can't answer questions about levels of coverage compared to their competitors, but can bring up no less than five times that they "cover 52 therapeutic massage visits per calendar year!" It almost feels deliberate - the difficulty here in trying to decide what's best for my family's health. The best response and info I've been able to get are from co-workers enrolled in other plans ... "what did you pay for this, where did you go for that" etc. etc.\ I'm frustrated. This is a major deal for me. I have worked hard to be in a position to provide for my family (we're single income and I'm also the benefits provider) but can't understand it all. I'm frustrated that I feel ignorant and un-educated on something so important. Rant off. Thanks for listening, PF - if you have any tips, I'm happy to listen.

I'm a grown-ass man, and I cannot understand the options available to me for Health/Dental/Vision Insurance.. This is infuriating.

4c029dddd88c413f95c55c6ed926dac1

1aa6fb40e7fd464491a6945588309564

Use the OPM comparison tool, this isn't hard and the feds have a MUCH better process than everywhere I've worked in private industry.

Who are the vision providers who cover any part of lasik? My wife works in healthcare and has access to just about any provider we want. I shopped around every single one and was laughed off the phone when I asked if or how much of Lasik they would cover.

personalfinance

3vy6a0

I'll try not to rant for too long here.. Federal employee, married, two young children. I'm not MENSA material, but I'm no dolt either. Current health insurance is going up by over $500 this year. As far as I can tell, for no increase in coverage. We were not unhappy, but also not pleased with our insurance the last two years, but a catastrophic accident and the birth of two kids planted me firmly in the "we're not changing anything in the middle of this" mindset. So now, here it is, open season, and my family is shopping around. We know a few things * First, our current FSA option sucks; it's so cumbersome that it's not worth my time. It's literally money thrown away because I can't get reimbursed through their online program for anything without it going through two different rejections and having to write a statement for each item. A single $2 bottle of Hydrogen Peroxide, submit the receipt, picture of the label, address of the store purchased at .. rejected. More back and forth, submitting screenshots of bank statements with purchases notated, finally accepted. Sweet, only took me 2+ hours to get my $2 back - NOT worth the time, especially not when extrapolated to a hundred or so purchases. Co-pays, large bills, even those are a headache to get back. Watched hundreds of dollars just disappear last year unused from the FSA.. So, we'd like to shift to a high deductible HSA-eligible plan; I'd really like to just have a card in my wallet we only swipe for medical related expenses - that's something we can manage easily. * Next, I'd like to look into invisalign/ braces to fix some issues I wish my parents had when I was younger. * After that, my wife would like to look at Lasik. If not that, then her best options for good vision coverage. * Most importantly, we don't want to have to worry about walking into the "wrong" doctor's office if one of our kids has an emergency. Just got back from my employer's "health fair" (30+ reps packed into 600ish sq. ft.) and could not be more disappointed. I pulled my benefits statements before going over so I'd know what I'm currently covered for and paying in co-pays etc. thinking "this will make it easy, I'll just go down the list and see who offers what!" Wrong. There's an exception to everything. So here I am, a gigantic pile of brochures in front of me that you need a background in analysis to decipher, trudging through OPM's plan comparison tool. And I'm mad. Mad that none of these pamphlets are formatted the same. Mad that they use different measures and terms for the same services. Mad that they're nigh impossible to "side by side." Mad that no one can explain why my premium is going up so much for no new benefits. Mad that even trying to understand the difference between "basic option" and "standard option" is eye-bleedingly tedious. Mad that the reps can't answer questions about levels of coverage compared to their competitors, but can bring up no less than five times that they "cover 52 therapeutic massage visits per calendar year!" It almost feels deliberate - the difficulty here in trying to decide what's best for my family's health. The best response and info I've been able to get are from co-workers enrolled in other plans ... "what did you pay for this, where did you go for that" etc. etc.\ I'm frustrated. This is a major deal for me. I have worked hard to be in a position to provide for my family (we're single income and I'm also the benefits provider) but can't understand it all. I'm frustrated that I feel ignorant and un-educated on something so important. Rant off. Thanks for listening, PF - if you have any tips, I'm happy to listen.

I'm a grown-ass man, and I cannot understand the options available to me for Health/Dental/Vision Insurance.. This is infuriating.

4c029dddd88c413f95c55c6ed926dac1

e64b4827c8c3450bbd6c97b8d1320b12

Use the OPM comparison tool, this isn't hard and the feds have a MUCH better process than everywhere I've worked in private industry.

I have no help to offer but I just do the following: Pick *some* insurance, it seems pretty clear having none is bad and illegal. As far as I can tell there is *no* way to tell what will or won't be covered, before or after you've gotten it. They are so poorly worded and there are so many fine prints and gotchas that they can basically do whatever they want whenever they want. So I just avoid visiting doctors as much as possible, and make a point of asking them the cost of everything on the rare occasions it seems absolutely necessary. They never know the cost, but if they know you are concerned they may charge less. Then hope for the best and as the bills come in over the next few months pay them. Does this sounds terrible? It is, but I can't figure out any other options so I've stopped trying to understand the system that clearly does not work or make any sense. I'm also a grown-ass man myself, and by most accounts very intelligent, but there is no way I could ever figure this stuff out, and I strongly suspect the people who think they have this stuff figured out are deceiving themselves. tl;dr Sorry, but bend over and expect to be fucked, its the only option US Healthcare offers. (Sorry also ranting)

personalfinance

3vy6a0

I'll try not to rant for too long here.. Federal employee, married, two young children. I'm not MENSA material, but I'm no dolt either. Current health insurance is going up by over $500 this year. As far as I can tell, for no increase in coverage. We were not unhappy, but also not pleased with our insurance the last two years, but a catastrophic accident and the birth of two kids planted me firmly in the "we're not changing anything in the middle of this" mindset. So now, here it is, open season, and my family is shopping around. We know a few things * First, our current FSA option sucks; it's so cumbersome that it's not worth my time. It's literally money thrown away because I can't get reimbursed through their online program for anything without it going through two different rejections and having to write a statement for each item. A single $2 bottle of Hydrogen Peroxide, submit the receipt, picture of the label, address of the store purchased at .. rejected. More back and forth, submitting screenshots of bank statements with purchases notated, finally accepted. Sweet, only took me 2+ hours to get my $2 back - NOT worth the time, especially not when extrapolated to a hundred or so purchases. Co-pays, large bills, even those are a headache to get back. Watched hundreds of dollars just disappear last year unused from the FSA.. So, we'd like to shift to a high deductible HSA-eligible plan; I'd really like to just have a card in my wallet we only swipe for medical related expenses - that's something we can manage easily. * Next, I'd like to look into invisalign/ braces to fix some issues I wish my parents had when I was younger. * After that, my wife would like to look at Lasik. If not that, then her best options for good vision coverage. * Most importantly, we don't want to have to worry about walking into the "wrong" doctor's office if one of our kids has an emergency. Just got back from my employer's "health fair" (30+ reps packed into 600ish sq. ft.) and could not be more disappointed. I pulled my benefits statements before going over so I'd know what I'm currently covered for and paying in co-pays etc. thinking "this will make it easy, I'll just go down the list and see who offers what!" Wrong. There's an exception to everything. So here I am, a gigantic pile of brochures in front of me that you need a background in analysis to decipher, trudging through OPM's plan comparison tool. And I'm mad. Mad that none of these pamphlets are formatted the same. Mad that they use different measures and terms for the same services. Mad that they're nigh impossible to "side by side." Mad that no one can explain why my premium is going up so much for no new benefits. Mad that even trying to understand the difference between "basic option" and "standard option" is eye-bleedingly tedious. Mad that the reps can't answer questions about levels of coverage compared to their competitors, but can bring up no less than five times that they "cover 52 therapeutic massage visits per calendar year!" It almost feels deliberate - the difficulty here in trying to decide what's best for my family's health. The best response and info I've been able to get are from co-workers enrolled in other plans ... "what did you pay for this, where did you go for that" etc. etc.\ I'm frustrated. This is a major deal for me. I have worked hard to be in a position to provide for my family (we're single income and I'm also the benefits provider) but can't understand it all. I'm frustrated that I feel ignorant and un-educated on something so important. Rant off. Thanks for listening, PF - if you have any tips, I'm happy to listen.

I'm a grown-ass man, and I cannot understand the options available to me for Health/Dental/Vision Insurance.. This is infuriating.

4c029dddd88c413f95c55c6ed926dac1

58dcb406a703459c9fd91012b567f39c

Use the OPM comparison tool, this isn't hard and the feds have a MUCH better process than everywhere I've worked in private industry.

Oh and to address the items you mentioned. Lasik and Orthodontics (for adults) are almost always considered cosmetic and almost never covered. Like 0 dollars. You can use FSA dollars for these items though. In the off chance there was some coverage it would be in your vision and dental policies respectively. Emergency care and out of network. Just depends on the plan. Most DON"T charge an out of network penalty for the emergency room care. Now after the "Emergency" is over, and they admit you and you start getting different care. That might be different. Also there is a difference between a hospital ER, an Urgent Care clinic, and convenient care clinic and a standalone ER facility. They likely all have different rules. Keep in mind also that doctors AND facilities can be in or out of network. So "St. Josephs Hospital" might be in your network, but the anesthesiologist Dr. Vikek Patel (who is an independent provider) might not be. Some insurance plans will give you just reduced coverage for out of network and others will give you 0. You just have to read the fine print. Its a giant pain in the ass.

personalfinance

3vy6a0

I'll try not to rant for too long here.. Federal employee, married, two young children. I'm not MENSA material, but I'm no dolt either. Current health insurance is going up by over $500 this year. As far as I can tell, for no increase in coverage. We were not unhappy, but also not pleased with our insurance the last two years, but a catastrophic accident and the birth of two kids planted me firmly in the "we're not changing anything in the middle of this" mindset. So now, here it is, open season, and my family is shopping around. We know a few things * First, our current FSA option sucks; it's so cumbersome that it's not worth my time. It's literally money thrown away because I can't get reimbursed through their online program for anything without it going through two different rejections and having to write a statement for each item. A single $2 bottle of Hydrogen Peroxide, submit the receipt, picture of the label, address of the store purchased at .. rejected. More back and forth, submitting screenshots of bank statements with purchases notated, finally accepted. Sweet, only took me 2+ hours to get my $2 back - NOT worth the time, especially not when extrapolated to a hundred or so purchases. Co-pays, large bills, even those are a headache to get back. Watched hundreds of dollars just disappear last year unused from the FSA.. So, we'd like to shift to a high deductible HSA-eligible plan; I'd really like to just have a card in my wallet we only swipe for medical related expenses - that's something we can manage easily. * Next, I'd like to look into invisalign/ braces to fix some issues I wish my parents had when I was younger. * After that, my wife would like to look at Lasik. If not that, then her best options for good vision coverage. * Most importantly, we don't want to have to worry about walking into the "wrong" doctor's office if one of our kids has an emergency. Just got back from my employer's "health fair" (30+ reps packed into 600ish sq. ft.) and could not be more disappointed. I pulled my benefits statements before going over so I'd know what I'm currently covered for and paying in co-pays etc. thinking "this will make it easy, I'll just go down the list and see who offers what!" Wrong. There's an exception to everything. So here I am, a gigantic pile of brochures in front of me that you need a background in analysis to decipher, trudging through OPM's plan comparison tool. And I'm mad. Mad that none of these pamphlets are formatted the same. Mad that they use different measures and terms for the same services. Mad that they're nigh impossible to "side by side." Mad that no one can explain why my premium is going up so much for no new benefits. Mad that even trying to understand the difference between "basic option" and "standard option" is eye-bleedingly tedious. Mad that the reps can't answer questions about levels of coverage compared to their competitors, but can bring up no less than five times that they "cover 52 therapeutic massage visits per calendar year!" It almost feels deliberate - the difficulty here in trying to decide what's best for my family's health. The best response and info I've been able to get are from co-workers enrolled in other plans ... "what did you pay for this, where did you go for that" etc. etc.\ I'm frustrated. This is a major deal for me. I have worked hard to be in a position to provide for my family (we're single income and I'm also the benefits provider) but can't understand it all. I'm frustrated that I feel ignorant and un-educated on something so important. Rant off. Thanks for listening, PF - if you have any tips, I'm happy to listen.

I'm a grown-ass man, and I cannot understand the options available to me for Health/Dental/Vision Insurance.. This is infuriating.

c81363b940d14650978e395990e13deb

905d4af35efa4deda8d36aba6e59c946

So a few things. One costs are going up likely because a lot of the ACA required stuff has encouraged more people to actually seek out care and use their insurance. One of the secrets of insurance was that if no one uses it because they are afraid of having to pay out of pocket, then the insurance company wins. But when things like preventive care are mandated to be covered (typically for free), people use them. So now you have members that used to have basically 0 health expense now with 3-500 expense. That has to be paid by someone, and with the way insurance works, the costs get spread across all the members. We don't treat (at least not anymore) health insurance like cars. Otherwise it would cost 10 bucks a year for a 19 year old and 60,000 a year for a 60 year old. Now as far as understanding it, do you have specific questions? For the most part if you understand the terms, copay, deductible, out of pocket max, and coinsurance. You should be able to figure it out. Then after that its usually a matter of looking at the exclusions and special cases. Maybe plan A has a $500 maternity option whereas plan B just routes all maternity care thru the standard deductible and coinsurance rules. I've been working in healthcare for about 10 years, with a fair bit of experience with insurance from the provider side, so I can try to help you understand things if you have a specific question.

Oh and to address the items you mentioned. Lasik and Orthodontics (for adults) are almost always considered cosmetic and almost never covered. Like 0 dollars. You can use FSA dollars for these items though. In the off chance there was some coverage it would be in your vision and dental policies respectively. Emergency care and out of network. Just depends on the plan. Most DON"T charge an out of network penalty for the emergency room care. Now after the "Emergency" is over, and they admit you and you start getting different care. That might be different. Also there is a difference between a hospital ER, an Urgent Care clinic, and convenient care clinic and a standalone ER facility. They likely all have different rules. Keep in mind also that doctors AND facilities can be in or out of network. So "St. Josephs Hospital" might be in your network, but the anesthesiologist Dr. Vikek Patel (who is an independent provider) might not be. Some insurance plans will give you just reduced coverage for out of network and others will give you 0. You just have to read the fine print. Its a giant pain in the ass.

personalfinance

3vy6a0

I'll try not to rant for too long here.. Federal employee, married, two young children. I'm not MENSA material, but I'm no dolt either. Current health insurance is going up by over $500 this year. As far as I can tell, for no increase in coverage. We were not unhappy, but also not pleased with our insurance the last two years, but a catastrophic accident and the birth of two kids planted me firmly in the "we're not changing anything in the middle of this" mindset. So now, here it is, open season, and my family is shopping around. We know a few things * First, our current FSA option sucks; it's so cumbersome that it's not worth my time. It's literally money thrown away because I can't get reimbursed through their online program for anything without it going through two different rejections and having to write a statement for each item. A single $2 bottle of Hydrogen Peroxide, submit the receipt, picture of the label, address of the store purchased at .. rejected. More back and forth, submitting screenshots of bank statements with purchases notated, finally accepted. Sweet, only took me 2+ hours to get my $2 back - NOT worth the time, especially not when extrapolated to a hundred or so purchases. Co-pays, large bills, even those are a headache to get back. Watched hundreds of dollars just disappear last year unused from the FSA.. So, we'd like to shift to a high deductible HSA-eligible plan; I'd really like to just have a card in my wallet we only swipe for medical related expenses - that's something we can manage easily. * Next, I'd like to look into invisalign/ braces to fix some issues I wish my parents had when I was younger. * After that, my wife would like to look at Lasik. If not that, then her best options for good vision coverage. * Most importantly, we don't want to have to worry about walking into the "wrong" doctor's office if one of our kids has an emergency. Just got back from my employer's "health fair" (30+ reps packed into 600ish sq. ft.) and could not be more disappointed. I pulled my benefits statements before going over so I'd know what I'm currently covered for and paying in co-pays etc. thinking "this will make it easy, I'll just go down the list and see who offers what!" Wrong. There's an exception to everything. So here I am, a gigantic pile of brochures in front of me that you need a background in analysis to decipher, trudging through OPM's plan comparison tool. And I'm mad. Mad that none of these pamphlets are formatted the same. Mad that they use different measures and terms for the same services. Mad that they're nigh impossible to "side by side." Mad that no one can explain why my premium is going up so much for no new benefits. Mad that even trying to understand the difference between "basic option" and "standard option" is eye-bleedingly tedious. Mad that the reps can't answer questions about levels of coverage compared to their competitors, but can bring up no less than five times that they "cover 52 therapeutic massage visits per calendar year!" It almost feels deliberate - the difficulty here in trying to decide what's best for my family's health. The best response and info I've been able to get are from co-workers enrolled in other plans ... "what did you pay for this, where did you go for that" etc. etc.\ I'm frustrated. This is a major deal for me. I have worked hard to be in a position to provide for my family (we're single income and I'm also the benefits provider) but can't understand it all. I'm frustrated that I feel ignorant and un-educated on something so important. Rant off. Thanks for listening, PF - if you have any tips, I'm happy to listen.

I'm a grown-ass man, and I cannot understand the options available to me for Health/Dental/Vision Insurance.. This is infuriating.

ee90a820d765449fbf5386193ba6acb0

d38d43156c39400baf3a5c77d90705b0

Fed here. I know you are frustrated, but honestly, you have dozens of plans to choose from and the gov picks up a big part of that tab. I know you don't feel like it, but you're lucky. So, here's my recommendation - I picked the same except the self option, as I don't have anyone. Pick GEHA 342 for healthcare and GEHA Connection Dental High Option for dental. GEHA 342 comes with an HSA that you should be able to make biweekly payroll deductions to (not sure which personnel system you are under, but if it's EPP thru NFC it's pretty easy to set up.) Before going in for preventive care, call GEHA and make sure the hospital/clinic and doc you want to see are in network. Then, just go to that doc every time for everything. For emergencies, (full blown emergencies like you think you or your kid is dying), go to the closest ER. Now, with the HDHP, you should know that you are on the hook immediately for your healthcare to the tune of the first $3,000. After that, they generally cover 95% up until you hit the Out of Pocket Max, then they cover 100%. Your Out of Pocket Max will be $12,000.

Oh and to address the items you mentioned. Lasik and Orthodontics (for adults) are almost always considered cosmetic and almost never covered. Like 0 dollars. You can use FSA dollars for these items though. In the off chance there was some coverage it would be in your vision and dental policies respectively. Emergency care and out of network. Just depends on the plan. Most DON"T charge an out of network penalty for the emergency room care. Now after the "Emergency" is over, and they admit you and you start getting different care. That might be different. Also there is a difference between a hospital ER, an Urgent Care clinic, and convenient care clinic and a standalone ER facility. They likely all have different rules. Keep in mind also that doctors AND facilities can be in or out of network. So "St. Josephs Hospital" might be in your network, but the anesthesiologist Dr. Vikek Patel (who is an independent provider) might not be. Some insurance plans will give you just reduced coverage for out of network and others will give you 0. You just have to read the fine print. Its a giant pain in the ass.

personalfinance

3vy6a0

I'll try not to rant for too long here.. Federal employee, married, two young children. I'm not MENSA material, but I'm no dolt either. Current health insurance is going up by over $500 this year. As far as I can tell, for no increase in coverage. We were not unhappy, but also not pleased with our insurance the last two years, but a catastrophic accident and the birth of two kids planted me firmly in the "we're not changing anything in the middle of this" mindset. So now, here it is, open season, and my family is shopping around. We know a few things * First, our current FSA option sucks; it's so cumbersome that it's not worth my time. It's literally money thrown away because I can't get reimbursed through their online program for anything without it going through two different rejections and having to write a statement for each item. A single $2 bottle of Hydrogen Peroxide, submit the receipt, picture of the label, address of the store purchased at .. rejected. More back and forth, submitting screenshots of bank statements with purchases notated, finally accepted. Sweet, only took me 2+ hours to get my $2 back - NOT worth the time, especially not when extrapolated to a hundred or so purchases. Co-pays, large bills, even those are a headache to get back. Watched hundreds of dollars just disappear last year unused from the FSA.. So, we'd like to shift to a high deductible HSA-eligible plan; I'd really like to just have a card in my wallet we only swipe for medical related expenses - that's something we can manage easily. * Next, I'd like to look into invisalign/ braces to fix some issues I wish my parents had when I was younger. * After that, my wife would like to look at Lasik. If not that, then her best options for good vision coverage. * Most importantly, we don't want to have to worry about walking into the "wrong" doctor's office if one of our kids has an emergency. Just got back from my employer's "health fair" (30+ reps packed into 600ish sq. ft.) and could not be more disappointed. I pulled my benefits statements before going over so I'd know what I'm currently covered for and paying in co-pays etc. thinking "this will make it easy, I'll just go down the list and see who offers what!" Wrong. There's an exception to everything. So here I am, a gigantic pile of brochures in front of me that you need a background in analysis to decipher, trudging through OPM's plan comparison tool. And I'm mad. Mad that none of these pamphlets are formatted the same. Mad that they use different measures and terms for the same services. Mad that they're nigh impossible to "side by side." Mad that no one can explain why my premium is going up so much for no new benefits. Mad that even trying to understand the difference between "basic option" and "standard option" is eye-bleedingly tedious. Mad that the reps can't answer questions about levels of coverage compared to their competitors, but can bring up no less than five times that they "cover 52 therapeutic massage visits per calendar year!" It almost feels deliberate - the difficulty here in trying to decide what's best for my family's health. The best response and info I've been able to get are from co-workers enrolled in other plans ... "what did you pay for this, where did you go for that" etc. etc.\ I'm frustrated. This is a major deal for me. I have worked hard to be in a position to provide for my family (we're single income and I'm also the benefits provider) but can't understand it all. I'm frustrated that I feel ignorant and un-educated on something so important. Rant off. Thanks for listening, PF - if you have any tips, I'm happy to listen.

I'm a grown-ass man, and I cannot understand the options available to me for Health/Dental/Vision Insurance.. This is infuriating.

ee90a820d765449fbf5386193ba6acb0

4872b2ab592b4dce9fe9eba930c2e3cc

Fed here. I know you are frustrated, but honestly, you have dozens of plans to choose from and the gov picks up a big part of that tab. I know you don't feel like it, but you're lucky. So, here's my recommendation - I picked the same except the self option, as I don't have anyone. Pick GEHA 342 for healthcare and GEHA Connection Dental High Option for dental. GEHA 342 comes with an HSA that you should be able to make biweekly payroll deductions to (not sure which personnel system you are under, but if it's EPP thru NFC it's pretty easy to set up.) Before going in for preventive care, call GEHA and make sure the hospital/clinic and doc you want to see are in network. Then, just go to that doc every time for everything. For emergencies, (full blown emergencies like you think you or your kid is dying), go to the closest ER. Now, with the HDHP, you should know that you are on the hook immediately for your healthcare to the tune of the first $3,000. After that, they generally cover 95% up until you hit the Out of Pocket Max, then they cover 100%. Your Out of Pocket Max will be $12,000.

So a few things. One costs are going up likely because a lot of the ACA required stuff has encouraged more people to actually seek out care and use their insurance. One of the secrets of insurance was that if no one uses it because they are afraid of having to pay out of pocket, then the insurance company wins. But when things like preventive care are mandated to be covered (typically for free), people use them. So now you have members that used to have basically 0 health expense now with 3-500 expense. That has to be paid by someone, and with the way insurance works, the costs get spread across all the members. We don't treat (at least not anymore) health insurance like cars. Otherwise it would cost 10 bucks a year for a 19 year old and 60,000 a year for a 60 year old. Now as far as understanding it, do you have specific questions? For the most part if you understand the terms, copay, deductible, out of pocket max, and coinsurance. You should be able to figure it out. Then after that its usually a matter of looking at the exclusions and special cases. Maybe plan A has a $500 maternity option whereas plan B just routes all maternity care thru the standard deductible and coinsurance rules. I've been working in healthcare for about 10 years, with a fair bit of experience with insurance from the provider side, so I can try to help you understand things if you have a specific question.

personalfinance

3vy6a0

I'll try not to rant for too long here.. Federal employee, married, two young children. I'm not MENSA material, but I'm no dolt either. Current health insurance is going up by over $500 this year. As far as I can tell, for no increase in coverage. We were not unhappy, but also not pleased with our insurance the last two years, but a catastrophic accident and the birth of two kids planted me firmly in the "we're not changing anything in the middle of this" mindset. So now, here it is, open season, and my family is shopping around. We know a few things * First, our current FSA option sucks; it's so cumbersome that it's not worth my time. It's literally money thrown away because I can't get reimbursed through their online program for anything without it going through two different rejections and having to write a statement for each item. A single $2 bottle of Hydrogen Peroxide, submit the receipt, picture of the label, address of the store purchased at .. rejected. More back and forth, submitting screenshots of bank statements with purchases notated, finally accepted. Sweet, only took me 2+ hours to get my $2 back - NOT worth the time, especially not when extrapolated to a hundred or so purchases. Co-pays, large bills, even those are a headache to get back. Watched hundreds of dollars just disappear last year unused from the FSA.. So, we'd like to shift to a high deductible HSA-eligible plan; I'd really like to just have a card in my wallet we only swipe for medical related expenses - that's something we can manage easily. * Next, I'd like to look into invisalign/ braces to fix some issues I wish my parents had when I was younger. * After that, my wife would like to look at Lasik. If not that, then her best options for good vision coverage. * Most importantly, we don't want to have to worry about walking into the "wrong" doctor's office if one of our kids has an emergency. Just got back from my employer's "health fair" (30+ reps packed into 600ish sq. ft.) and could not be more disappointed. I pulled my benefits statements before going over so I'd know what I'm currently covered for and paying in co-pays etc. thinking "this will make it easy, I'll just go down the list and see who offers what!" Wrong. There's an exception to everything. So here I am, a gigantic pile of brochures in front of me that you need a background in analysis to decipher, trudging through OPM's plan comparison tool. And I'm mad. Mad that none of these pamphlets are formatted the same. Mad that they use different measures and terms for the same services. Mad that they're nigh impossible to "side by side." Mad that no one can explain why my premium is going up so much for no new benefits. Mad that even trying to understand the difference between "basic option" and "standard option" is eye-bleedingly tedious. Mad that the reps can't answer questions about levels of coverage compared to their competitors, but can bring up no less than five times that they "cover 52 therapeutic massage visits per calendar year!" It almost feels deliberate - the difficulty here in trying to decide what's best for my family's health. The best response and info I've been able to get are from co-workers enrolled in other plans ... "what did you pay for this, where did you go for that" etc. etc.\ I'm frustrated. This is a major deal for me. I have worked hard to be in a position to provide for my family (we're single income and I'm also the benefits provider) but can't understand it all. I'm frustrated that I feel ignorant and un-educated on something so important. Rant off. Thanks for listening, PF - if you have any tips, I'm happy to listen.

I'm a grown-ass man, and I cannot understand the options available to me for Health/Dental/Vision Insurance.. This is infuriating.

ee90a820d765449fbf5386193ba6acb0

38d4f3dae6204bc5a9665fdd2145c715

Fed here. I know you are frustrated, but honestly, you have dozens of plans to choose from and the gov picks up a big part of that tab. I know you don't feel like it, but you're lucky. So, here's my recommendation - I picked the same except the self option, as I don't have anyone. Pick GEHA 342 for healthcare and GEHA Connection Dental High Option for dental. GEHA 342 comes with an HSA that you should be able to make biweekly payroll deductions to (not sure which personnel system you are under, but if it's EPP thru NFC it's pretty easy to set up.) Before going in for preventive care, call GEHA and make sure the hospital/clinic and doc you want to see are in network. Then, just go to that doc every time for everything. For emergencies, (full blown emergencies like you think you or your kid is dying), go to the closest ER. Now, with the HDHP, you should know that you are on the hook immediately for your healthcare to the tune of the first $3,000. After that, they generally cover 95% up until you hit the Out of Pocket Max, then they cover 100%. Your Out of Pocket Max will be $12,000.

Oh and to address the items you mentioned. Lasik and Orthodontics (for adults) are almost always considered cosmetic and almost never covered. Like 0 dollars. You can use FSA dollars for these items though. In the off chance there was some coverage it would be in your vision and dental policies respectively. Emergency care and out of network. Just depends on the plan. Most DON"T charge an out of network penalty for the emergency room care. Now after the "Emergency" is over, and they admit you and you start getting different care. That might be different. Also there is a difference between a hospital ER, an Urgent Care clinic, and convenient care clinic and a standalone ER facility. They likely all have different rules. Keep in mind also that doctors AND facilities can be in or out of network. So "St. Josephs Hospital" might be in your network, but the anesthesiologist Dr. Vikek Patel (who is an independent provider) might not be. Some insurance plans will give you just reduced coverage for out of network and others will give you 0. You just have to read the fine print. Its a giant pain in the ass.

personalfinance

3vy6a0

I'll try not to rant for too long here.. Federal employee, married, two young children. I'm not MENSA material, but I'm no dolt either. Current health insurance is going up by over $500 this year. As far as I can tell, for no increase in coverage. We were not unhappy, but also not pleased with our insurance the last two years, but a catastrophic accident and the birth of two kids planted me firmly in the "we're not changing anything in the middle of this" mindset. So now, here it is, open season, and my family is shopping around. We know a few things * First, our current FSA option sucks; it's so cumbersome that it's not worth my time. It's literally money thrown away because I can't get reimbursed through their online program for anything without it going through two different rejections and having to write a statement for each item. A single $2 bottle of Hydrogen Peroxide, submit the receipt, picture of the label, address of the store purchased at .. rejected. More back and forth, submitting screenshots of bank statements with purchases notated, finally accepted. Sweet, only took me 2+ hours to get my $2 back - NOT worth the time, especially not when extrapolated to a hundred or so purchases. Co-pays, large bills, even those are a headache to get back. Watched hundreds of dollars just disappear last year unused from the FSA.. So, we'd like to shift to a high deductible HSA-eligible plan; I'd really like to just have a card in my wallet we only swipe for medical related expenses - that's something we can manage easily. * Next, I'd like to look into invisalign/ braces to fix some issues I wish my parents had when I was younger. * After that, my wife would like to look at Lasik. If not that, then her best options for good vision coverage. * Most importantly, we don't want to have to worry about walking into the "wrong" doctor's office if one of our kids has an emergency. Just got back from my employer's "health fair" (30+ reps packed into 600ish sq. ft.) and could not be more disappointed. I pulled my benefits statements before going over so I'd know what I'm currently covered for and paying in co-pays etc. thinking "this will make it easy, I'll just go down the list and see who offers what!" Wrong. There's an exception to everything. So here I am, a gigantic pile of brochures in front of me that you need a background in analysis to decipher, trudging through OPM's plan comparison tool. And I'm mad. Mad that none of these pamphlets are formatted the same. Mad that they use different measures and terms for the same services. Mad that they're nigh impossible to "side by side." Mad that no one can explain why my premium is going up so much for no new benefits. Mad that even trying to understand the difference between "basic option" and "standard option" is eye-bleedingly tedious. Mad that the reps can't answer questions about levels of coverage compared to their competitors, but can bring up no less than five times that they "cover 52 therapeutic massage visits per calendar year!" It almost feels deliberate - the difficulty here in trying to decide what's best for my family's health. The best response and info I've been able to get are from co-workers enrolled in other plans ... "what did you pay for this, where did you go for that" etc. etc.\ I'm frustrated. This is a major deal for me. I have worked hard to be in a position to provide for my family (we're single income and I'm also the benefits provider) but can't understand it all. I'm frustrated that I feel ignorant and un-educated on something so important. Rant off. Thanks for listening, PF - if you have any tips, I'm happy to listen.

I'm a grown-ass man, and I cannot understand the options available to me for Health/Dental/Vision Insurance.. This is infuriating.

ee90a820d765449fbf5386193ba6acb0

925468a5843047aaa06c3ded464d795b

Fed here. I know you are frustrated, but honestly, you have dozens of plans to choose from and the gov picks up a big part of that tab. I know you don't feel like it, but you're lucky. So, here's my recommendation - I picked the same except the self option, as I don't have anyone. Pick GEHA 342 for healthcare and GEHA Connection Dental High Option for dental. GEHA 342 comes with an HSA that you should be able to make biweekly payroll deductions to (not sure which personnel system you are under, but if it's EPP thru NFC it's pretty easy to set up.) Before going in for preventive care, call GEHA and make sure the hospital/clinic and doc you want to see are in network. Then, just go to that doc every time for everything. For emergencies, (full blown emergencies like you think you or your kid is dying), go to the closest ER. Now, with the HDHP, you should know that you are on the hook immediately for your healthcare to the tune of the first $3,000. After that, they generally cover 95% up until you hit the Out of Pocket Max, then they cover 100%. Your Out of Pocket Max will be $12,000.

Orthodontist and former General Dentist here: Dental insurance is a waste of money UNLESS your employer is paying for a good portion of it for you, OR you actually have dental work that needs to be done. If you need to buy it yourself, save your money. If it's offered by the company do your financial due diligence on how much it actually will cost. Also, look into company health flex spending. If all you are receiving is preventative care, you're likely to spend about $200-$400 a year (Exam and cleaning 2x a year, and various xrays 1x a year). If your premium for the dental plan is $600/year for $1000 of "benefit" it's a waste of money. Don't forget that there are copays and deductibles for different procedures and different tiers of insurance. When you have family plans and such is where it gets to be closer to worthwhile. TL;DR: dental insurance depends on what you intend on using it for.

personalfinance

3vy6a0

I'll try not to rant for too long here.. Federal employee, married, two young children. I'm not MENSA material, but I'm no dolt either. Current health insurance is going up by over $500 this year. As far as I can tell, for no increase in coverage. We were not unhappy, but also not pleased with our insurance the last two years, but a catastrophic accident and the birth of two kids planted me firmly in the "we're not changing anything in the middle of this" mindset. So now, here it is, open season, and my family is shopping around. We know a few things * First, our current FSA option sucks; it's so cumbersome that it's not worth my time. It's literally money thrown away because I can't get reimbursed through their online program for anything without it going through two different rejections and having to write a statement for each item. A single $2 bottle of Hydrogen Peroxide, submit the receipt, picture of the label, address of the store purchased at .. rejected. More back and forth, submitting screenshots of bank statements with purchases notated, finally accepted. Sweet, only took me 2+ hours to get my $2 back - NOT worth the time, especially not when extrapolated to a hundred or so purchases. Co-pays, large bills, even those are a headache to get back. Watched hundreds of dollars just disappear last year unused from the FSA.. So, we'd like to shift to a high deductible HSA-eligible plan; I'd really like to just have a card in my wallet we only swipe for medical related expenses - that's something we can manage easily. * Next, I'd like to look into invisalign/ braces to fix some issues I wish my parents had when I was younger. * After that, my wife would like to look at Lasik. If not that, then her best options for good vision coverage. * Most importantly, we don't want to have to worry about walking into the "wrong" doctor's office if one of our kids has an emergency. Just got back from my employer's "health fair" (30+ reps packed into 600ish sq. ft.) and could not be more disappointed. I pulled my benefits statements before going over so I'd know what I'm currently covered for and paying in co-pays etc. thinking "this will make it easy, I'll just go down the list and see who offers what!" Wrong. There's an exception to everything. So here I am, a gigantic pile of brochures in front of me that you need a background in analysis to decipher, trudging through OPM's plan comparison tool. And I'm mad. Mad that none of these pamphlets are formatted the same. Mad that they use different measures and terms for the same services. Mad that they're nigh impossible to "side by side." Mad that no one can explain why my premium is going up so much for no new benefits. Mad that even trying to understand the difference between "basic option" and "standard option" is eye-bleedingly tedious. Mad that the reps can't answer questions about levels of coverage compared to their competitors, but can bring up no less than five times that they "cover 52 therapeutic massage visits per calendar year!" It almost feels deliberate - the difficulty here in trying to decide what's best for my family's health. The best response and info I've been able to get are from co-workers enrolled in other plans ... "what did you pay for this, where did you go for that" etc. etc.\ I'm frustrated. This is a major deal for me. I have worked hard to be in a position to provide for my family (we're single income and I'm also the benefits provider) but can't understand it all. I'm frustrated that I feel ignorant and un-educated on something so important. Rant off. Thanks for listening, PF - if you have any tips, I'm happy to listen.

I'm a grown-ass man, and I cannot understand the options available to me for Health/Dental/Vision Insurance.. This is infuriating.

ee90a820d765449fbf5386193ba6acb0

1a210bb66fd54b0489880b7a96e8d8c6

Fed here. I know you are frustrated, but honestly, you have dozens of plans to choose from and the gov picks up a big part of that tab. I know you don't feel like it, but you're lucky. So, here's my recommendation - I picked the same except the self option, as I don't have anyone. Pick GEHA 342 for healthcare and GEHA Connection Dental High Option for dental. GEHA 342 comes with an HSA that you should be able to make biweekly payroll deductions to (not sure which personnel system you are under, but if it's EPP thru NFC it's pretty easy to set up.) Before going in for preventive care, call GEHA and make sure the hospital/clinic and doc you want to see are in network. Then, just go to that doc every time for everything. For emergencies, (full blown emergencies like you think you or your kid is dying), go to the closest ER. Now, with the HDHP, you should know that you are on the hook immediately for your healthcare to the tune of the first $3,000. After that, they generally cover 95% up until you hit the Out of Pocket Max, then they cover 100%. Your Out of Pocket Max will be $12,000.

I was under the impression that all plans are now required to have a 1-page summary sheet available that shows most of the important information. I'd start by looking for those online.

personalfinance

3vy6a0

I'll try not to rant for too long here.. Federal employee, married, two young children. I'm not MENSA material, but I'm no dolt either. Current health insurance is going up by over $500 this year. As far as I can tell, for no increase in coverage. We were not unhappy, but also not pleased with our insurance the last two years, but a catastrophic accident and the birth of two kids planted me firmly in the "we're not changing anything in the middle of this" mindset. So now, here it is, open season, and my family is shopping around. We know a few things * First, our current FSA option sucks; it's so cumbersome that it's not worth my time. It's literally money thrown away because I can't get reimbursed through their online program for anything without it going through two different rejections and having to write a statement for each item. A single $2 bottle of Hydrogen Peroxide, submit the receipt, picture of the label, address of the store purchased at .. rejected. More back and forth, submitting screenshots of bank statements with purchases notated, finally accepted. Sweet, only took me 2+ hours to get my $2 back - NOT worth the time, especially not when extrapolated to a hundred or so purchases. Co-pays, large bills, even those are a headache to get back. Watched hundreds of dollars just disappear last year unused from the FSA.. So, we'd like to shift to a high deductible HSA-eligible plan; I'd really like to just have a card in my wallet we only swipe for medical related expenses - that's something we can manage easily. * Next, I'd like to look into invisalign/ braces to fix some issues I wish my parents had when I was younger. * After that, my wife would like to look at Lasik. If not that, then her best options for good vision coverage. * Most importantly, we don't want to have to worry about walking into the "wrong" doctor's office if one of our kids has an emergency. Just got back from my employer's "health fair" (30+ reps packed into 600ish sq. ft.) and could not be more disappointed. I pulled my benefits statements before going over so I'd know what I'm currently covered for and paying in co-pays etc. thinking "this will make it easy, I'll just go down the list and see who offers what!" Wrong. There's an exception to everything. So here I am, a gigantic pile of brochures in front of me that you need a background in analysis to decipher, trudging through OPM's plan comparison tool. And I'm mad. Mad that none of these pamphlets are formatted the same. Mad that they use different measures and terms for the same services. Mad that they're nigh impossible to "side by side." Mad that no one can explain why my premium is going up so much for no new benefits. Mad that even trying to understand the difference between "basic option" and "standard option" is eye-bleedingly tedious. Mad that the reps can't answer questions about levels of coverage compared to their competitors, but can bring up no less than five times that they "cover 52 therapeutic massage visits per calendar year!" It almost feels deliberate - the difficulty here in trying to decide what's best for my family's health. The best response and info I've been able to get are from co-workers enrolled in other plans ... "what did you pay for this, where did you go for that" etc. etc.\ I'm frustrated. This is a major deal for me. I have worked hard to be in a position to provide for my family (we're single income and I'm also the benefits provider) but can't understand it all. I'm frustrated that I feel ignorant and un-educated on something so important. Rant off. Thanks for listening, PF - if you have any tips, I'm happy to listen.

I'm a grown-ass man, and I cannot understand the options available to me for Health/Dental/Vision Insurance.. This is infuriating.

ee90a820d765449fbf5386193ba6acb0

11e024a68a0549e2bd8862c7cb2956f3

Fed here. I know you are frustrated, but honestly, you have dozens of plans to choose from and the gov picks up a big part of that tab. I know you don't feel like it, but you're lucky. So, here's my recommendation - I picked the same except the self option, as I don't have anyone. Pick GEHA 342 for healthcare and GEHA Connection Dental High Option for dental. GEHA 342 comes with an HSA that you should be able to make biweekly payroll deductions to (not sure which personnel system you are under, but if it's EPP thru NFC it's pretty easy to set up.) Before going in for preventive care, call GEHA and make sure the hospital/clinic and doc you want to see are in network. Then, just go to that doc every time for everything. For emergencies, (full blown emergencies like you think you or your kid is dying), go to the closest ER. Now, with the HDHP, you should know that you are on the hook immediately for your healthcare to the tune of the first $3,000. After that, they generally cover 95% up until you hit the Out of Pocket Max, then they cover 100%. Your Out of Pocket Max will be $12,000.

Oh and to address the items you mentioned. Lasik and Orthodontics (for adults) are almost always considered cosmetic and almost never covered. Like 0 dollars. You can use FSA dollars for these items though. In the off chance there was some coverage it would be in your vision and dental policies respectively. Emergency care and out of network. Just depends on the plan. Most DON"T charge an out of network penalty for the emergency room care. Now after the "Emergency" is over, and they admit you and you start getting different care. That might be different. Also there is a difference between a hospital ER, an Urgent Care clinic, and convenient care clinic and a standalone ER facility. They likely all have different rules. Keep in mind also that doctors AND facilities can be in or out of network. So "St. Josephs Hospital" might be in your network, but the anesthesiologist Dr. Vikek Patel (who is an independent provider) might not be. Some insurance plans will give you just reduced coverage for out of network and others will give you 0. You just have to read the fine print. Its a giant pain in the ass.

personalfinance

3vy6a0

I'll try not to rant for too long here.. Federal employee, married, two young children. I'm not MENSA material, but I'm no dolt either. Current health insurance is going up by over $500 this year. As far as I can tell, for no increase in coverage. We were not unhappy, but also not pleased with our insurance the last two years, but a catastrophic accident and the birth of two kids planted me firmly in the "we're not changing anything in the middle of this" mindset. So now, here it is, open season, and my family is shopping around. We know a few things * First, our current FSA option sucks; it's so cumbersome that it's not worth my time. It's literally money thrown away because I can't get reimbursed through their online program for anything without it going through two different rejections and having to write a statement for each item. A single $2 bottle of Hydrogen Peroxide, submit the receipt, picture of the label, address of the store purchased at .. rejected. More back and forth, submitting screenshots of bank statements with purchases notated, finally accepted. Sweet, only took me 2+ hours to get my $2 back - NOT worth the time, especially not when extrapolated to a hundred or so purchases. Co-pays, large bills, even those are a headache to get back. Watched hundreds of dollars just disappear last year unused from the FSA.. So, we'd like to shift to a high deductible HSA-eligible plan; I'd really like to just have a card in my wallet we only swipe for medical related expenses - that's something we can manage easily. * Next, I'd like to look into invisalign/ braces to fix some issues I wish my parents had when I was younger. * After that, my wife would like to look at Lasik. If not that, then her best options for good vision coverage. * Most importantly, we don't want to have to worry about walking into the "wrong" doctor's office if one of our kids has an emergency. Just got back from my employer's "health fair" (30+ reps packed into 600ish sq. ft.) and could not be more disappointed. I pulled my benefits statements before going over so I'd know what I'm currently covered for and paying in co-pays etc. thinking "this will make it easy, I'll just go down the list and see who offers what!" Wrong. There's an exception to everything. So here I am, a gigantic pile of brochures in front of me that you need a background in analysis to decipher, trudging through OPM's plan comparison tool. And I'm mad. Mad that none of these pamphlets are formatted the same. Mad that they use different measures and terms for the same services. Mad that they're nigh impossible to "side by side." Mad that no one can explain why my premium is going up so much for no new benefits. Mad that even trying to understand the difference between "basic option" and "standard option" is eye-bleedingly tedious. Mad that the reps can't answer questions about levels of coverage compared to their competitors, but can bring up no less than five times that they "cover 52 therapeutic massage visits per calendar year!" It almost feels deliberate - the difficulty here in trying to decide what's best for my family's health. The best response and info I've been able to get are from co-workers enrolled in other plans ... "what did you pay for this, where did you go for that" etc. etc.\ I'm frustrated. This is a major deal for me. I have worked hard to be in a position to provide for my family (we're single income and I'm also the benefits provider) but can't understand it all. I'm frustrated that I feel ignorant and un-educated on something so important. Rant off. Thanks for listening, PF - if you have any tips, I'm happy to listen.

I'm a grown-ass man, and I cannot understand the options available to me for Health/Dental/Vision Insurance.. This is infuriating.

ee90a820d765449fbf5386193ba6acb0

8d3e030ab295444ab7d43f2310d9f87a

Fed here. I know you are frustrated, but honestly, you have dozens of plans to choose from and the gov picks up a big part of that tab. I know you don't feel like it, but you're lucky. So, here's my recommendation - I picked the same except the self option, as I don't have anyone. Pick GEHA 342 for healthcare and GEHA Connection Dental High Option for dental. GEHA 342 comes with an HSA that you should be able to make biweekly payroll deductions to (not sure which personnel system you are under, but if it's EPP thru NFC it's pretty easy to set up.) Before going in for preventive care, call GEHA and make sure the hospital/clinic and doc you want to see are in network. Then, just go to that doc every time for everything. For emergencies, (full blown emergencies like you think you or your kid is dying), go to the closest ER. Now, with the HDHP, you should know that you are on the hook immediately for your healthcare to the tune of the first $3,000. After that, they generally cover 95% up until you hit the Out of Pocket Max, then they cover 100%. Your Out of Pocket Max will be $12,000.

Orthodontist and former General Dentist here: Dental insurance is a waste of money UNLESS your employer is paying for a good portion of it for you, OR you actually have dental work that needs to be done. If you need to buy it yourself, save your money. If it's offered by the company do your financial due diligence on how much it actually will cost. Also, look into company health flex spending. If all you are receiving is preventative care, you're likely to spend about $200-$400 a year (Exam and cleaning 2x a year, and various xrays 1x a year). If your premium for the dental plan is $600/year for $1000 of "benefit" it's a waste of money. Don't forget that there are copays and deductibles for different procedures and different tiers of insurance. When you have family plans and such is where it gets to be closer to worthwhile. TL;DR: dental insurance depends on what you intend on using it for.

personalfinance

3vy6a0

I'll try not to rant for too long here.. Federal employee, married, two young children. I'm not MENSA material, but I'm no dolt either. Current health insurance is going up by over $500 this year. As far as I can tell, for no increase in coverage. We were not unhappy, but also not pleased with our insurance the last two years, but a catastrophic accident and the birth of two kids planted me firmly in the "we're not changing anything in the middle of this" mindset. So now, here it is, open season, and my family is shopping around. We know a few things * First, our current FSA option sucks; it's so cumbersome that it's not worth my time. It's literally money thrown away because I can't get reimbursed through their online program for anything without it going through two different rejections and having to write a statement for each item. A single $2 bottle of Hydrogen Peroxide, submit the receipt, picture of the label, address of the store purchased at .. rejected. More back and forth, submitting screenshots of bank statements with purchases notated, finally accepted. Sweet, only took me 2+ hours to get my $2 back - NOT worth the time, especially not when extrapolated to a hundred or so purchases. Co-pays, large bills, even those are a headache to get back. Watched hundreds of dollars just disappear last year unused from the FSA.. So, we'd like to shift to a high deductible HSA-eligible plan; I'd really like to just have a card in my wallet we only swipe for medical related expenses - that's something we can manage easily. * Next, I'd like to look into invisalign/ braces to fix some issues I wish my parents had when I was younger. * After that, my wife would like to look at Lasik. If not that, then her best options for good vision coverage. * Most importantly, we don't want to have to worry about walking into the "wrong" doctor's office if one of our kids has an emergency. Just got back from my employer's "health fair" (30+ reps packed into 600ish sq. ft.) and could not be more disappointed. I pulled my benefits statements before going over so I'd know what I'm currently covered for and paying in co-pays etc. thinking "this will make it easy, I'll just go down the list and see who offers what!" Wrong. There's an exception to everything. So here I am, a gigantic pile of brochures in front of me that you need a background in analysis to decipher, trudging through OPM's plan comparison tool. And I'm mad. Mad that none of these pamphlets are formatted the same. Mad that they use different measures and terms for the same services. Mad that they're nigh impossible to "side by side." Mad that no one can explain why my premium is going up so much for no new benefits. Mad that even trying to understand the difference between "basic option" and "standard option" is eye-bleedingly tedious. Mad that the reps can't answer questions about levels of coverage compared to their competitors, but can bring up no less than five times that they "cover 52 therapeutic massage visits per calendar year!" It almost feels deliberate - the difficulty here in trying to decide what's best for my family's health. The best response and info I've been able to get are from co-workers enrolled in other plans ... "what did you pay for this, where did you go for that" etc. etc.\ I'm frustrated. This is a major deal for me. I have worked hard to be in a position to provide for my family (we're single income and I'm also the benefits provider) but can't understand it all. I'm frustrated that I feel ignorant and un-educated on something so important. Rant off. Thanks for listening, PF - if you have any tips, I'm happy to listen.

I'm a grown-ass man, and I cannot understand the options available to me for Health/Dental/Vision Insurance.. This is infuriating.

ee90a820d765449fbf5386193ba6acb0

5cfa505ea8b340f58801cd0837356150

Fed here. I know you are frustrated, but honestly, you have dozens of plans to choose from and the gov picks up a big part of that tab. I know you don't feel like it, but you're lucky. So, here's my recommendation - I picked the same except the self option, as I don't have anyone. Pick GEHA 342 for healthcare and GEHA Connection Dental High Option for dental. GEHA 342 comes with an HSA that you should be able to make biweekly payroll deductions to (not sure which personnel system you are under, but if it's EPP thru NFC it's pretty easy to set up.) Before going in for preventive care, call GEHA and make sure the hospital/clinic and doc you want to see are in network. Then, just go to that doc every time for everything. For emergencies, (full blown emergencies like you think you or your kid is dying), go to the closest ER. Now, with the HDHP, you should know that you are on the hook immediately for your healthcare to the tune of the first $3,000. After that, they generally cover 95% up until you hit the Out of Pocket Max, then they cover 100%. Your Out of Pocket Max will be $12,000.

I'm an MD and I don't understand either side (insurance/medicare wise) of this cluster fuck we call healthcare. Whatever happened to just paying for a service? Now we employ armies of coders etc in order to extract a partial payment from the insurance who say we are owed more than we'd bill straight out. By a wide margin.

personalfinance

3vy6a0

I'll try not to rant for too long here.. Federal employee, married, two young children. I'm not MENSA material, but I'm no dolt either. Current health insurance is going up by over $500 this year. As far as I can tell, for no increase in coverage. We were not unhappy, but also not pleased with our insurance the last two years, but a catastrophic accident and the birth of two kids planted me firmly in the "we're not changing anything in the middle of this" mindset. So now, here it is, open season, and my family is shopping around. We know a few things * First, our current FSA option sucks; it's so cumbersome that it's not worth my time. It's literally money thrown away because I can't get reimbursed through their online program for anything without it going through two different rejections and having to write a statement for each item. A single $2 bottle of Hydrogen Peroxide, submit the receipt, picture of the label, address of the store purchased at .. rejected. More back and forth, submitting screenshots of bank statements with purchases notated, finally accepted. Sweet, only took me 2+ hours to get my $2 back - NOT worth the time, especially not when extrapolated to a hundred or so purchases. Co-pays, large bills, even those are a headache to get back. Watched hundreds of dollars just disappear last year unused from the FSA.. So, we'd like to shift to a high deductible HSA-eligible plan; I'd really like to just have a card in my wallet we only swipe for medical related expenses - that's something we can manage easily. * Next, I'd like to look into invisalign/ braces to fix some issues I wish my parents had when I was younger. * After that, my wife would like to look at Lasik. If not that, then her best options for good vision coverage. * Most importantly, we don't want to have to worry about walking into the "wrong" doctor's office if one of our kids has an emergency. Just got back from my employer's "health fair" (30+ reps packed into 600ish sq. ft.) and could not be more disappointed. I pulled my benefits statements before going over so I'd know what I'm currently covered for and paying in co-pays etc. thinking "this will make it easy, I'll just go down the list and see who offers what!" Wrong. There's an exception to everything. So here I am, a gigantic pile of brochures in front of me that you need a background in analysis to decipher, trudging through OPM's plan comparison tool. And I'm mad. Mad that none of these pamphlets are formatted the same. Mad that they use different measures and terms for the same services. Mad that they're nigh impossible to "side by side." Mad that no one can explain why my premium is going up so much for no new benefits. Mad that even trying to understand the difference between "basic option" and "standard option" is eye-bleedingly tedious. Mad that the reps can't answer questions about levels of coverage compared to their competitors, but can bring up no less than five times that they "cover 52 therapeutic massage visits per calendar year!" It almost feels deliberate - the difficulty here in trying to decide what's best for my family's health. The best response and info I've been able to get are from co-workers enrolled in other plans ... "what did you pay for this, where did you go for that" etc. etc.\ I'm frustrated. This is a major deal for me. I have worked hard to be in a position to provide for my family (we're single income and I'm also the benefits provider) but can't understand it all. I'm frustrated that I feel ignorant and un-educated on something so important. Rant off. Thanks for listening, PF - if you have any tips, I'm happy to listen.

I'm a grown-ass man, and I cannot understand the options available to me for Health/Dental/Vision Insurance.. This is infuriating.

ee90a820d765449fbf5386193ba6acb0

b0fab35fd959454db8ce3def9de4a6a4

Fed here. I know you are frustrated, but honestly, you have dozens of plans to choose from and the gov picks up a big part of that tab. I know you don't feel like it, but you're lucky. So, here's my recommendation - I picked the same except the self option, as I don't have anyone. Pick GEHA 342 for healthcare and GEHA Connection Dental High Option for dental. GEHA 342 comes with an HSA that you should be able to make biweekly payroll deductions to (not sure which personnel system you are under, but if it's EPP thru NFC it's pretty easy to set up.) Before going in for preventive care, call GEHA and make sure the hospital/clinic and doc you want to see are in network. Then, just go to that doc every time for everything. For emergencies, (full blown emergencies like you think you or your kid is dying), go to the closest ER. Now, with the HDHP, you should know that you are on the hook immediately for your healthcare to the tune of the first $3,000. After that, they generally cover 95% up until you hit the Out of Pocket Max, then they cover 100%. Your Out of Pocket Max will be $12,000.

I'm sure there will be plenty of criticism here about this response, but here's what I've done: Does the HSA your employer offer roll over? If so, I sign up for this, and set the contribution amount to be the same as if I was paying for the other insurance (the traditional plan) minus the cost of the HSA. Say the traditional insurance is $200 per pay period, and the HSA is $50. I set my contribution at $150 per pay period, so my out of pocket costs are the same. Then, after a few months, I have enough money in the account to cover my typical medical expenses (cough/cold, etc.) and screenings are free. I look at it like this: I don't go to the doctor often, nor does my spouse. If we did, an HSA would probably not work. However, our out of pocket expenses are the same, and instead of giving the money to an insurance company in the form of premiums, we're paying into an account that will eventually turn into either retirement savings or get spent on medical expenses. This is highly dependent on your situation.

personalfinance

3vy6a0

I'll try not to rant for too long here.. Federal employee, married, two young children. I'm not MENSA material, but I'm no dolt either. Current health insurance is going up by over $500 this year. As far as I can tell, for no increase in coverage. We were not unhappy, but also not pleased with our insurance the last two years, but a catastrophic accident and the birth of two kids planted me firmly in the "we're not changing anything in the middle of this" mindset. So now, here it is, open season, and my family is shopping around. We know a few things * First, our current FSA option sucks; it's so cumbersome that it's not worth my time. It's literally money thrown away because I can't get reimbursed through their online program for anything without it going through two different rejections and having to write a statement for each item. A single $2 bottle of Hydrogen Peroxide, submit the receipt, picture of the label, address of the store purchased at .. rejected. More back and forth, submitting screenshots of bank statements with purchases notated, finally accepted. Sweet, only took me 2+ hours to get my $2 back - NOT worth the time, especially not when extrapolated to a hundred or so purchases. Co-pays, large bills, even those are a headache to get back. Watched hundreds of dollars just disappear last year unused from the FSA.. So, we'd like to shift to a high deductible HSA-eligible plan; I'd really like to just have a card in my wallet we only swipe for medical related expenses - that's something we can manage easily. * Next, I'd like to look into invisalign/ braces to fix some issues I wish my parents had when I was younger. * After that, my wife would like to look at Lasik. If not that, then her best options for good vision coverage. * Most importantly, we don't want to have to worry about walking into the "wrong" doctor's office if one of our kids has an emergency. Just got back from my employer's "health fair" (30+ reps packed into 600ish sq. ft.) and could not be more disappointed. I pulled my benefits statements before going over so I'd know what I'm currently covered for and paying in co-pays etc. thinking "this will make it easy, I'll just go down the list and see who offers what!" Wrong. There's an exception to everything. So here I am, a gigantic pile of brochures in front of me that you need a background in analysis to decipher, trudging through OPM's plan comparison tool. And I'm mad. Mad that none of these pamphlets are formatted the same. Mad that they use different measures and terms for the same services. Mad that they're nigh impossible to "side by side." Mad that no one can explain why my premium is going up so much for no new benefits. Mad that even trying to understand the difference between "basic option" and "standard option" is eye-bleedingly tedious. Mad that the reps can't answer questions about levels of coverage compared to their competitors, but can bring up no less than five times that they "cover 52 therapeutic massage visits per calendar year!" It almost feels deliberate - the difficulty here in trying to decide what's best for my family's health. The best response and info I've been able to get are from co-workers enrolled in other plans ... "what did you pay for this, where did you go for that" etc. etc.\ I'm frustrated. This is a major deal for me. I have worked hard to be in a position to provide for my family (we're single income and I'm also the benefits provider) but can't understand it all. I'm frustrated that I feel ignorant and un-educated on something so important. Rant off. Thanks for listening, PF - if you have any tips, I'm happy to listen.

I'm a grown-ass man, and I cannot understand the options available to me for Health/Dental/Vision Insurance.. This is infuriating.

ee90a820d765449fbf5386193ba6acb0

86503a01ca904fdcb150b82707fa1929

Fed here. I know you are frustrated, but honestly, you have dozens of plans to choose from and the gov picks up a big part of that tab. I know you don't feel like it, but you're lucky. So, here's my recommendation - I picked the same except the self option, as I don't have anyone. Pick GEHA 342 for healthcare and GEHA Connection Dental High Option for dental. GEHA 342 comes with an HSA that you should be able to make biweekly payroll deductions to (not sure which personnel system you are under, but if it's EPP thru NFC it's pretty easy to set up.) Before going in for preventive care, call GEHA and make sure the hospital/clinic and doc you want to see are in network. Then, just go to that doc every time for everything. For emergencies, (full blown emergencies like you think you or your kid is dying), go to the closest ER. Now, with the HDHP, you should know that you are on the hook immediately for your healthcare to the tune of the first $3,000. After that, they generally cover 95% up until you hit the Out of Pocket Max, then they cover 100%. Your Out of Pocket Max will be $12,000.

Oh and to address the items you mentioned. Lasik and Orthodontics (for adults) are almost always considered cosmetic and almost never covered. Like 0 dollars. You can use FSA dollars for these items though. In the off chance there was some coverage it would be in your vision and dental policies respectively. Emergency care and out of network. Just depends on the plan. Most DON"T charge an out of network penalty for the emergency room care. Now after the "Emergency" is over, and they admit you and you start getting different care. That might be different. Also there is a difference between a hospital ER, an Urgent Care clinic, and convenient care clinic and a standalone ER facility. They likely all have different rules. Keep in mind also that doctors AND facilities can be in or out of network. So "St. Josephs Hospital" might be in your network, but the anesthesiologist Dr. Vikek Patel (who is an independent provider) might not be. Some insurance plans will give you just reduced coverage for out of network and others will give you 0. You just have to read the fine print. Its a giant pain in the ass.

personalfinance

3vy6a0

I'll try not to rant for too long here.. Federal employee, married, two young children. I'm not MENSA material, but I'm no dolt either. Current health insurance is going up by over $500 this year. As far as I can tell, for no increase in coverage. We were not unhappy, but also not pleased with our insurance the last two years, but a catastrophic accident and the birth of two kids planted me firmly in the "we're not changing anything in the middle of this" mindset. So now, here it is, open season, and my family is shopping around. We know a few things * First, our current FSA option sucks; it's so cumbersome that it's not worth my time. It's literally money thrown away because I can't get reimbursed through their online program for anything without it going through two different rejections and having to write a statement for each item. A single $2 bottle of Hydrogen Peroxide, submit the receipt, picture of the label, address of the store purchased at .. rejected. More back and forth, submitting screenshots of bank statements with purchases notated, finally accepted. Sweet, only took me 2+ hours to get my $2 back - NOT worth the time, especially not when extrapolated to a hundred or so purchases. Co-pays, large bills, even those are a headache to get back. Watched hundreds of dollars just disappear last year unused from the FSA.. So, we'd like to shift to a high deductible HSA-eligible plan; I'd really like to just have a card in my wallet we only swipe for medical related expenses - that's something we can manage easily. * Next, I'd like to look into invisalign/ braces to fix some issues I wish my parents had when I was younger. * After that, my wife would like to look at Lasik. If not that, then her best options for good vision coverage. * Most importantly, we don't want to have to worry about walking into the "wrong" doctor's office if one of our kids has an emergency. Just got back from my employer's "health fair" (30+ reps packed into 600ish sq. ft.) and could not be more disappointed. I pulled my benefits statements before going over so I'd know what I'm currently covered for and paying in co-pays etc. thinking "this will make it easy, I'll just go down the list and see who offers what!" Wrong. There's an exception to everything. So here I am, a gigantic pile of brochures in front of me that you need a background in analysis to decipher, trudging through OPM's plan comparison tool. And I'm mad. Mad that none of these pamphlets are formatted the same. Mad that they use different measures and terms for the same services. Mad that they're nigh impossible to "side by side." Mad that no one can explain why my premium is going up so much for no new benefits. Mad that even trying to understand the difference between "basic option" and "standard option" is eye-bleedingly tedious. Mad that the reps can't answer questions about levels of coverage compared to their competitors, but can bring up no less than five times that they "cover 52 therapeutic massage visits per calendar year!" It almost feels deliberate - the difficulty here in trying to decide what's best for my family's health. The best response and info I've been able to get are from co-workers enrolled in other plans ... "what did you pay for this, where did you go for that" etc. etc.\ I'm frustrated. This is a major deal for me. I have worked hard to be in a position to provide for my family (we're single income and I'm also the benefits provider) but can't understand it all. I'm frustrated that I feel ignorant and un-educated on something so important. Rant off. Thanks for listening, PF - if you have any tips, I'm happy to listen.

I'm a grown-ass man, and I cannot understand the options available to me for Health/Dental/Vision Insurance.. This is infuriating.

ee90a820d765449fbf5386193ba6acb0

5775ed3ac0ac4e1b96c653da6ec1514d

Fed here. I know you are frustrated, but honestly, you have dozens of plans to choose from and the gov picks up a big part of that tab. I know you don't feel like it, but you're lucky. So, here's my recommendation - I picked the same except the self option, as I don't have anyone. Pick GEHA 342 for healthcare and GEHA Connection Dental High Option for dental. GEHA 342 comes with an HSA that you should be able to make biweekly payroll deductions to (not sure which personnel system you are under, but if it's EPP thru NFC it's pretty easy to set up.) Before going in for preventive care, call GEHA and make sure the hospital/clinic and doc you want to see are in network. Then, just go to that doc every time for everything. For emergencies, (full blown emergencies like you think you or your kid is dying), go to the closest ER. Now, with the HDHP, you should know that you are on the hook immediately for your healthcare to the tune of the first $3,000. After that, they generally cover 95% up until you hit the Out of Pocket Max, then they cover 100%. Your Out of Pocket Max will be $12,000.

So a few things. One costs are going up likely because a lot of the ACA required stuff has encouraged more people to actually seek out care and use their insurance. One of the secrets of insurance was that if no one uses it because they are afraid of having to pay out of pocket, then the insurance company wins. But when things like preventive care are mandated to be covered (typically for free), people use them. So now you have members that used to have basically 0 health expense now with 3-500 expense. That has to be paid by someone, and with the way insurance works, the costs get spread across all the members. We don't treat (at least not anymore) health insurance like cars. Otherwise it would cost 10 bucks a year for a 19 year old and 60,000 a year for a 60 year old. Now as far as understanding it, do you have specific questions? For the most part if you understand the terms, copay, deductible, out of pocket max, and coinsurance. You should be able to figure it out. Then after that its usually a matter of looking at the exclusions and special cases. Maybe plan A has a $500 maternity option whereas plan B just routes all maternity care thru the standard deductible and coinsurance rules. I've been working in healthcare for about 10 years, with a fair bit of experience with insurance from the provider side, so I can try to help you understand things if you have a specific question.

personalfinance

3vy6a0

I'll try not to rant for too long here.. Federal employee, married, two young children. I'm not MENSA material, but I'm no dolt either. Current health insurance is going up by over $500 this year. As far as I can tell, for no increase in coverage. We were not unhappy, but also not pleased with our insurance the last two years, but a catastrophic accident and the birth of two kids planted me firmly in the "we're not changing anything in the middle of this" mindset. So now, here it is, open season, and my family is shopping around. We know a few things * First, our current FSA option sucks; it's so cumbersome that it's not worth my time. It's literally money thrown away because I can't get reimbursed through their online program for anything without it going through two different rejections and having to write a statement for each item. A single $2 bottle of Hydrogen Peroxide, submit the receipt, picture of the label, address of the store purchased at .. rejected. More back and forth, submitting screenshots of bank statements with purchases notated, finally accepted. Sweet, only took me 2+ hours to get my $2 back - NOT worth the time, especially not when extrapolated to a hundred or so purchases. Co-pays, large bills, even those are a headache to get back. Watched hundreds of dollars just disappear last year unused from the FSA.. So, we'd like to shift to a high deductible HSA-eligible plan; I'd really like to just have a card in my wallet we only swipe for medical related expenses - that's something we can manage easily. * Next, I'd like to look into invisalign/ braces to fix some issues I wish my parents had when I was younger. * After that, my wife would like to look at Lasik. If not that, then her best options for good vision coverage. * Most importantly, we don't want to have to worry about walking into the "wrong" doctor's office if one of our kids has an emergency. Just got back from my employer's "health fair" (30+ reps packed into 600ish sq. ft.) and could not be more disappointed. I pulled my benefits statements before going over so I'd know what I'm currently covered for and paying in co-pays etc. thinking "this will make it easy, I'll just go down the list and see who offers what!" Wrong. There's an exception to everything. So here I am, a gigantic pile of brochures in front of me that you need a background in analysis to decipher, trudging through OPM's plan comparison tool. And I'm mad. Mad that none of these pamphlets are formatted the same. Mad that they use different measures and terms for the same services. Mad that they're nigh impossible to "side by side." Mad that no one can explain why my premium is going up so much for no new benefits. Mad that even trying to understand the difference between "basic option" and "standard option" is eye-bleedingly tedious. Mad that the reps can't answer questions about levels of coverage compared to their competitors, but can bring up no less than five times that they "cover 52 therapeutic massage visits per calendar year!" It almost feels deliberate - the difficulty here in trying to decide what's best for my family's health. The best response and info I've been able to get are from co-workers enrolled in other plans ... "what did you pay for this, where did you go for that" etc. etc.\ I'm frustrated. This is a major deal for me. I have worked hard to be in a position to provide for my family (we're single income and I'm also the benefits provider) but can't understand it all. I'm frustrated that I feel ignorant and un-educated on something so important. Rant off. Thanks for listening, PF - if you have any tips, I'm happy to listen.

I'm a grown-ass man, and I cannot understand the options available to me for Health/Dental/Vision Insurance.. This is infuriating.

ee90a820d765449fbf5386193ba6acb0

728fcd7b3eeb457a9fdb5dd922d7265d

Fed here. I know you are frustrated, but honestly, you have dozens of plans to choose from and the gov picks up a big part of that tab. I know you don't feel like it, but you're lucky. So, here's my recommendation - I picked the same except the self option, as I don't have anyone. Pick GEHA 342 for healthcare and GEHA Connection Dental High Option for dental. GEHA 342 comes with an HSA that you should be able to make biweekly payroll deductions to (not sure which personnel system you are under, but if it's EPP thru NFC it's pretty easy to set up.) Before going in for preventive care, call GEHA and make sure the hospital/clinic and doc you want to see are in network. Then, just go to that doc every time for everything. For emergencies, (full blown emergencies like you think you or your kid is dying), go to the closest ER. Now, with the HDHP, you should know that you are on the hook immediately for your healthcare to the tune of the first $3,000. After that, they generally cover 95% up until you hit the Out of Pocket Max, then they cover 100%. Your Out of Pocket Max will be $12,000.

All i know is we pay 750 a month for health, vision, and dental. Thats for my wife, myself, and our one kid. Also it goes up every year, which is just stupid. Its just another bill the working class have to pay for. Also I really enjoyed your rant, and let this be known you are not alone when it comes to this shit. They make it difficult for a reason, and all insurance companies basically do this shit. Shopping for car insurance and living in Wayne County (MI) is fucking terrible. Oh my insurance went up 100$ more a month because ive never got a ticket or accident. This also happens yearly. Its just a giant fucking money sink. Just consider this shit the workingmans tax.

personalfinance

3vy6a0

I'll try not to rant for too long here.. Federal employee, married, two young children. I'm not MENSA material, but I'm no dolt either. Current health insurance is going up by over $500 this year. As far as I can tell, for no increase in coverage. We were not unhappy, but also not pleased with our insurance the last two years, but a catastrophic accident and the birth of two kids planted me firmly in the "we're not changing anything in the middle of this" mindset. So now, here it is, open season, and my family is shopping around. We know a few things * First, our current FSA option sucks; it's so cumbersome that it's not worth my time. It's literally money thrown away because I can't get reimbursed through their online program for anything without it going through two different rejections and having to write a statement for each item. A single $2 bottle of Hydrogen Peroxide, submit the receipt, picture of the label, address of the store purchased at .. rejected. More back and forth, submitting screenshots of bank statements with purchases notated, finally accepted. Sweet, only took me 2+ hours to get my $2 back - NOT worth the time, especially not when extrapolated to a hundred or so purchases. Co-pays, large bills, even those are a headache to get back. Watched hundreds of dollars just disappear last year unused from the FSA.. So, we'd like to shift to a high deductible HSA-eligible plan; I'd really like to just have a card in my wallet we only swipe for medical related expenses - that's something we can manage easily. * Next, I'd like to look into invisalign/ braces to fix some issues I wish my parents had when I was younger. * After that, my wife would like to look at Lasik. If not that, then her best options for good vision coverage. * Most importantly, we don't want to have to worry about walking into the "wrong" doctor's office if one of our kids has an emergency. Just got back from my employer's "health fair" (30+ reps packed into 600ish sq. ft.) and could not be more disappointed. I pulled my benefits statements before going over so I'd know what I'm currently covered for and paying in co-pays etc. thinking "this will make it easy, I'll just go down the list and see who offers what!" Wrong. There's an exception to everything. So here I am, a gigantic pile of brochures in front of me that you need a background in analysis to decipher, trudging through OPM's plan comparison tool. And I'm mad. Mad that none of these pamphlets are formatted the same. Mad that they use different measures and terms for the same services. Mad that they're nigh impossible to "side by side." Mad that no one can explain why my premium is going up so much for no new benefits. Mad that even trying to understand the difference between "basic option" and "standard option" is eye-bleedingly tedious. Mad that the reps can't answer questions about levels of coverage compared to their competitors, but can bring up no less than five times that they "cover 52 therapeutic massage visits per calendar year!" It almost feels deliberate - the difficulty here in trying to decide what's best for my family's health. The best response and info I've been able to get are from co-workers enrolled in other plans ... "what did you pay for this, where did you go for that" etc. etc.\ I'm frustrated. This is a major deal for me. I have worked hard to be in a position to provide for my family (we're single income and I'm also the benefits provider) but can't understand it all. I'm frustrated that I feel ignorant and un-educated on something so important. Rant off. Thanks for listening, PF - if you have any tips, I'm happy to listen.

I'm a grown-ass man, and I cannot understand the options available to me for Health/Dental/Vision Insurance.. This is infuriating.

ee90a820d765449fbf5386193ba6acb0

f30872096e8249b381e0eb56bf26ae03

Fed here. I know you are frustrated, but honestly, you have dozens of plans to choose from and the gov picks up a big part of that tab. I know you don't feel like it, but you're lucky. So, here's my recommendation - I picked the same except the self option, as I don't have anyone. Pick GEHA 342 for healthcare and GEHA Connection Dental High Option for dental. GEHA 342 comes with an HSA that you should be able to make biweekly payroll deductions to (not sure which personnel system you are under, but if it's EPP thru NFC it's pretty easy to set up.) Before going in for preventive care, call GEHA and make sure the hospital/clinic and doc you want to see are in network. Then, just go to that doc every time for everything. For emergencies, (full blown emergencies like you think you or your kid is dying), go to the closest ER. Now, with the HDHP, you should know that you are on the hook immediately for your healthcare to the tune of the first $3,000. After that, they generally cover 95% up until you hit the Out of Pocket Max, then they cover 100%. Your Out of Pocket Max will be $12,000.

Orthodontist and former General Dentist here: Dental insurance is a waste of money UNLESS your employer is paying for a good portion of it for you, OR you actually have dental work that needs to be done. If you need to buy it yourself, save your money. If it's offered by the company do your financial due diligence on how much it actually will cost. Also, look into company health flex spending. If all you are receiving is preventative care, you're likely to spend about $200-$400 a year (Exam and cleaning 2x a year, and various xrays 1x a year). If your premium for the dental plan is $600/year for $1000 of "benefit" it's a waste of money. Don't forget that there are copays and deductibles for different procedures and different tiers of insurance. When you have family plans and such is where it gets to be closer to worthwhile. TL;DR: dental insurance depends on what you intend on using it for.

personalfinance

3vy6a0

I'll try not to rant for too long here.. Federal employee, married, two young children. I'm not MENSA material, but I'm no dolt either. Current health insurance is going up by over $500 this year. As far as I can tell, for no increase in coverage. We were not unhappy, but also not pleased with our insurance the last two years, but a catastrophic accident and the birth of two kids planted me firmly in the "we're not changing anything in the middle of this" mindset. So now, here it is, open season, and my family is shopping around. We know a few things * First, our current FSA option sucks; it's so cumbersome that it's not worth my time. It's literally money thrown away because I can't get reimbursed through their online program for anything without it going through two different rejections and having to write a statement for each item. A single $2 bottle of Hydrogen Peroxide, submit the receipt, picture of the label, address of the store purchased at .. rejected. More back and forth, submitting screenshots of bank statements with purchases notated, finally accepted. Sweet, only took me 2+ hours to get my $2 back - NOT worth the time, especially not when extrapolated to a hundred or so purchases. Co-pays, large bills, even those are a headache to get back. Watched hundreds of dollars just disappear last year unused from the FSA.. So, we'd like to shift to a high deductible HSA-eligible plan; I'd really like to just have a card in my wallet we only swipe for medical related expenses - that's something we can manage easily. * Next, I'd like to look into invisalign/ braces to fix some issues I wish my parents had when I was younger. * After that, my wife would like to look at Lasik. If not that, then her best options for good vision coverage. * Most importantly, we don't want to have to worry about walking into the "wrong" doctor's office if one of our kids has an emergency. Just got back from my employer's "health fair" (30+ reps packed into 600ish sq. ft.) and could not be more disappointed. I pulled my benefits statements before going over so I'd know what I'm currently covered for and paying in co-pays etc. thinking "this will make it easy, I'll just go down the list and see who offers what!" Wrong. There's an exception to everything. So here I am, a gigantic pile of brochures in front of me that you need a background in analysis to decipher, trudging through OPM's plan comparison tool. And I'm mad. Mad that none of these pamphlets are formatted the same. Mad that they use different measures and terms for the same services. Mad that they're nigh impossible to "side by side." Mad that no one can explain why my premium is going up so much for no new benefits. Mad that even trying to understand the difference between "basic option" and "standard option" is eye-bleedingly tedious. Mad that the reps can't answer questions about levels of coverage compared to their competitors, but can bring up no less than five times that they "cover 52 therapeutic massage visits per calendar year!" It almost feels deliberate - the difficulty here in trying to decide what's best for my family's health. The best response and info I've been able to get are from co-workers enrolled in other plans ... "what did you pay for this, where did you go for that" etc. etc.\ I'm frustrated. This is a major deal for me. I have worked hard to be in a position to provide for my family (we're single income and I'm also the benefits provider) but can't understand it all. I'm frustrated that I feel ignorant and un-educated on something so important. Rant off. Thanks for listening, PF - if you have any tips, I'm happy to listen.

I'm a grown-ass man, and I cannot understand the options available to me for Health/Dental/Vision Insurance.. This is infuriating.

ee90a820d765449fbf5386193ba6acb0

1aa6fb40e7fd464491a6945588309564

Fed here. I know you are frustrated, but honestly, you have dozens of plans to choose from and the gov picks up a big part of that tab. I know you don't feel like it, but you're lucky. So, here's my recommendation - I picked the same except the self option, as I don't have anyone. Pick GEHA 342 for healthcare and GEHA Connection Dental High Option for dental. GEHA 342 comes with an HSA that you should be able to make biweekly payroll deductions to (not sure which personnel system you are under, but if it's EPP thru NFC it's pretty easy to set up.) Before going in for preventive care, call GEHA and make sure the hospital/clinic and doc you want to see are in network. Then, just go to that doc every time for everything. For emergencies, (full blown emergencies like you think you or your kid is dying), go to the closest ER. Now, with the HDHP, you should know that you are on the hook immediately for your healthcare to the tune of the first $3,000. After that, they generally cover 95% up until you hit the Out of Pocket Max, then they cover 100%. Your Out of Pocket Max will be $12,000.

Who are the vision providers who cover any part of lasik? My wife works in healthcare and has access to just about any provider we want. I shopped around every single one and was laughed off the phone when I asked if or how much of Lasik they would cover.

personalfinance

3vy6a0

I'll try not to rant for too long here.. Federal employee, married, two young children. I'm not MENSA material, but I'm no dolt either. Current health insurance is going up by over $500 this year. As far as I can tell, for no increase in coverage. We were not unhappy, but also not pleased with our insurance the last two years, but a catastrophic accident and the birth of two kids planted me firmly in the "we're not changing anything in the middle of this" mindset. So now, here it is, open season, and my family is shopping around. We know a few things * First, our current FSA option sucks; it's so cumbersome that it's not worth my time. It's literally money thrown away because I can't get reimbursed through their online program for anything without it going through two different rejections and having to write a statement for each item. A single $2 bottle of Hydrogen Peroxide, submit the receipt, picture of the label, address of the store purchased at .. rejected. More back and forth, submitting screenshots of bank statements with purchases notated, finally accepted. Sweet, only took me 2+ hours to get my $2 back - NOT worth the time, especially not when extrapolated to a hundred or so purchases. Co-pays, large bills, even those are a headache to get back. Watched hundreds of dollars just disappear last year unused from the FSA.. So, we'd like to shift to a high deductible HSA-eligible plan; I'd really like to just have a card in my wallet we only swipe for medical related expenses - that's something we can manage easily. * Next, I'd like to look into invisalign/ braces to fix some issues I wish my parents had when I was younger. * After that, my wife would like to look at Lasik. If not that, then her best options for good vision coverage. * Most importantly, we don't want to have to worry about walking into the "wrong" doctor's office if one of our kids has an emergency. Just got back from my employer's "health fair" (30+ reps packed into 600ish sq. ft.) and could not be more disappointed. I pulled my benefits statements before going over so I'd know what I'm currently covered for and paying in co-pays etc. thinking "this will make it easy, I'll just go down the list and see who offers what!" Wrong. There's an exception to everything. So here I am, a gigantic pile of brochures in front of me that you need a background in analysis to decipher, trudging through OPM's plan comparison tool. And I'm mad. Mad that none of these pamphlets are formatted the same. Mad that they use different measures and terms for the same services. Mad that they're nigh impossible to "side by side." Mad that no one can explain why my premium is going up so much for no new benefits. Mad that even trying to understand the difference between "basic option" and "standard option" is eye-bleedingly tedious. Mad that the reps can't answer questions about levels of coverage compared to their competitors, but can bring up no less than five times that they "cover 52 therapeutic massage visits per calendar year!" It almost feels deliberate - the difficulty here in trying to decide what's best for my family's health. The best response and info I've been able to get are from co-workers enrolled in other plans ... "what did you pay for this, where did you go for that" etc. etc.\ I'm frustrated. This is a major deal for me. I have worked hard to be in a position to provide for my family (we're single income and I'm also the benefits provider) but can't understand it all. I'm frustrated that I feel ignorant and un-educated on something so important. Rant off. Thanks for listening, PF - if you have any tips, I'm happy to listen.

I'm a grown-ass man, and I cannot understand the options available to me for Health/Dental/Vision Insurance.. This is infuriating.

ee90a820d765449fbf5386193ba6acb0

e64b4827c8c3450bbd6c97b8d1320b12

Fed here. I know you are frustrated, but honestly, you have dozens of plans to choose from and the gov picks up a big part of that tab. I know you don't feel like it, but you're lucky. So, here's my recommendation - I picked the same except the self option, as I don't have anyone. Pick GEHA 342 for healthcare and GEHA Connection Dental High Option for dental. GEHA 342 comes with an HSA that you should be able to make biweekly payroll deductions to (not sure which personnel system you are under, but if it's EPP thru NFC it's pretty easy to set up.) Before going in for preventive care, call GEHA and make sure the hospital/clinic and doc you want to see are in network. Then, just go to that doc every time for everything. For emergencies, (full blown emergencies like you think you or your kid is dying), go to the closest ER. Now, with the HDHP, you should know that you are on the hook immediately for your healthcare to the tune of the first $3,000. After that, they generally cover 95% up until you hit the Out of Pocket Max, then they cover 100%. Your Out of Pocket Max will be $12,000.

I have no help to offer but I just do the following: Pick *some* insurance, it seems pretty clear having none is bad and illegal. As far as I can tell there is *no* way to tell what will or won't be covered, before or after you've gotten it. They are so poorly worded and there are so many fine prints and gotchas that they can basically do whatever they want whenever they want. So I just avoid visiting doctors as much as possible, and make a point of asking them the cost of everything on the rare occasions it seems absolutely necessary. They never know the cost, but if they know you are concerned they may charge less. Then hope for the best and as the bills come in over the next few months pay them. Does this sounds terrible? It is, but I can't figure out any other options so I've stopped trying to understand the system that clearly does not work or make any sense. I'm also a grown-ass man myself, and by most accounts very intelligent, but there is no way I could ever figure this stuff out, and I strongly suspect the people who think they have this stuff figured out are deceiving themselves. tl;dr Sorry, but bend over and expect to be fucked, its the only option US Healthcare offers. (Sorry also ranting)

personalfinance

3vy6a0

I'll try not to rant for too long here.. Federal employee, married, two young children. I'm not MENSA material, but I'm no dolt either. Current health insurance is going up by over $500 this year. As far as I can tell, for no increase in coverage. We were not unhappy, but also not pleased with our insurance the last two years, but a catastrophic accident and the birth of two kids planted me firmly in the "we're not changing anything in the middle of this" mindset. So now, here it is, open season, and my family is shopping around. We know a few things * First, our current FSA option sucks; it's so cumbersome that it's not worth my time. It's literally money thrown away because I can't get reimbursed through their online program for anything without it going through two different rejections and having to write a statement for each item. A single $2 bottle of Hydrogen Peroxide, submit the receipt, picture of the label, address of the store purchased at .. rejected. More back and forth, submitting screenshots of bank statements with purchases notated, finally accepted. Sweet, only took me 2+ hours to get my $2 back - NOT worth the time, especially not when extrapolated to a hundred or so purchases. Co-pays, large bills, even those are a headache to get back. Watched hundreds of dollars just disappear last year unused from the FSA.. So, we'd like to shift to a high deductible HSA-eligible plan; I'd really like to just have a card in my wallet we only swipe for medical related expenses - that's something we can manage easily. * Next, I'd like to look into invisalign/ braces to fix some issues I wish my parents had when I was younger. * After that, my wife would like to look at Lasik. If not that, then her best options for good vision coverage. * Most importantly, we don't want to have to worry about walking into the "wrong" doctor's office if one of our kids has an emergency. Just got back from my employer's "health fair" (30+ reps packed into 600ish sq. ft.) and could not be more disappointed. I pulled my benefits statements before going over so I'd know what I'm currently covered for and paying in co-pays etc. thinking "this will make it easy, I'll just go down the list and see who offers what!" Wrong. There's an exception to everything. So here I am, a gigantic pile of brochures in front of me that you need a background in analysis to decipher, trudging through OPM's plan comparison tool. And I'm mad. Mad that none of these pamphlets are formatted the same. Mad that they use different measures and terms for the same services. Mad that they're nigh impossible to "side by side." Mad that no one can explain why my premium is going up so much for no new benefits. Mad that even trying to understand the difference between "basic option" and "standard option" is eye-bleedingly tedious. Mad that the reps can't answer questions about levels of coverage compared to their competitors, but can bring up no less than five times that they "cover 52 therapeutic massage visits per calendar year!" It almost feels deliberate - the difficulty here in trying to decide what's best for my family's health. The best response and info I've been able to get are from co-workers enrolled in other plans ... "what did you pay for this, where did you go for that" etc. etc.\ I'm frustrated. This is a major deal for me. I have worked hard to be in a position to provide for my family (we're single income and I'm also the benefits provider) but can't understand it all. I'm frustrated that I feel ignorant and un-educated on something so important. Rant off. Thanks for listening, PF - if you have any tips, I'm happy to listen.

I'm a grown-ass man, and I cannot understand the options available to me for Health/Dental/Vision Insurance.. This is infuriating.

ee90a820d765449fbf5386193ba6acb0

58dcb406a703459c9fd91012b567f39c

Fed here. I know you are frustrated, but honestly, you have dozens of plans to choose from and the gov picks up a big part of that tab. I know you don't feel like it, but you're lucky. So, here's my recommendation - I picked the same except the self option, as I don't have anyone. Pick GEHA 342 for healthcare and GEHA Connection Dental High Option for dental. GEHA 342 comes with an HSA that you should be able to make biweekly payroll deductions to (not sure which personnel system you are under, but if it's EPP thru NFC it's pretty easy to set up.) Before going in for preventive care, call GEHA and make sure the hospital/clinic and doc you want to see are in network. Then, just go to that doc every time for everything. For emergencies, (full blown emergencies like you think you or your kid is dying), go to the closest ER. Now, with the HDHP, you should know that you are on the hook immediately for your healthcare to the tune of the first $3,000. After that, they generally cover 95% up until you hit the Out of Pocket Max, then they cover 100%. Your Out of Pocket Max will be $12,000.

Oh and to address the items you mentioned. Lasik and Orthodontics (for adults) are almost always considered cosmetic and almost never covered. Like 0 dollars. You can use FSA dollars for these items though. In the off chance there was some coverage it would be in your vision and dental policies respectively. Emergency care and out of network. Just depends on the plan. Most DON"T charge an out of network penalty for the emergency room care. Now after the "Emergency" is over, and they admit you and you start getting different care. That might be different. Also there is a difference between a hospital ER, an Urgent Care clinic, and convenient care clinic and a standalone ER facility. They likely all have different rules. Keep in mind also that doctors AND facilities can be in or out of network. So "St. Josephs Hospital" might be in your network, but the anesthesiologist Dr. Vikek Patel (who is an independent provider) might not be. Some insurance plans will give you just reduced coverage for out of network and others will give you 0. You just have to read the fine print. Its a giant pain in the ass.

personalfinance

3vy6a0

I'll try not to rant for too long here.. Federal employee, married, two young children. I'm not MENSA material, but I'm no dolt either. Current health insurance is going up by over $500 this year. As far as I can tell, for no increase in coverage. We were not unhappy, but also not pleased with our insurance the last two years, but a catastrophic accident and the birth of two kids planted me firmly in the "we're not changing anything in the middle of this" mindset. So now, here it is, open season, and my family is shopping around. We know a few things * First, our current FSA option sucks; it's so cumbersome that it's not worth my time. It's literally money thrown away because I can't get reimbursed through their online program for anything without it going through two different rejections and having to write a statement for each item. A single $2 bottle of Hydrogen Peroxide, submit the receipt, picture of the label, address of the store purchased at .. rejected. More back and forth, submitting screenshots of bank statements with purchases notated, finally accepted. Sweet, only took me 2+ hours to get my $2 back - NOT worth the time, especially not when extrapolated to a hundred or so purchases. Co-pays, large bills, even those are a headache to get back. Watched hundreds of dollars just disappear last year unused from the FSA.. So, we'd like to shift to a high deductible HSA-eligible plan; I'd really like to just have a card in my wallet we only swipe for medical related expenses - that's something we can manage easily. * Next, I'd like to look into invisalign/ braces to fix some issues I wish my parents had when I was younger. * After that, my wife would like to look at Lasik. If not that, then her best options for good vision coverage. * Most importantly, we don't want to have to worry about walking into the "wrong" doctor's office if one of our kids has an emergency. Just got back from my employer's "health fair" (30+ reps packed into 600ish sq. ft.) and could not be more disappointed. I pulled my benefits statements before going over so I'd know what I'm currently covered for and paying in co-pays etc. thinking "this will make it easy, I'll just go down the list and see who offers what!" Wrong. There's an exception to everything. So here I am, a gigantic pile of brochures in front of me that you need a background in analysis to decipher, trudging through OPM's plan comparison tool. And I'm mad. Mad that none of these pamphlets are formatted the same. Mad that they use different measures and terms for the same services. Mad that they're nigh impossible to "side by side." Mad that no one can explain why my premium is going up so much for no new benefits. Mad that even trying to understand the difference between "basic option" and "standard option" is eye-bleedingly tedious. Mad that the reps can't answer questions about levels of coverage compared to their competitors, but can bring up no less than five times that they "cover 52 therapeutic massage visits per calendar year!" It almost feels deliberate - the difficulty here in trying to decide what's best for my family's health. The best response and info I've been able to get are from co-workers enrolled in other plans ... "what did you pay for this, where did you go for that" etc. etc.\ I'm frustrated. This is a major deal for me. I have worked hard to be in a position to provide for my family (we're single income and I'm also the benefits provider) but can't understand it all. I'm frustrated that I feel ignorant and un-educated on something so important. Rant off. Thanks for listening, PF - if you have any tips, I'm happy to listen.

I'm a grown-ass man, and I cannot understand the options available to me for Health/Dental/Vision Insurance.. This is infuriating.

4872b2ab592b4dce9fe9eba930c2e3cc

38d4f3dae6204bc5a9665fdd2145c715

So a few things. One costs are going up likely because a lot of the ACA required stuff has encouraged more people to actually seek out care and use their insurance. One of the secrets of insurance was that if no one uses it because they are afraid of having to pay out of pocket, then the insurance company wins. But when things like preventive care are mandated to be covered (typically for free), people use them. So now you have members that used to have basically 0 health expense now with 3-500 expense. That has to be paid by someone, and with the way insurance works, the costs get spread across all the members. We don't treat (at least not anymore) health insurance like cars. Otherwise it would cost 10 bucks a year for a 19 year old and 60,000 a year for a 60 year old. Now as far as understanding it, do you have specific questions? For the most part if you understand the terms, copay, deductible, out of pocket max, and coinsurance. You should be able to figure it out. Then after that its usually a matter of looking at the exclusions and special cases. Maybe plan A has a $500 maternity option whereas plan B just routes all maternity care thru the standard deductible and coinsurance rules. I've been working in healthcare for about 10 years, with a fair bit of experience with insurance from the provider side, so I can try to help you understand things if you have a specific question.

Oh and to address the items you mentioned. Lasik and Orthodontics (for adults) are almost always considered cosmetic and almost never covered. Like 0 dollars. You can use FSA dollars for these items though. In the off chance there was some coverage it would be in your vision and dental policies respectively. Emergency care and out of network. Just depends on the plan. Most DON"T charge an out of network penalty for the emergency room care. Now after the "Emergency" is over, and they admit you and you start getting different care. That might be different. Also there is a difference between a hospital ER, an Urgent Care clinic, and convenient care clinic and a standalone ER facility. They likely all have different rules. Keep in mind also that doctors AND facilities can be in or out of network. So "St. Josephs Hospital" might be in your network, but the anesthesiologist Dr. Vikek Patel (who is an independent provider) might not be. Some insurance plans will give you just reduced coverage for out of network and others will give you 0. You just have to read the fine print. Its a giant pain in the ass.

personalfinance

3vy6a0

I'll try not to rant for too long here.. Federal employee, married, two young children. I'm not MENSA material, but I'm no dolt either. Current health insurance is going up by over $500 this year. As far as I can tell, for no increase in coverage. We were not unhappy, but also not pleased with our insurance the last two years, but a catastrophic accident and the birth of two kids planted me firmly in the "we're not changing anything in the middle of this" mindset. So now, here it is, open season, and my family is shopping around. We know a few things * First, our current FSA option sucks; it's so cumbersome that it's not worth my time. It's literally money thrown away because I can't get reimbursed through their online program for anything without it going through two different rejections and having to write a statement for each item. A single $2 bottle of Hydrogen Peroxide, submit the receipt, picture of the label, address of the store purchased at .. rejected. More back and forth, submitting screenshots of bank statements with purchases notated, finally accepted. Sweet, only took me 2+ hours to get my $2 back - NOT worth the time, especially not when extrapolated to a hundred or so purchases. Co-pays, large bills, even those are a headache to get back. Watched hundreds of dollars just disappear last year unused from the FSA.. So, we'd like to shift to a high deductible HSA-eligible plan; I'd really like to just have a card in my wallet we only swipe for medical related expenses - that's something we can manage easily. * Next, I'd like to look into invisalign/ braces to fix some issues I wish my parents had when I was younger. * After that, my wife would like to look at Lasik. If not that, then her best options for good vision coverage. * Most importantly, we don't want to have to worry about walking into the "wrong" doctor's office if one of our kids has an emergency. Just got back from my employer's "health fair" (30+ reps packed into 600ish sq. ft.) and could not be more disappointed. I pulled my benefits statements before going over so I'd know what I'm currently covered for and paying in co-pays etc. thinking "this will make it easy, I'll just go down the list and see who offers what!" Wrong. There's an exception to everything. So here I am, a gigantic pile of brochures in front of me that you need a background in analysis to decipher, trudging through OPM's plan comparison tool. And I'm mad. Mad that none of these pamphlets are formatted the same. Mad that they use different measures and terms for the same services. Mad that they're nigh impossible to "side by side." Mad that no one can explain why my premium is going up so much for no new benefits. Mad that even trying to understand the difference between "basic option" and "standard option" is eye-bleedingly tedious. Mad that the reps can't answer questions about levels of coverage compared to their competitors, but can bring up no less than five times that they "cover 52 therapeutic massage visits per calendar year!" It almost feels deliberate - the difficulty here in trying to decide what's best for my family's health. The best response and info I've been able to get are from co-workers enrolled in other plans ... "what did you pay for this, where did you go for that" etc. etc.\ I'm frustrated. This is a major deal for me. I have worked hard to be in a position to provide for my family (we're single income and I'm also the benefits provider) but can't understand it all. I'm frustrated that I feel ignorant and un-educated on something so important. Rant off. Thanks for listening, PF - if you have any tips, I'm happy to listen.

I'm a grown-ass man, and I cannot understand the options available to me for Health/Dental/Vision Insurance.. This is infuriating.

925468a5843047aaa06c3ded464d795b

1a210bb66fd54b0489880b7a96e8d8c6

Orthodontist and former General Dentist here: Dental insurance is a waste of money UNLESS your employer is paying for a good portion of it for you, OR you actually have dental work that needs to be done. If you need to buy it yourself, save your money. If it's offered by the company do your financial due diligence on how much it actually will cost. Also, look into company health flex spending. If all you are receiving is preventative care, you're likely to spend about $200-$400 a year (Exam and cleaning 2x a year, and various xrays 1x a year). If your premium for the dental plan is $600/year for $1000 of "benefit" it's a waste of money. Don't forget that there are copays and deductibles for different procedures and different tiers of insurance. When you have family plans and such is where it gets to be closer to worthwhile. TL;DR: dental insurance depends on what you intend on using it for.

I was under the impression that all plans are now required to have a 1-page summary sheet available that shows most of the important information. I'd start by looking for those online.

personalfinance

3vy6a0

I'll try not to rant for too long here.. Federal employee, married, two young children. I'm not MENSA material, but I'm no dolt either. Current health insurance is going up by over $500 this year. As far as I can tell, for no increase in coverage. We were not unhappy, but also not pleased with our insurance the last two years, but a catastrophic accident and the birth of two kids planted me firmly in the "we're not changing anything in the middle of this" mindset. So now, here it is, open season, and my family is shopping around. We know a few things * First, our current FSA option sucks; it's so cumbersome that it's not worth my time. It's literally money thrown away because I can't get reimbursed through their online program for anything without it going through two different rejections and having to write a statement for each item. A single $2 bottle of Hydrogen Peroxide, submit the receipt, picture of the label, address of the store purchased at .. rejected. More back and forth, submitting screenshots of bank statements with purchases notated, finally accepted. Sweet, only took me 2+ hours to get my $2 back - NOT worth the time, especially not when extrapolated to a hundred or so purchases. Co-pays, large bills, even those are a headache to get back. Watched hundreds of dollars just disappear last year unused from the FSA.. So, we'd like to shift to a high deductible HSA-eligible plan; I'd really like to just have a card in my wallet we only swipe for medical related expenses - that's something we can manage easily. * Next, I'd like to look into invisalign/ braces to fix some issues I wish my parents had when I was younger. * After that, my wife would like to look at Lasik. If not that, then her best options for good vision coverage. * Most importantly, we don't want to have to worry about walking into the "wrong" doctor's office if one of our kids has an emergency. Just got back from my employer's "health fair" (30+ reps packed into 600ish sq. ft.) and could not be more disappointed. I pulled my benefits statements before going over so I'd know what I'm currently covered for and paying in co-pays etc. thinking "this will make it easy, I'll just go down the list and see who offers what!" Wrong. There's an exception to everything. So here I am, a gigantic pile of brochures in front of me that you need a background in analysis to decipher, trudging through OPM's plan comparison tool. And I'm mad. Mad that none of these pamphlets are formatted the same. Mad that they use different measures and terms for the same services. Mad that they're nigh impossible to "side by side." Mad that no one can explain why my premium is going up so much for no new benefits. Mad that even trying to understand the difference between "basic option" and "standard option" is eye-bleedingly tedious. Mad that the reps can't answer questions about levels of coverage compared to their competitors, but can bring up no less than five times that they "cover 52 therapeutic massage visits per calendar year!" It almost feels deliberate - the difficulty here in trying to decide what's best for my family's health. The best response and info I've been able to get are from co-workers enrolled in other plans ... "what did you pay for this, where did you go for that" etc. etc.\ I'm frustrated. This is a major deal for me. I have worked hard to be in a position to provide for my family (we're single income and I'm also the benefits provider) but can't understand it all. I'm frustrated that I feel ignorant and un-educated on something so important. Rant off. Thanks for listening, PF - if you have any tips, I'm happy to listen.

I'm a grown-ass man, and I cannot understand the options available to me for Health/Dental/Vision Insurance.. This is infuriating.

925468a5843047aaa06c3ded464d795b

11e024a68a0549e2bd8862c7cb2956f3

Orthodontist and former General Dentist here: Dental insurance is a waste of money UNLESS your employer is paying for a good portion of it for you, OR you actually have dental work that needs to be done. If you need to buy it yourself, save your money. If it's offered by the company do your financial due diligence on how much it actually will cost. Also, look into company health flex spending. If all you are receiving is preventative care, you're likely to spend about $200-$400 a year (Exam and cleaning 2x a year, and various xrays 1x a year). If your premium for the dental plan is $600/year for $1000 of "benefit" it's a waste of money. Don't forget that there are copays and deductibles for different procedures and different tiers of insurance. When you have family plans and such is where it gets to be closer to worthwhile. TL;DR: dental insurance depends on what you intend on using it for.

Oh and to address the items you mentioned. Lasik and Orthodontics (for adults) are almost always considered cosmetic and almost never covered. Like 0 dollars. You can use FSA dollars for these items though. In the off chance there was some coverage it would be in your vision and dental policies respectively. Emergency care and out of network. Just depends on the plan. Most DON"T charge an out of network penalty for the emergency room care. Now after the "Emergency" is over, and they admit you and you start getting different care. That might be different. Also there is a difference between a hospital ER, an Urgent Care clinic, and convenient care clinic and a standalone ER facility. They likely all have different rules. Keep in mind also that doctors AND facilities can be in or out of network. So "St. Josephs Hospital" might be in your network, but the anesthesiologist Dr. Vikek Patel (who is an independent provider) might not be. Some insurance plans will give you just reduced coverage for out of network and others will give you 0. You just have to read the fine print. Its a giant pain in the ass.

personalfinance

3vy6a0

I'll try not to rant for too long here.. Federal employee, married, two young children. I'm not MENSA material, but I'm no dolt either. Current health insurance is going up by over $500 this year. As far as I can tell, for no increase in coverage. We were not unhappy, but also not pleased with our insurance the last two years, but a catastrophic accident and the birth of two kids planted me firmly in the "we're not changing anything in the middle of this" mindset. So now, here it is, open season, and my family is shopping around. We know a few things * First, our current FSA option sucks; it's so cumbersome that it's not worth my time. It's literally money thrown away because I can't get reimbursed through their online program for anything without it going through two different rejections and having to write a statement for each item. A single $2 bottle of Hydrogen Peroxide, submit the receipt, picture of the label, address of the store purchased at .. rejected. More back and forth, submitting screenshots of bank statements with purchases notated, finally accepted. Sweet, only took me 2+ hours to get my $2 back - NOT worth the time, especially not when extrapolated to a hundred or so purchases. Co-pays, large bills, even those are a headache to get back. Watched hundreds of dollars just disappear last year unused from the FSA.. So, we'd like to shift to a high deductible HSA-eligible plan; I'd really like to just have a card in my wallet we only swipe for medical related expenses - that's something we can manage easily. * Next, I'd like to look into invisalign/ braces to fix some issues I wish my parents had when I was younger. * After that, my wife would like to look at Lasik. If not that, then her best options for good vision coverage. * Most importantly, we don't want to have to worry about walking into the "wrong" doctor's office if one of our kids has an emergency. Just got back from my employer's "health fair" (30+ reps packed into 600ish sq. ft.) and could not be more disappointed. I pulled my benefits statements before going over so I'd know what I'm currently covered for and paying in co-pays etc. thinking "this will make it easy, I'll just go down the list and see who offers what!" Wrong. There's an exception to everything. So here I am, a gigantic pile of brochures in front of me that you need a background in analysis to decipher, trudging through OPM's plan comparison tool. And I'm mad. Mad that none of these pamphlets are formatted the same. Mad that they use different measures and terms for the same services. Mad that they're nigh impossible to "side by side." Mad that no one can explain why my premium is going up so much for no new benefits. Mad that even trying to understand the difference between "basic option" and "standard option" is eye-bleedingly tedious. Mad that the reps can't answer questions about levels of coverage compared to their competitors, but can bring up no less than five times that they "cover 52 therapeutic massage visits per calendar year!" It almost feels deliberate - the difficulty here in trying to decide what's best for my family's health. The best response and info I've been able to get are from co-workers enrolled in other plans ... "what did you pay for this, where did you go for that" etc. etc.\ I'm frustrated. This is a major deal for me. I have worked hard to be in a position to provide for my family (we're single income and I'm also the benefits provider) but can't understand it all. I'm frustrated that I feel ignorant and un-educated on something so important. Rant off. Thanks for listening, PF - if you have any tips, I'm happy to listen.

I'm a grown-ass man, and I cannot understand the options available to me for Health/Dental/Vision Insurance.. This is infuriating.

925468a5843047aaa06c3ded464d795b

5cfa505ea8b340f58801cd0837356150

Orthodontist and former General Dentist here: Dental insurance is a waste of money UNLESS your employer is paying for a good portion of it for you, OR you actually have dental work that needs to be done. If you need to buy it yourself, save your money. If it's offered by the company do your financial due diligence on how much it actually will cost. Also, look into company health flex spending. If all you are receiving is preventative care, you're likely to spend about $200-$400 a year (Exam and cleaning 2x a year, and various xrays 1x a year). If your premium for the dental plan is $600/year for $1000 of "benefit" it's a waste of money. Don't forget that there are copays and deductibles for different procedures and different tiers of insurance. When you have family plans and such is where it gets to be closer to worthwhile. TL;DR: dental insurance depends on what you intend on using it for.

I'm an MD and I don't understand either side (insurance/medicare wise) of this cluster fuck we call healthcare. Whatever happened to just paying for a service? Now we employ armies of coders etc in order to extract a partial payment from the insurance who say we are owed more than we'd bill straight out. By a wide margin.

personalfinance

3vy6a0

I'll try not to rant for too long here.. Federal employee, married, two young children. I'm not MENSA material, but I'm no dolt either. Current health insurance is going up by over $500 this year. As far as I can tell, for no increase in coverage. We were not unhappy, but also not pleased with our insurance the last two years, but a catastrophic accident and the birth of two kids planted me firmly in the "we're not changing anything in the middle of this" mindset. So now, here it is, open season, and my family is shopping around. We know a few things * First, our current FSA option sucks; it's so cumbersome that it's not worth my time. It's literally money thrown away because I can't get reimbursed through their online program for anything without it going through two different rejections and having to write a statement for each item. A single $2 bottle of Hydrogen Peroxide, submit the receipt, picture of the label, address of the store purchased at .. rejected. More back and forth, submitting screenshots of bank statements with purchases notated, finally accepted. Sweet, only took me 2+ hours to get my $2 back - NOT worth the time, especially not when extrapolated to a hundred or so purchases. Co-pays, large bills, even those are a headache to get back. Watched hundreds of dollars just disappear last year unused from the FSA.. So, we'd like to shift to a high deductible HSA-eligible plan; I'd really like to just have a card in my wallet we only swipe for medical related expenses - that's something we can manage easily. * Next, I'd like to look into invisalign/ braces to fix some issues I wish my parents had when I was younger. * After that, my wife would like to look at Lasik. If not that, then her best options for good vision coverage. * Most importantly, we don't want to have to worry about walking into the "wrong" doctor's office if one of our kids has an emergency. Just got back from my employer's "health fair" (30+ reps packed into 600ish sq. ft.) and could not be more disappointed. I pulled my benefits statements before going over so I'd know what I'm currently covered for and paying in co-pays etc. thinking "this will make it easy, I'll just go down the list and see who offers what!" Wrong. There's an exception to everything. So here I am, a gigantic pile of brochures in front of me that you need a background in analysis to decipher, trudging through OPM's plan comparison tool. And I'm mad. Mad that none of these pamphlets are formatted the same. Mad that they use different measures and terms for the same services. Mad that they're nigh impossible to "side by side." Mad that no one can explain why my premium is going up so much for no new benefits. Mad that even trying to understand the difference between "basic option" and "standard option" is eye-bleedingly tedious. Mad that the reps can't answer questions about levels of coverage compared to their competitors, but can bring up no less than five times that they "cover 52 therapeutic massage visits per calendar year!" It almost feels deliberate - the difficulty here in trying to decide what's best for my family's health. The best response and info I've been able to get are from co-workers enrolled in other plans ... "what did you pay for this, where did you go for that" etc. etc.\ I'm frustrated. This is a major deal for me. I have worked hard to be in a position to provide for my family (we're single income and I'm also the benefits provider) but can't understand it all. I'm frustrated that I feel ignorant and un-educated on something so important. Rant off. Thanks for listening, PF - if you have any tips, I'm happy to listen.

I'm a grown-ass man, and I cannot understand the options available to me for Health/Dental/Vision Insurance.. This is infuriating.

925468a5843047aaa06c3ded464d795b

86503a01ca904fdcb150b82707fa1929

Orthodontist and former General Dentist here: Dental insurance is a waste of money UNLESS your employer is paying for a good portion of it for you, OR you actually have dental work that needs to be done. If you need to buy it yourself, save your money. If it's offered by the company do your financial due diligence on how much it actually will cost. Also, look into company health flex spending. If all you are receiving is preventative care, you're likely to spend about $200-$400 a year (Exam and cleaning 2x a year, and various xrays 1x a year). If your premium for the dental plan is $600/year for $1000 of "benefit" it's a waste of money. Don't forget that there are copays and deductibles for different procedures and different tiers of insurance. When you have family plans and such is where it gets to be closer to worthwhile. TL;DR: dental insurance depends on what you intend on using it for.

Oh and to address the items you mentioned. Lasik and Orthodontics (for adults) are almost always considered cosmetic and almost never covered. Like 0 dollars. You can use FSA dollars for these items though. In the off chance there was some coverage it would be in your vision and dental policies respectively. Emergency care and out of network. Just depends on the plan. Most DON"T charge an out of network penalty for the emergency room care. Now after the "Emergency" is over, and they admit you and you start getting different care. That might be different. Also there is a difference between a hospital ER, an Urgent Care clinic, and convenient care clinic and a standalone ER facility. They likely all have different rules. Keep in mind also that doctors AND facilities can be in or out of network. So "St. Josephs Hospital" might be in your network, but the anesthesiologist Dr. Vikek Patel (who is an independent provider) might not be. Some insurance plans will give you just reduced coverage for out of network and others will give you 0. You just have to read the fine print. Its a giant pain in the ass.

personalfinance

3vy6a0

I'll try not to rant for too long here.. Federal employee, married, two young children. I'm not MENSA material, but I'm no dolt either. Current health insurance is going up by over $500 this year. As far as I can tell, for no increase in coverage. We were not unhappy, but also not pleased with our insurance the last two years, but a catastrophic accident and the birth of two kids planted me firmly in the "we're not changing anything in the middle of this" mindset. So now, here it is, open season, and my family is shopping around. We know a few things * First, our current FSA option sucks; it's so cumbersome that it's not worth my time. It's literally money thrown away because I can't get reimbursed through their online program for anything without it going through two different rejections and having to write a statement for each item. A single $2 bottle of Hydrogen Peroxide, submit the receipt, picture of the label, address of the store purchased at .. rejected. More back and forth, submitting screenshots of bank statements with purchases notated, finally accepted. Sweet, only took me 2+ hours to get my $2 back - NOT worth the time, especially not when extrapolated to a hundred or so purchases. Co-pays, large bills, even those are a headache to get back. Watched hundreds of dollars just disappear last year unused from the FSA.. So, we'd like to shift to a high deductible HSA-eligible plan; I'd really like to just have a card in my wallet we only swipe for medical related expenses - that's something we can manage easily. * Next, I'd like to look into invisalign/ braces to fix some issues I wish my parents had when I was younger. * After that, my wife would like to look at Lasik. If not that, then her best options for good vision coverage. * Most importantly, we don't want to have to worry about walking into the "wrong" doctor's office if one of our kids has an emergency. Just got back from my employer's "health fair" (30+ reps packed into 600ish sq. ft.) and could not be more disappointed. I pulled my benefits statements before going over so I'd know what I'm currently covered for and paying in co-pays etc. thinking "this will make it easy, I'll just go down the list and see who offers what!" Wrong. There's an exception to everything. So here I am, a gigantic pile of brochures in front of me that you need a background in analysis to decipher, trudging through OPM's plan comparison tool. And I'm mad. Mad that none of these pamphlets are formatted the same. Mad that they use different measures and terms for the same services. Mad that they're nigh impossible to "side by side." Mad that no one can explain why my premium is going up so much for no new benefits. Mad that even trying to understand the difference between "basic option" and "standard option" is eye-bleedingly tedious. Mad that the reps can't answer questions about levels of coverage compared to their competitors, but can bring up no less than five times that they "cover 52 therapeutic massage visits per calendar year!" It almost feels deliberate - the difficulty here in trying to decide what's best for my family's health. The best response and info I've been able to get are from co-workers enrolled in other plans ... "what did you pay for this, where did you go for that" etc. etc.\ I'm frustrated. This is a major deal for me. I have worked hard to be in a position to provide for my family (we're single income and I'm also the benefits provider) but can't understand it all. I'm frustrated that I feel ignorant and un-educated on something so important. Rant off. Thanks for listening, PF - if you have any tips, I'm happy to listen.

I'm a grown-ass man, and I cannot understand the options available to me for Health/Dental/Vision Insurance.. This is infuriating.

925468a5843047aaa06c3ded464d795b

5775ed3ac0ac4e1b96c653da6ec1514d

Orthodontist and former General Dentist here: Dental insurance is a waste of money UNLESS your employer is paying for a good portion of it for you, OR you actually have dental work that needs to be done. If you need to buy it yourself, save your money. If it's offered by the company do your financial due diligence on how much it actually will cost. Also, look into company health flex spending. If all you are receiving is preventative care, you're likely to spend about $200-$400 a year (Exam and cleaning 2x a year, and various xrays 1x a year). If your premium for the dental plan is $600/year for $1000 of "benefit" it's a waste of money. Don't forget that there are copays and deductibles for different procedures and different tiers of insurance. When you have family plans and such is where it gets to be closer to worthwhile. TL;DR: dental insurance depends on what you intend on using it for.

So a few things. One costs are going up likely because a lot of the ACA required stuff has encouraged more people to actually seek out care and use their insurance. One of the secrets of insurance was that if no one uses it because they are afraid of having to pay out of pocket, then the insurance company wins. But when things like preventive care are mandated to be covered (typically for free), people use them. So now you have members that used to have basically 0 health expense now with 3-500 expense. That has to be paid by someone, and with the way insurance works, the costs get spread across all the members. We don't treat (at least not anymore) health insurance like cars. Otherwise it would cost 10 bucks a year for a 19 year old and 60,000 a year for a 60 year old. Now as far as understanding it, do you have specific questions? For the most part if you understand the terms, copay, deductible, out of pocket max, and coinsurance. You should be able to figure it out. Then after that its usually a matter of looking at the exclusions and special cases. Maybe plan A has a $500 maternity option whereas plan B just routes all maternity care thru the standard deductible and coinsurance rules. I've been working in healthcare for about 10 years, with a fair bit of experience with insurance from the provider side, so I can try to help you understand things if you have a specific question.

personalfinance

3vy6a0

I'll try not to rant for too long here.. Federal employee, married, two young children. I'm not MENSA material, but I'm no dolt either. Current health insurance is going up by over $500 this year. As far as I can tell, for no increase in coverage. We were not unhappy, but also not pleased with our insurance the last two years, but a catastrophic accident and the birth of two kids planted me firmly in the "we're not changing anything in the middle of this" mindset. So now, here it is, open season, and my family is shopping around. We know a few things * First, our current FSA option sucks; it's so cumbersome that it's not worth my time. It's literally money thrown away because I can't get reimbursed through their online program for anything without it going through two different rejections and having to write a statement for each item. A single $2 bottle of Hydrogen Peroxide, submit the receipt, picture of the label, address of the store purchased at .. rejected. More back and forth, submitting screenshots of bank statements with purchases notated, finally accepted. Sweet, only took me 2+ hours to get my $2 back - NOT worth the time, especially not when extrapolated to a hundred or so purchases. Co-pays, large bills, even those are a headache to get back. Watched hundreds of dollars just disappear last year unused from the FSA.. So, we'd like to shift to a high deductible HSA-eligible plan; I'd really like to just have a card in my wallet we only swipe for medical related expenses - that's something we can manage easily. * Next, I'd like to look into invisalign/ braces to fix some issues I wish my parents had when I was younger. * After that, my wife would like to look at Lasik. If not that, then her best options for good vision coverage. * Most importantly, we don't want to have to worry about walking into the "wrong" doctor's office if one of our kids has an emergency. Just got back from my employer's "health fair" (30+ reps packed into 600ish sq. ft.) and could not be more disappointed. I pulled my benefits statements before going over so I'd know what I'm currently covered for and paying in co-pays etc. thinking "this will make it easy, I'll just go down the list and see who offers what!" Wrong. There's an exception to everything. So here I am, a gigantic pile of brochures in front of me that you need a background in analysis to decipher, trudging through OPM's plan comparison tool. And I'm mad. Mad that none of these pamphlets are formatted the same. Mad that they use different measures and terms for the same services. Mad that they're nigh impossible to "side by side." Mad that no one can explain why my premium is going up so much for no new benefits. Mad that even trying to understand the difference between "basic option" and "standard option" is eye-bleedingly tedious. Mad that the reps can't answer questions about levels of coverage compared to their competitors, but can bring up no less than five times that they "cover 52 therapeutic massage visits per calendar year!" It almost feels deliberate - the difficulty here in trying to decide what's best for my family's health. The best response and info I've been able to get are from co-workers enrolled in other plans ... "what did you pay for this, where did you go for that" etc. etc.\ I'm frustrated. This is a major deal for me. I have worked hard to be in a position to provide for my family (we're single income and I'm also the benefits provider) but can't understand it all. I'm frustrated that I feel ignorant and un-educated on something so important. Rant off. Thanks for listening, PF - if you have any tips, I'm happy to listen.

I'm a grown-ass man, and I cannot understand the options available to me for Health/Dental/Vision Insurance.. This is infuriating.

925468a5843047aaa06c3ded464d795b

728fcd7b3eeb457a9fdb5dd922d7265d

Orthodontist and former General Dentist here: Dental insurance is a waste of money UNLESS your employer is paying for a good portion of it for you, OR you actually have dental work that needs to be done. If you need to buy it yourself, save your money. If it's offered by the company do your financial due diligence on how much it actually will cost. Also, look into company health flex spending. If all you are receiving is preventative care, you're likely to spend about $200-$400 a year (Exam and cleaning 2x a year, and various xrays 1x a year). If your premium for the dental plan is $600/year for $1000 of "benefit" it's a waste of money. Don't forget that there are copays and deductibles for different procedures and different tiers of insurance. When you have family plans and such is where it gets to be closer to worthwhile. TL;DR: dental insurance depends on what you intend on using it for.

All i know is we pay 750 a month for health, vision, and dental. Thats for my wife, myself, and our one kid. Also it goes up every year, which is just stupid. Its just another bill the working class have to pay for. Also I really enjoyed your rant, and let this be known you are not alone when it comes to this shit. They make it difficult for a reason, and all insurance companies basically do this shit. Shopping for car insurance and living in Wayne County (MI) is fucking terrible. Oh my insurance went up 100$ more a month because ive never got a ticket or accident. This also happens yearly. Its just a giant fucking money sink. Just consider this shit the workingmans tax.

personalfinance

3vy6a0

I'll try not to rant for too long here.. Federal employee, married, two young children. I'm not MENSA material, but I'm no dolt either. Current health insurance is going up by over $500 this year. As far as I can tell, for no increase in coverage. We were not unhappy, but also not pleased with our insurance the last two years, but a catastrophic accident and the birth of two kids planted me firmly in the "we're not changing anything in the middle of this" mindset. So now, here it is, open season, and my family is shopping around. We know a few things * First, our current FSA option sucks; it's so cumbersome that it's not worth my time. It's literally money thrown away because I can't get reimbursed through their online program for anything without it going through two different rejections and having to write a statement for each item. A single $2 bottle of Hydrogen Peroxide, submit the receipt, picture of the label, address of the store purchased at .. rejected. More back and forth, submitting screenshots of bank statements with purchases notated, finally accepted. Sweet, only took me 2+ hours to get my $2 back - NOT worth the time, especially not when extrapolated to a hundred or so purchases. Co-pays, large bills, even those are a headache to get back. Watched hundreds of dollars just disappear last year unused from the FSA.. So, we'd like to shift to a high deductible HSA-eligible plan; I'd really like to just have a card in my wallet we only swipe for medical related expenses - that's something we can manage easily. * Next, I'd like to look into invisalign/ braces to fix some issues I wish my parents had when I was younger. * After that, my wife would like to look at Lasik. If not that, then her best options for good vision coverage. * Most importantly, we don't want to have to worry about walking into the "wrong" doctor's office if one of our kids has an emergency. Just got back from my employer's "health fair" (30+ reps packed into 600ish sq. ft.) and could not be more disappointed. I pulled my benefits statements before going over so I'd know what I'm currently covered for and paying in co-pays etc. thinking "this will make it easy, I'll just go down the list and see who offers what!" Wrong. There's an exception to everything. So here I am, a gigantic pile of brochures in front of me that you need a background in analysis to decipher, trudging through OPM's plan comparison tool. And I'm mad. Mad that none of these pamphlets are formatted the same. Mad that they use different measures and terms for the same services. Mad that they're nigh impossible to "side by side." Mad that no one can explain why my premium is going up so much for no new benefits. Mad that even trying to understand the difference between "basic option" and "standard option" is eye-bleedingly tedious. Mad that the reps can't answer questions about levels of coverage compared to their competitors, but can bring up no less than five times that they "cover 52 therapeutic massage visits per calendar year!" It almost feels deliberate - the difficulty here in trying to decide what's best for my family's health. The best response and info I've been able to get are from co-workers enrolled in other plans ... "what did you pay for this, where did you go for that" etc. etc.\ I'm frustrated. This is a major deal for me. I have worked hard to be in a position to provide for my family (we're single income and I'm also the benefits provider) but can't understand it all. I'm frustrated that I feel ignorant and un-educated on something so important. Rant off. Thanks for listening, PF - if you have any tips, I'm happy to listen.

I'm a grown-ass man, and I cannot understand the options available to me for Health/Dental/Vision Insurance.. This is infuriating.

925468a5843047aaa06c3ded464d795b

1aa6fb40e7fd464491a6945588309564

Orthodontist and former General Dentist here: Dental insurance is a waste of money UNLESS your employer is paying for a good portion of it for you, OR you actually have dental work that needs to be done. If you need to buy it yourself, save your money. If it's offered by the company do your financial due diligence on how much it actually will cost. Also, look into company health flex spending. If all you are receiving is preventative care, you're likely to spend about $200-$400 a year (Exam and cleaning 2x a year, and various xrays 1x a year). If your premium for the dental plan is $600/year for $1000 of "benefit" it's a waste of money. Don't forget that there are copays and deductibles for different procedures and different tiers of insurance. When you have family plans and such is where it gets to be closer to worthwhile. TL;DR: dental insurance depends on what you intend on using it for.

Who are the vision providers who cover any part of lasik? My wife works in healthcare and has access to just about any provider we want. I shopped around every single one and was laughed off the phone when I asked if or how much of Lasik they would cover.

personalfinance

3vy6a0

I'll try not to rant for too long here.. Federal employee, married, two young children. I'm not MENSA material, but I'm no dolt either. Current health insurance is going up by over $500 this year. As far as I can tell, for no increase in coverage. We were not unhappy, but also not pleased with our insurance the last two years, but a catastrophic accident and the birth of two kids planted me firmly in the "we're not changing anything in the middle of this" mindset. So now, here it is, open season, and my family is shopping around. We know a few things * First, our current FSA option sucks; it's so cumbersome that it's not worth my time. It's literally money thrown away because I can't get reimbursed through their online program for anything without it going through two different rejections and having to write a statement for each item. A single $2 bottle of Hydrogen Peroxide, submit the receipt, picture of the label, address of the store purchased at .. rejected. More back and forth, submitting screenshots of bank statements with purchases notated, finally accepted. Sweet, only took me 2+ hours to get my $2 back - NOT worth the time, especially not when extrapolated to a hundred or so purchases. Co-pays, large bills, even those are a headache to get back. Watched hundreds of dollars just disappear last year unused from the FSA.. So, we'd like to shift to a high deductible HSA-eligible plan; I'd really like to just have a card in my wallet we only swipe for medical related expenses - that's something we can manage easily. * Next, I'd like to look into invisalign/ braces to fix some issues I wish my parents had when I was younger. * After that, my wife would like to look at Lasik. If not that, then her best options for good vision coverage. * Most importantly, we don't want to have to worry about walking into the "wrong" doctor's office if one of our kids has an emergency. Just got back from my employer's "health fair" (30+ reps packed into 600ish sq. ft.) and could not be more disappointed. I pulled my benefits statements before going over so I'd know what I'm currently covered for and paying in co-pays etc. thinking "this will make it easy, I'll just go down the list and see who offers what!" Wrong. There's an exception to everything. So here I am, a gigantic pile of brochures in front of me that you need a background in analysis to decipher, trudging through OPM's plan comparison tool. And I'm mad. Mad that none of these pamphlets are formatted the same. Mad that they use different measures and terms for the same services. Mad that they're nigh impossible to "side by side." Mad that no one can explain why my premium is going up so much for no new benefits. Mad that even trying to understand the difference between "basic option" and "standard option" is eye-bleedingly tedious. Mad that the reps can't answer questions about levels of coverage compared to their competitors, but can bring up no less than five times that they "cover 52 therapeutic massage visits per calendar year!" It almost feels deliberate - the difficulty here in trying to decide what's best for my family's health. The best response and info I've been able to get are from co-workers enrolled in other plans ... "what did you pay for this, where did you go for that" etc. etc.\ I'm frustrated. This is a major deal for me. I have worked hard to be in a position to provide for my family (we're single income and I'm also the benefits provider) but can't understand it all. I'm frustrated that I feel ignorant and un-educated on something so important. Rant off. Thanks for listening, PF - if you have any tips, I'm happy to listen.

I'm a grown-ass man, and I cannot understand the options available to me for Health/Dental/Vision Insurance.. This is infuriating.

925468a5843047aaa06c3ded464d795b

58dcb406a703459c9fd91012b567f39c

Orthodontist and former General Dentist here: Dental insurance is a waste of money UNLESS your employer is paying for a good portion of it for you, OR you actually have dental work that needs to be done. If you need to buy it yourself, save your money. If it's offered by the company do your financial due diligence on how much it actually will cost. Also, look into company health flex spending. If all you are receiving is preventative care, you're likely to spend about $200-$400 a year (Exam and cleaning 2x a year, and various xrays 1x a year). If your premium for the dental plan is $600/year for $1000 of "benefit" it's a waste of money. Don't forget that there are copays and deductibles for different procedures and different tiers of insurance. When you have family plans and such is where it gets to be closer to worthwhile. TL;DR: dental insurance depends on what you intend on using it for.

Oh and to address the items you mentioned. Lasik and Orthodontics (for adults) are almost always considered cosmetic and almost never covered. Like 0 dollars. You can use FSA dollars for these items though. In the off chance there was some coverage it would be in your vision and dental policies respectively. Emergency care and out of network. Just depends on the plan. Most DON"T charge an out of network penalty for the emergency room care. Now after the "Emergency" is over, and they admit you and you start getting different care. That might be different. Also there is a difference between a hospital ER, an Urgent Care clinic, and convenient care clinic and a standalone ER facility. They likely all have different rules. Keep in mind also that doctors AND facilities can be in or out of network. So "St. Josephs Hospital" might be in your network, but the anesthesiologist Dr. Vikek Patel (who is an independent provider) might not be. Some insurance plans will give you just reduced coverage for out of network and others will give you 0. You just have to read the fine print. Its a giant pain in the ass.

personalfinance

3vy6a0

I'll try not to rant for too long here.. Federal employee, married, two young children. I'm not MENSA material, but I'm no dolt either. Current health insurance is going up by over $500 this year. As far as I can tell, for no increase in coverage. We were not unhappy, but also not pleased with our insurance the last two years, but a catastrophic accident and the birth of two kids planted me firmly in the "we're not changing anything in the middle of this" mindset. So now, here it is, open season, and my family is shopping around. We know a few things * First, our current FSA option sucks; it's so cumbersome that it's not worth my time. It's literally money thrown away because I can't get reimbursed through their online program for anything without it going through two different rejections and having to write a statement for each item. A single $2 bottle of Hydrogen Peroxide, submit the receipt, picture of the label, address of the store purchased at .. rejected. More back and forth, submitting screenshots of bank statements with purchases notated, finally accepted. Sweet, only took me 2+ hours to get my $2 back - NOT worth the time, especially not when extrapolated to a hundred or so purchases. Co-pays, large bills, even those are a headache to get back. Watched hundreds of dollars just disappear last year unused from the FSA.. So, we'd like to shift to a high deductible HSA-eligible plan; I'd really like to just have a card in my wallet we only swipe for medical related expenses - that's something we can manage easily. * Next, I'd like to look into invisalign/ braces to fix some issues I wish my parents had when I was younger. * After that, my wife would like to look at Lasik. If not that, then her best options for good vision coverage. * Most importantly, we don't want to have to worry about walking into the "wrong" doctor's office if one of our kids has an emergency. Just got back from my employer's "health fair" (30+ reps packed into 600ish sq. ft.) and could not be more disappointed. I pulled my benefits statements before going over so I'd know what I'm currently covered for and paying in co-pays etc. thinking "this will make it easy, I'll just go down the list and see who offers what!" Wrong. There's an exception to everything. So here I am, a gigantic pile of brochures in front of me that you need a background in analysis to decipher, trudging through OPM's plan comparison tool. And I'm mad. Mad that none of these pamphlets are formatted the same. Mad that they use different measures and terms for the same services. Mad that they're nigh impossible to "side by side." Mad that no one can explain why my premium is going up so much for no new benefits. Mad that even trying to understand the difference between "basic option" and "standard option" is eye-bleedingly tedious. Mad that the reps can't answer questions about levels of coverage compared to their competitors, but can bring up no less than five times that they "cover 52 therapeutic massage visits per calendar year!" It almost feels deliberate - the difficulty here in trying to decide what's best for my family's health. The best response and info I've been able to get are from co-workers enrolled in other plans ... "what did you pay for this, where did you go for that" etc. etc.\ I'm frustrated. This is a major deal for me. I have worked hard to be in a position to provide for my family (we're single income and I'm also the benefits provider) but can't understand it all. I'm frustrated that I feel ignorant and un-educated on something so important. Rant off. Thanks for listening, PF - if you have any tips, I'm happy to listen.

I'm a grown-ass man, and I cannot understand the options available to me for Health/Dental/Vision Insurance.. This is infuriating.

1a210bb66fd54b0489880b7a96e8d8c6

11e024a68a0549e2bd8862c7cb2956f3

I was under the impression that all plans are now required to have a 1-page summary sheet available that shows most of the important information. I'd start by looking for those online.

Oh and to address the items you mentioned. Lasik and Orthodontics (for adults) are almost always considered cosmetic and almost never covered. Like 0 dollars. You can use FSA dollars for these items though. In the off chance there was some coverage it would be in your vision and dental policies respectively. Emergency care and out of network. Just depends on the plan. Most DON"T charge an out of network penalty for the emergency room care. Now after the "Emergency" is over, and they admit you and you start getting different care. That might be different. Also there is a difference between a hospital ER, an Urgent Care clinic, and convenient care clinic and a standalone ER facility. They likely all have different rules. Keep in mind also that doctors AND facilities can be in or out of network. So "St. Josephs Hospital" might be in your network, but the anesthesiologist Dr. Vikek Patel (who is an independent provider) might not be. Some insurance plans will give you just reduced coverage for out of network and others will give you 0. You just have to read the fine print. Its a giant pain in the ass.

personalfinance

3vy6a0

I'll try not to rant for too long here.. Federal employee, married, two young children. I'm not MENSA material, but I'm no dolt either. Current health insurance is going up by over $500 this year. As far as I can tell, for no increase in coverage. We were not unhappy, but also not pleased with our insurance the last two years, but a catastrophic accident and the birth of two kids planted me firmly in the "we're not changing anything in the middle of this" mindset. So now, here it is, open season, and my family is shopping around. We know a few things * First, our current FSA option sucks; it's so cumbersome that it's not worth my time. It's literally money thrown away because I can't get reimbursed through their online program for anything without it going through two different rejections and having to write a statement for each item. A single $2 bottle of Hydrogen Peroxide, submit the receipt, picture of the label, address of the store purchased at .. rejected. More back and forth, submitting screenshots of bank statements with purchases notated, finally accepted. Sweet, only took me 2+ hours to get my $2 back - NOT worth the time, especially not when extrapolated to a hundred or so purchases. Co-pays, large bills, even those are a headache to get back. Watched hundreds of dollars just disappear last year unused from the FSA.. So, we'd like to shift to a high deductible HSA-eligible plan; I'd really like to just have a card in my wallet we only swipe for medical related expenses - that's something we can manage easily. * Next, I'd like to look into invisalign/ braces to fix some issues I wish my parents had when I was younger. * After that, my wife would like to look at Lasik. If not that, then her best options for good vision coverage. * Most importantly, we don't want to have to worry about walking into the "wrong" doctor's office if one of our kids has an emergency. Just got back from my employer's "health fair" (30+ reps packed into 600ish sq. ft.) and could not be more disappointed. I pulled my benefits statements before going over so I'd know what I'm currently covered for and paying in co-pays etc. thinking "this will make it easy, I'll just go down the list and see who offers what!" Wrong. There's an exception to everything. So here I am, a gigantic pile of brochures in front of me that you need a background in analysis to decipher, trudging through OPM's plan comparison tool. And I'm mad. Mad that none of these pamphlets are formatted the same. Mad that they use different measures and terms for the same services. Mad that they're nigh impossible to "side by side." Mad that no one can explain why my premium is going up so much for no new benefits. Mad that even trying to understand the difference between "basic option" and "standard option" is eye-bleedingly tedious. Mad that the reps can't answer questions about levels of coverage compared to their competitors, but can bring up no less than five times that they "cover 52 therapeutic massage visits per calendar year!" It almost feels deliberate - the difficulty here in trying to decide what's best for my family's health. The best response and info I've been able to get are from co-workers enrolled in other plans ... "what did you pay for this, where did you go for that" etc. etc.\ I'm frustrated. This is a major deal for me. I have worked hard to be in a position to provide for my family (we're single income and I'm also the benefits provider) but can't understand it all. I'm frustrated that I feel ignorant and un-educated on something so important. Rant off. Thanks for listening, PF - if you have any tips, I'm happy to listen.

I'm a grown-ass man, and I cannot understand the options available to me for Health/Dental/Vision Insurance.. This is infuriating.

1a210bb66fd54b0489880b7a96e8d8c6

5775ed3ac0ac4e1b96c653da6ec1514d

I was under the impression that all plans are now required to have a 1-page summary sheet available that shows most of the important information. I'd start by looking for those online.

So a few things. One costs are going up likely because a lot of the ACA required stuff has encouraged more people to actually seek out care and use their insurance. One of the secrets of insurance was that if no one uses it because they are afraid of having to pay out of pocket, then the insurance company wins. But when things like preventive care are mandated to be covered (typically for free), people use them. So now you have members that used to have basically 0 health expense now with 3-500 expense. That has to be paid by someone, and with the way insurance works, the costs get spread across all the members. We don't treat (at least not anymore) health insurance like cars. Otherwise it would cost 10 bucks a year for a 19 year old and 60,000 a year for a 60 year old. Now as far as understanding it, do you have specific questions? For the most part if you understand the terms, copay, deductible, out of pocket max, and coinsurance. You should be able to figure it out. Then after that its usually a matter of looking at the exclusions and special cases. Maybe plan A has a $500 maternity option whereas plan B just routes all maternity care thru the standard deductible and coinsurance rules. I've been working in healthcare for about 10 years, with a fair bit of experience with insurance from the provider side, so I can try to help you understand things if you have a specific question.

personalfinance

3vy6a0

I'll try not to rant for too long here.. Federal employee, married, two young children. I'm not MENSA material, but I'm no dolt either. Current health insurance is going up by over $500 this year. As far as I can tell, for no increase in coverage. We were not unhappy, but also not pleased with our insurance the last two years, but a catastrophic accident and the birth of two kids planted me firmly in the "we're not changing anything in the middle of this" mindset. So now, here it is, open season, and my family is shopping around. We know a few things * First, our current FSA option sucks; it's so cumbersome that it's not worth my time. It's literally money thrown away because I can't get reimbursed through their online program for anything without it going through two different rejections and having to write a statement for each item. A single $2 bottle of Hydrogen Peroxide, submit the receipt, picture of the label, address of the store purchased at .. rejected. More back and forth, submitting screenshots of bank statements with purchases notated, finally accepted. Sweet, only took me 2+ hours to get my $2 back - NOT worth the time, especially not when extrapolated to a hundred or so purchases. Co-pays, large bills, even those are a headache to get back. Watched hundreds of dollars just disappear last year unused from the FSA.. So, we'd like to shift to a high deductible HSA-eligible plan; I'd really like to just have a card in my wallet we only swipe for medical related expenses - that's something we can manage easily. * Next, I'd like to look into invisalign/ braces to fix some issues I wish my parents had when I was younger. * After that, my wife would like to look at Lasik. If not that, then her best options for good vision coverage. * Most importantly, we don't want to have to worry about walking into the "wrong" doctor's office if one of our kids has an emergency. Just got back from my employer's "health fair" (30+ reps packed into 600ish sq. ft.) and could not be more disappointed. I pulled my benefits statements before going over so I'd know what I'm currently covered for and paying in co-pays etc. thinking "this will make it easy, I'll just go down the list and see who offers what!" Wrong. There's an exception to everything. So here I am, a gigantic pile of brochures in front of me that you need a background in analysis to decipher, trudging through OPM's plan comparison tool. And I'm mad. Mad that none of these pamphlets are formatted the same. Mad that they use different measures and terms for the same services. Mad that they're nigh impossible to "side by side." Mad that no one can explain why my premium is going up so much for no new benefits. Mad that even trying to understand the difference between "basic option" and "standard option" is eye-bleedingly tedious. Mad that the reps can't answer questions about levels of coverage compared to their competitors, but can bring up no less than five times that they "cover 52 therapeutic massage visits per calendar year!" It almost feels deliberate - the difficulty here in trying to decide what's best for my family's health. The best response and info I've been able to get are from co-workers enrolled in other plans ... "what did you pay for this, where did you go for that" etc. etc.\ I'm frustrated. This is a major deal for me. I have worked hard to be in a position to provide for my family (we're single income and I'm also the benefits provider) but can't understand it all. I'm frustrated that I feel ignorant and un-educated on something so important. Rant off. Thanks for listening, PF - if you have any tips, I'm happy to listen.

I'm a grown-ass man, and I cannot understand the options available to me for Health/Dental/Vision Insurance.. This is infuriating.

1a210bb66fd54b0489880b7a96e8d8c6

58dcb406a703459c9fd91012b567f39c

I was under the impression that all plans are now required to have a 1-page summary sheet available that shows most of the important information. I'd start by looking for those online.

Oh and to address the items you mentioned. Lasik and Orthodontics (for adults) are almost always considered cosmetic and almost never covered. Like 0 dollars. You can use FSA dollars for these items though. In the off chance there was some coverage it would be in your vision and dental policies respectively. Emergency care and out of network. Just depends on the plan. Most DON"T charge an out of network penalty for the emergency room care. Now after the "Emergency" is over, and they admit you and you start getting different care. That might be different. Also there is a difference between a hospital ER, an Urgent Care clinic, and convenient care clinic and a standalone ER facility. They likely all have different rules. Keep in mind also that doctors AND facilities can be in or out of network. So "St. Josephs Hospital" might be in your network, but the anesthesiologist Dr. Vikek Patel (who is an independent provider) might not be. Some insurance plans will give you just reduced coverage for out of network and others will give you 0. You just have to read the fine print. Its a giant pain in the ass.

personalfinance

3vy6a0

I'll try not to rant for too long here.. Federal employee, married, two young children. I'm not MENSA material, but I'm no dolt either. Current health insurance is going up by over $500 this year. As far as I can tell, for no increase in coverage. We were not unhappy, but also not pleased with our insurance the last two years, but a catastrophic accident and the birth of two kids planted me firmly in the "we're not changing anything in the middle of this" mindset. So now, here it is, open season, and my family is shopping around. We know a few things * First, our current FSA option sucks; it's so cumbersome that it's not worth my time. It's literally money thrown away because I can't get reimbursed through their online program for anything without it going through two different rejections and having to write a statement for each item. A single $2 bottle of Hydrogen Peroxide, submit the receipt, picture of the label, address of the store purchased at .. rejected. More back and forth, submitting screenshots of bank statements with purchases notated, finally accepted. Sweet, only took me 2+ hours to get my $2 back - NOT worth the time, especially not when extrapolated to a hundred or so purchases. Co-pays, large bills, even those are a headache to get back. Watched hundreds of dollars just disappear last year unused from the FSA.. So, we'd like to shift to a high deductible HSA-eligible plan; I'd really like to just have a card in my wallet we only swipe for medical related expenses - that's something we can manage easily. * Next, I'd like to look into invisalign/ braces to fix some issues I wish my parents had when I was younger. * After that, my wife would like to look at Lasik. If not that, then her best options for good vision coverage. * Most importantly, we don't want to have to worry about walking into the "wrong" doctor's office if one of our kids has an emergency. Just got back from my employer's "health fair" (30+ reps packed into 600ish sq. ft.) and could not be more disappointed. I pulled my benefits statements before going over so I'd know what I'm currently covered for and paying in co-pays etc. thinking "this will make it easy, I'll just go down the list and see who offers what!" Wrong. There's an exception to everything. So here I am, a gigantic pile of brochures in front of me that you need a background in analysis to decipher, trudging through OPM's plan comparison tool. And I'm mad. Mad that none of these pamphlets are formatted the same. Mad that they use different measures and terms for the same services. Mad that they're nigh impossible to "side by side." Mad that no one can explain why my premium is going up so much for no new benefits. Mad that even trying to understand the difference between "basic option" and "standard option" is eye-bleedingly tedious. Mad that the reps can't answer questions about levels of coverage compared to their competitors, but can bring up no less than five times that they "cover 52 therapeutic massage visits per calendar year!" It almost feels deliberate - the difficulty here in trying to decide what's best for my family's health. The best response and info I've been able to get are from co-workers enrolled in other plans ... "what did you pay for this, where did you go for that" etc. etc.\ I'm frustrated. This is a major deal for me. I have worked hard to be in a position to provide for my family (we're single income and I'm also the benefits provider) but can't understand it all. I'm frustrated that I feel ignorant and un-educated on something so important. Rant off. Thanks for listening, PF - if you have any tips, I'm happy to listen.

I'm a grown-ass man, and I cannot understand the options available to me for Health/Dental/Vision Insurance.. This is infuriating.

8d3e030ab295444ab7d43f2310d9f87a

5cfa505ea8b340f58801cd0837356150

Orthodontist and former General Dentist here: Dental insurance is a waste of money UNLESS your employer is paying for a good portion of it for you, OR you actually have dental work that needs to be done. If you need to buy it yourself, save your money. If it's offered by the company do your financial due diligence on how much it actually will cost. Also, look into company health flex spending. If all you are receiving is preventative care, you're likely to spend about $200-$400 a year (Exam and cleaning 2x a year, and various xrays 1x a year). If your premium for the dental plan is $600/year for $1000 of "benefit" it's a waste of money. Don't forget that there are copays and deductibles for different procedures and different tiers of insurance. When you have family plans and such is where it gets to be closer to worthwhile. TL;DR: dental insurance depends on what you intend on using it for.

I'm an MD and I don't understand either side (insurance/medicare wise) of this cluster fuck we call healthcare. Whatever happened to just paying for a service? Now we employ armies of coders etc in order to extract a partial payment from the insurance who say we are owed more than we'd bill straight out. By a wide margin.

personalfinance

3vy6a0

I'll try not to rant for too long here.. Federal employee, married, two young children. I'm not MENSA material, but I'm no dolt either. Current health insurance is going up by over $500 this year. As far as I can tell, for no increase in coverage. We were not unhappy, but also not pleased with our insurance the last two years, but a catastrophic accident and the birth of two kids planted me firmly in the "we're not changing anything in the middle of this" mindset. So now, here it is, open season, and my family is shopping around. We know a few things * First, our current FSA option sucks; it's so cumbersome that it's not worth my time. It's literally money thrown away because I can't get reimbursed through their online program for anything without it going through two different rejections and having to write a statement for each item. A single $2 bottle of Hydrogen Peroxide, submit the receipt, picture of the label, address of the store purchased at .. rejected. More back and forth, submitting screenshots of bank statements with purchases notated, finally accepted. Sweet, only took me 2+ hours to get my $2 back - NOT worth the time, especially not when extrapolated to a hundred or so purchases. Co-pays, large bills, even those are a headache to get back. Watched hundreds of dollars just disappear last year unused from the FSA.. So, we'd like to shift to a high deductible HSA-eligible plan; I'd really like to just have a card in my wallet we only swipe for medical related expenses - that's something we can manage easily. * Next, I'd like to look into invisalign/ braces to fix some issues I wish my parents had when I was younger. * After that, my wife would like to look at Lasik. If not that, then her best options for good vision coverage. * Most importantly, we don't want to have to worry about walking into the "wrong" doctor's office if one of our kids has an emergency. Just got back from my employer's "health fair" (30+ reps packed into 600ish sq. ft.) and could not be more disappointed. I pulled my benefits statements before going over so I'd know what I'm currently covered for and paying in co-pays etc. thinking "this will make it easy, I'll just go down the list and see who offers what!" Wrong. There's an exception to everything. So here I am, a gigantic pile of brochures in front of me that you need a background in analysis to decipher, trudging through OPM's plan comparison tool. And I'm mad. Mad that none of these pamphlets are formatted the same. Mad that they use different measures and terms for the same services. Mad that they're nigh impossible to "side by side." Mad that no one can explain why my premium is going up so much for no new benefits. Mad that even trying to understand the difference between "basic option" and "standard option" is eye-bleedingly tedious. Mad that the reps can't answer questions about levels of coverage compared to their competitors, but can bring up no less than five times that they "cover 52 therapeutic massage visits per calendar year!" It almost feels deliberate - the difficulty here in trying to decide what's best for my family's health. The best response and info I've been able to get are from co-workers enrolled in other plans ... "what did you pay for this, where did you go for that" etc. etc.\ I'm frustrated. This is a major deal for me. I have worked hard to be in a position to provide for my family (we're single income and I'm also the benefits provider) but can't understand it all. I'm frustrated that I feel ignorant and un-educated on something so important. Rant off. Thanks for listening, PF - if you have any tips, I'm happy to listen.

I'm a grown-ass man, and I cannot understand the options available to me for Health/Dental/Vision Insurance.. This is infuriating.

8d3e030ab295444ab7d43f2310d9f87a

86503a01ca904fdcb150b82707fa1929

Orthodontist and former General Dentist here: Dental insurance is a waste of money UNLESS your employer is paying for a good portion of it for you, OR you actually have dental work that needs to be done. If you need to buy it yourself, save your money. If it's offered by the company do your financial due diligence on how much it actually will cost. Also, look into company health flex spending. If all you are receiving is preventative care, you're likely to spend about $200-$400 a year (Exam and cleaning 2x a year, and various xrays 1x a year). If your premium for the dental plan is $600/year for $1000 of "benefit" it's a waste of money. Don't forget that there are copays and deductibles for different procedures and different tiers of insurance. When you have family plans and such is where it gets to be closer to worthwhile. TL;DR: dental insurance depends on what you intend on using it for.

Oh and to address the items you mentioned. Lasik and Orthodontics (for adults) are almost always considered cosmetic and almost never covered. Like 0 dollars. You can use FSA dollars for these items though. In the off chance there was some coverage it would be in your vision and dental policies respectively. Emergency care and out of network. Just depends on the plan. Most DON"T charge an out of network penalty for the emergency room care. Now after the "Emergency" is over, and they admit you and you start getting different care. That might be different. Also there is a difference between a hospital ER, an Urgent Care clinic, and convenient care clinic and a standalone ER facility. They likely all have different rules. Keep in mind also that doctors AND facilities can be in or out of network. So "St. Josephs Hospital" might be in your network, but the anesthesiologist Dr. Vikek Patel (who is an independent provider) might not be. Some insurance plans will give you just reduced coverage for out of network and others will give you 0. You just have to read the fine print. Its a giant pain in the ass.

personalfinance

3vy6a0

I'll try not to rant for too long here.. Federal employee, married, two young children. I'm not MENSA material, but I'm no dolt either. Current health insurance is going up by over $500 this year. As far as I can tell, for no increase in coverage. We were not unhappy, but also not pleased with our insurance the last two years, but a catastrophic accident and the birth of two kids planted me firmly in the "we're not changing anything in the middle of this" mindset. So now, here it is, open season, and my family is shopping around. We know a few things * First, our current FSA option sucks; it's so cumbersome that it's not worth my time. It's literally money thrown away because I can't get reimbursed through their online program for anything without it going through two different rejections and having to write a statement for each item. A single $2 bottle of Hydrogen Peroxide, submit the receipt, picture of the label, address of the store purchased at .. rejected. More back and forth, submitting screenshots of bank statements with purchases notated, finally accepted. Sweet, only took me 2+ hours to get my $2 back - NOT worth the time, especially not when extrapolated to a hundred or so purchases. Co-pays, large bills, even those are a headache to get back. Watched hundreds of dollars just disappear last year unused from the FSA.. So, we'd like to shift to a high deductible HSA-eligible plan; I'd really like to just have a card in my wallet we only swipe for medical related expenses - that's something we can manage easily. * Next, I'd like to look into invisalign/ braces to fix some issues I wish my parents had when I was younger. * After that, my wife would like to look at Lasik. If not that, then her best options for good vision coverage. * Most importantly, we don't want to have to worry about walking into the "wrong" doctor's office if one of our kids has an emergency. Just got back from my employer's "health fair" (30+ reps packed into 600ish sq. ft.) and could not be more disappointed. I pulled my benefits statements before going over so I'd know what I'm currently covered for and paying in co-pays etc. thinking "this will make it easy, I'll just go down the list and see who offers what!" Wrong. There's an exception to everything. So here I am, a gigantic pile of brochures in front of me that you need a background in analysis to decipher, trudging through OPM's plan comparison tool. And I'm mad. Mad that none of these pamphlets are formatted the same. Mad that they use different measures and terms for the same services. Mad that they're nigh impossible to "side by side." Mad that no one can explain why my premium is going up so much for no new benefits. Mad that even trying to understand the difference between "basic option" and "standard option" is eye-bleedingly tedious. Mad that the reps can't answer questions about levels of coverage compared to their competitors, but can bring up no less than five times that they "cover 52 therapeutic massage visits per calendar year!" It almost feels deliberate - the difficulty here in trying to decide what's best for my family's health. The best response and info I've been able to get are from co-workers enrolled in other plans ... "what did you pay for this, where did you go for that" etc. etc.\ I'm frustrated. This is a major deal for me. I have worked hard to be in a position to provide for my family (we're single income and I'm also the benefits provider) but can't understand it all. I'm frustrated that I feel ignorant and un-educated on something so important. Rant off. Thanks for listening, PF - if you have any tips, I'm happy to listen.

I'm a grown-ass man, and I cannot understand the options available to me for Health/Dental/Vision Insurance.. This is infuriating.

8d3e030ab295444ab7d43f2310d9f87a

5775ed3ac0ac4e1b96c653da6ec1514d

Orthodontist and former General Dentist here: Dental insurance is a waste of money UNLESS your employer is paying for a good portion of it for you, OR you actually have dental work that needs to be done. If you need to buy it yourself, save your money. If it's offered by the company do your financial due diligence on how much it actually will cost. Also, look into company health flex spending. If all you are receiving is preventative care, you're likely to spend about $200-$400 a year (Exam and cleaning 2x a year, and various xrays 1x a year). If your premium for the dental plan is $600/year for $1000 of "benefit" it's a waste of money. Don't forget that there are copays and deductibles for different procedures and different tiers of insurance. When you have family plans and such is where it gets to be closer to worthwhile. TL;DR: dental insurance depends on what you intend on using it for.

So a few things. One costs are going up likely because a lot of the ACA required stuff has encouraged more people to actually seek out care and use their insurance. One of the secrets of insurance was that if no one uses it because they are afraid of having to pay out of pocket, then the insurance company wins. But when things like preventive care are mandated to be covered (typically for free), people use them. So now you have members that used to have basically 0 health expense now with 3-500 expense. That has to be paid by someone, and with the way insurance works, the costs get spread across all the members. We don't treat (at least not anymore) health insurance like cars. Otherwise it would cost 10 bucks a year for a 19 year old and 60,000 a year for a 60 year old. Now as far as understanding it, do you have specific questions? For the most part if you understand the terms, copay, deductible, out of pocket max, and coinsurance. You should be able to figure it out. Then after that its usually a matter of looking at the exclusions and special cases. Maybe plan A has a $500 maternity option whereas plan B just routes all maternity care thru the standard deductible and coinsurance rules. I've been working in healthcare for about 10 years, with a fair bit of experience with insurance from the provider side, so I can try to help you understand things if you have a specific question.

personalfinance

3vy6a0

I'll try not to rant for too long here.. Federal employee, married, two young children. I'm not MENSA material, but I'm no dolt either. Current health insurance is going up by over $500 this year. As far as I can tell, for no increase in coverage. We were not unhappy, but also not pleased with our insurance the last two years, but a catastrophic accident and the birth of two kids planted me firmly in the "we're not changing anything in the middle of this" mindset. So now, here it is, open season, and my family is shopping around. We know a few things * First, our current FSA option sucks; it's so cumbersome that it's not worth my time. It's literally money thrown away because I can't get reimbursed through their online program for anything without it going through two different rejections and having to write a statement for each item. A single $2 bottle of Hydrogen Peroxide, submit the receipt, picture of the label, address of the store purchased at .. rejected. More back and forth, submitting screenshots of bank statements with purchases notated, finally accepted. Sweet, only took me 2+ hours to get my $2 back - NOT worth the time, especially not when extrapolated to a hundred or so purchases. Co-pays, large bills, even those are a headache to get back. Watched hundreds of dollars just disappear last year unused from the FSA.. So, we'd like to shift to a high deductible HSA-eligible plan; I'd really like to just have a card in my wallet we only swipe for medical related expenses - that's something we can manage easily. * Next, I'd like to look into invisalign/ braces to fix some issues I wish my parents had when I was younger. * After that, my wife would like to look at Lasik. If not that, then her best options for good vision coverage. * Most importantly, we don't want to have to worry about walking into the "wrong" doctor's office if one of our kids has an emergency. Just got back from my employer's "health fair" (30+ reps packed into 600ish sq. ft.) and could not be more disappointed. I pulled my benefits statements before going over so I'd know what I'm currently covered for and paying in co-pays etc. thinking "this will make it easy, I'll just go down the list and see who offers what!" Wrong. There's an exception to everything. So here I am, a gigantic pile of brochures in front of me that you need a background in analysis to decipher, trudging through OPM's plan comparison tool. And I'm mad. Mad that none of these pamphlets are formatted the same. Mad that they use different measures and terms for the same services. Mad that they're nigh impossible to "side by side." Mad that no one can explain why my premium is going up so much for no new benefits. Mad that even trying to understand the difference between "basic option" and "standard option" is eye-bleedingly tedious. Mad that the reps can't answer questions about levels of coverage compared to their competitors, but can bring up no less than five times that they "cover 52 therapeutic massage visits per calendar year!" It almost feels deliberate - the difficulty here in trying to decide what's best for my family's health. The best response and info I've been able to get are from co-workers enrolled in other plans ... "what did you pay for this, where did you go for that" etc. etc.\ I'm frustrated. This is a major deal for me. I have worked hard to be in a position to provide for my family (we're single income and I'm also the benefits provider) but can't understand it all. I'm frustrated that I feel ignorant and un-educated on something so important. Rant off. Thanks for listening, PF - if you have any tips, I'm happy to listen.

I'm a grown-ass man, and I cannot understand the options available to me for Health/Dental/Vision Insurance.. This is infuriating.

8d3e030ab295444ab7d43f2310d9f87a

728fcd7b3eeb457a9fdb5dd922d7265d

Orthodontist and former General Dentist here: Dental insurance is a waste of money UNLESS your employer is paying for a good portion of it for you, OR you actually have dental work that needs to be done. If you need to buy it yourself, save your money. If it's offered by the company do your financial due diligence on how much it actually will cost. Also, look into company health flex spending. If all you are receiving is preventative care, you're likely to spend about $200-$400 a year (Exam and cleaning 2x a year, and various xrays 1x a year). If your premium for the dental plan is $600/year for $1000 of "benefit" it's a waste of money. Don't forget that there are copays and deductibles for different procedures and different tiers of insurance. When you have family plans and such is where it gets to be closer to worthwhile. TL;DR: dental insurance depends on what you intend on using it for.

All i know is we pay 750 a month for health, vision, and dental. Thats for my wife, myself, and our one kid. Also it goes up every year, which is just stupid. Its just another bill the working class have to pay for. Also I really enjoyed your rant, and let this be known you are not alone when it comes to this shit. They make it difficult for a reason, and all insurance companies basically do this shit. Shopping for car insurance and living in Wayne County (MI) is fucking terrible. Oh my insurance went up 100$ more a month because ive never got a ticket or accident. This also happens yearly. Its just a giant fucking money sink. Just consider this shit the workingmans tax.

personalfinance

3vy6a0

I'll try not to rant for too long here.. Federal employee, married, two young children. I'm not MENSA material, but I'm no dolt either. Current health insurance is going up by over $500 this year. As far as I can tell, for no increase in coverage. We were not unhappy, but also not pleased with our insurance the last two years, but a catastrophic accident and the birth of two kids planted me firmly in the "we're not changing anything in the middle of this" mindset. So now, here it is, open season, and my family is shopping around. We know a few things * First, our current FSA option sucks; it's so cumbersome that it's not worth my time. It's literally money thrown away because I can't get reimbursed through their online program for anything without it going through two different rejections and having to write a statement for each item. A single $2 bottle of Hydrogen Peroxide, submit the receipt, picture of the label, address of the store purchased at .. rejected. More back and forth, submitting screenshots of bank statements with purchases notated, finally accepted. Sweet, only took me 2+ hours to get my $2 back - NOT worth the time, especially not when extrapolated to a hundred or so purchases. Co-pays, large bills, even those are a headache to get back. Watched hundreds of dollars just disappear last year unused from the FSA.. So, we'd like to shift to a high deductible HSA-eligible plan; I'd really like to just have a card in my wallet we only swipe for medical related expenses - that's something we can manage easily. * Next, I'd like to look into invisalign/ braces to fix some issues I wish my parents had when I was younger. * After that, my wife would like to look at Lasik. If not that, then her best options for good vision coverage. * Most importantly, we don't want to have to worry about walking into the "wrong" doctor's office if one of our kids has an emergency. Just got back from my employer's "health fair" (30+ reps packed into 600ish sq. ft.) and could not be more disappointed. I pulled my benefits statements before going over so I'd know what I'm currently covered for and paying in co-pays etc. thinking "this will make it easy, I'll just go down the list and see who offers what!" Wrong. There's an exception to everything. So here I am, a gigantic pile of brochures in front of me that you need a background in analysis to decipher, trudging through OPM's plan comparison tool. And I'm mad. Mad that none of these pamphlets are formatted the same. Mad that they use different measures and terms for the same services. Mad that they're nigh impossible to "side by side." Mad that no one can explain why my premium is going up so much for no new benefits. Mad that even trying to understand the difference between "basic option" and "standard option" is eye-bleedingly tedious. Mad that the reps can't answer questions about levels of coverage compared to their competitors, but can bring up no less than five times that they "cover 52 therapeutic massage visits per calendar year!" It almost feels deliberate - the difficulty here in trying to decide what's best for my family's health. The best response and info I've been able to get are from co-workers enrolled in other plans ... "what did you pay for this, where did you go for that" etc. etc.\ I'm frustrated. This is a major deal for me. I have worked hard to be in a position to provide for my family (we're single income and I'm also the benefits provider) but can't understand it all. I'm frustrated that I feel ignorant and un-educated on something so important. Rant off. Thanks for listening, PF - if you have any tips, I'm happy to listen.

I'm a grown-ass man, and I cannot understand the options available to me for Health/Dental/Vision Insurance.. This is infuriating.

8d3e030ab295444ab7d43f2310d9f87a

1aa6fb40e7fd464491a6945588309564

Orthodontist and former General Dentist here: Dental insurance is a waste of money UNLESS your employer is paying for a good portion of it for you, OR you actually have dental work that needs to be done. If you need to buy it yourself, save your money. If it's offered by the company do your financial due diligence on how much it actually will cost. Also, look into company health flex spending. If all you are receiving is preventative care, you're likely to spend about $200-$400 a year (Exam and cleaning 2x a year, and various xrays 1x a year). If your premium for the dental plan is $600/year for $1000 of "benefit" it's a waste of money. Don't forget that there are copays and deductibles for different procedures and different tiers of insurance. When you have family plans and such is where it gets to be closer to worthwhile. TL;DR: dental insurance depends on what you intend on using it for.

Who are the vision providers who cover any part of lasik? My wife works in healthcare and has access to just about any provider we want. I shopped around every single one and was laughed off the phone when I asked if or how much of Lasik they would cover.

personalfinance

3vy6a0

I'll try not to rant for too long here.. Federal employee, married, two young children. I'm not MENSA material, but I'm no dolt either. Current health insurance is going up by over $500 this year. As far as I can tell, for no increase in coverage. We were not unhappy, but also not pleased with our insurance the last two years, but a catastrophic accident and the birth of two kids planted me firmly in the "we're not changing anything in the middle of this" mindset. So now, here it is, open season, and my family is shopping around. We know a few things * First, our current FSA option sucks; it's so cumbersome that it's not worth my time. It's literally money thrown away because I can't get reimbursed through their online program for anything without it going through two different rejections and having to write a statement for each item. A single $2 bottle of Hydrogen Peroxide, submit the receipt, picture of the label, address of the store purchased at .. rejected. More back and forth, submitting screenshots of bank statements with purchases notated, finally accepted. Sweet, only took me 2+ hours to get my $2 back - NOT worth the time, especially not when extrapolated to a hundred or so purchases. Co-pays, large bills, even those are a headache to get back. Watched hundreds of dollars just disappear last year unused from the FSA.. So, we'd like to shift to a high deductible HSA-eligible plan; I'd really like to just have a card in my wallet we only swipe for medical related expenses - that's something we can manage easily. * Next, I'd like to look into invisalign/ braces to fix some issues I wish my parents had when I was younger. * After that, my wife would like to look at Lasik. If not that, then her best options for good vision coverage. * Most importantly, we don't want to have to worry about walking into the "wrong" doctor's office if one of our kids has an emergency. Just got back from my employer's "health fair" (30+ reps packed into 600ish sq. ft.) and could not be more disappointed. I pulled my benefits statements before going over so I'd know what I'm currently covered for and paying in co-pays etc. thinking "this will make it easy, I'll just go down the list and see who offers what!" Wrong. There's an exception to everything. So here I am, a gigantic pile of brochures in front of me that you need a background in analysis to decipher, trudging through OPM's plan comparison tool. And I'm mad. Mad that none of these pamphlets are formatted the same. Mad that they use different measures and terms for the same services. Mad that they're nigh impossible to "side by side." Mad that no one can explain why my premium is going up so much for no new benefits. Mad that even trying to understand the difference between "basic option" and "standard option" is eye-bleedingly tedious. Mad that the reps can't answer questions about levels of coverage compared to their competitors, but can bring up no less than five times that they "cover 52 therapeutic massage visits per calendar year!" It almost feels deliberate - the difficulty here in trying to decide what's best for my family's health. The best response and info I've been able to get are from co-workers enrolled in other plans ... "what did you pay for this, where did you go for that" etc. etc.\ I'm frustrated. This is a major deal for me. I have worked hard to be in a position to provide for my family (we're single income and I'm also the benefits provider) but can't understand it all. I'm frustrated that I feel ignorant and un-educated on something so important. Rant off. Thanks for listening, PF - if you have any tips, I'm happy to listen.

I'm a grown-ass man, and I cannot understand the options available to me for Health/Dental/Vision Insurance.. This is infuriating.

8d3e030ab295444ab7d43f2310d9f87a

58dcb406a703459c9fd91012b567f39c

Orthodontist and former General Dentist here: Dental insurance is a waste of money UNLESS your employer is paying for a good portion of it for you, OR you actually have dental work that needs to be done. If you need to buy it yourself, save your money. If it's offered by the company do your financial due diligence on how much it actually will cost. Also, look into company health flex spending. If all you are receiving is preventative care, you're likely to spend about $200-$400 a year (Exam and cleaning 2x a year, and various xrays 1x a year). If your premium for the dental plan is $600/year for $1000 of "benefit" it's a waste of money. Don't forget that there are copays and deductibles for different procedures and different tiers of insurance. When you have family plans and such is where it gets to be closer to worthwhile. TL;DR: dental insurance depends on what you intend on using it for.

Oh and to address the items you mentioned. Lasik and Orthodontics (for adults) are almost always considered cosmetic and almost never covered. Like 0 dollars. You can use FSA dollars for these items though. In the off chance there was some coverage it would be in your vision and dental policies respectively. Emergency care and out of network. Just depends on the plan. Most DON"T charge an out of network penalty for the emergency room care. Now after the "Emergency" is over, and they admit you and you start getting different care. That might be different. Also there is a difference between a hospital ER, an Urgent Care clinic, and convenient care clinic and a standalone ER facility. They likely all have different rules. Keep in mind also that doctors AND facilities can be in or out of network. So "St. Josephs Hospital" might be in your network, but the anesthesiologist Dr. Vikek Patel (who is an independent provider) might not be. Some insurance plans will give you just reduced coverage for out of network and others will give you 0. You just have to read the fine print. Its a giant pain in the ass.

personalfinance

3vy6a0

I'll try not to rant for too long here.. Federal employee, married, two young children. I'm not MENSA material, but I'm no dolt either. Current health insurance is going up by over $500 this year. As far as I can tell, for no increase in coverage. We were not unhappy, but also not pleased with our insurance the last two years, but a catastrophic accident and the birth of two kids planted me firmly in the "we're not changing anything in the middle of this" mindset. So now, here it is, open season, and my family is shopping around. We know a few things * First, our current FSA option sucks; it's so cumbersome that it's not worth my time. It's literally money thrown away because I can't get reimbursed through their online program for anything without it going through two different rejections and having to write a statement for each item. A single $2 bottle of Hydrogen Peroxide, submit the receipt, picture of the label, address of the store purchased at .. rejected. More back and forth, submitting screenshots of bank statements with purchases notated, finally accepted. Sweet, only took me 2+ hours to get my $2 back - NOT worth the time, especially not when extrapolated to a hundred or so purchases. Co-pays, large bills, even those are a headache to get back. Watched hundreds of dollars just disappear last year unused from the FSA.. So, we'd like to shift to a high deductible HSA-eligible plan; I'd really like to just have a card in my wallet we only swipe for medical related expenses - that's something we can manage easily. * Next, I'd like to look into invisalign/ braces to fix some issues I wish my parents had when I was younger. * After that, my wife would like to look at Lasik. If not that, then her best options for good vision coverage. * Most importantly, we don't want to have to worry about walking into the "wrong" doctor's office if one of our kids has an emergency. Just got back from my employer's "health fair" (30+ reps packed into 600ish sq. ft.) and could not be more disappointed. I pulled my benefits statements before going over so I'd know what I'm currently covered for and paying in co-pays etc. thinking "this will make it easy, I'll just go down the list and see who offers what!" Wrong. There's an exception to everything. So here I am, a gigantic pile of brochures in front of me that you need a background in analysis to decipher, trudging through OPM's plan comparison tool. And I'm mad. Mad that none of these pamphlets are formatted the same. Mad that they use different measures and terms for the same services. Mad that they're nigh impossible to "side by side." Mad that no one can explain why my premium is going up so much for no new benefits. Mad that even trying to understand the difference between "basic option" and "standard option" is eye-bleedingly tedious. Mad that the reps can't answer questions about levels of coverage compared to their competitors, but can bring up no less than five times that they "cover 52 therapeutic massage visits per calendar year!" It almost feels deliberate - the difficulty here in trying to decide what's best for my family's health. The best response and info I've been able to get are from co-workers enrolled in other plans ... "what did you pay for this, where did you go for that" etc. etc.\ I'm frustrated. This is a major deal for me. I have worked hard to be in a position to provide for my family (we're single income and I'm also the benefits provider) but can't understand it all. I'm frustrated that I feel ignorant and un-educated on something so important. Rant off. Thanks for listening, PF - if you have any tips, I'm happy to listen.

I'm a grown-ass man, and I cannot understand the options available to me for Health/Dental/Vision Insurance.. This is infuriating.

5cfa505ea8b340f58801cd0837356150

86503a01ca904fdcb150b82707fa1929

I'm an MD and I don't understand either side (insurance/medicare wise) of this cluster fuck we call healthcare. Whatever happened to just paying for a service? Now we employ armies of coders etc in order to extract a partial payment from the insurance who say we are owed more than we'd bill straight out. By a wide margin.

Oh and to address the items you mentioned. Lasik and Orthodontics (for adults) are almost always considered cosmetic and almost never covered. Like 0 dollars. You can use FSA dollars for these items though. In the off chance there was some coverage it would be in your vision and dental policies respectively. Emergency care and out of network. Just depends on the plan. Most DON"T charge an out of network penalty for the emergency room care. Now after the "Emergency" is over, and they admit you and you start getting different care. That might be different. Also there is a difference between a hospital ER, an Urgent Care clinic, and convenient care clinic and a standalone ER facility. They likely all have different rules. Keep in mind also that doctors AND facilities can be in or out of network. So "St. Josephs Hospital" might be in your network, but the anesthesiologist Dr. Vikek Patel (who is an independent provider) might not be. Some insurance plans will give you just reduced coverage for out of network and others will give you 0. You just have to read the fine print. Its a giant pain in the ass.

personalfinance

3vy6a0

I'll try not to rant for too long here.. Federal employee, married, two young children. I'm not MENSA material, but I'm no dolt either. Current health insurance is going up by over $500 this year. As far as I can tell, for no increase in coverage. We were not unhappy, but also not pleased with our insurance the last two years, but a catastrophic accident and the birth of two kids planted me firmly in the "we're not changing anything in the middle of this" mindset. So now, here it is, open season, and my family is shopping around. We know a few things * First, our current FSA option sucks; it's so cumbersome that it's not worth my time. It's literally money thrown away because I can't get reimbursed through their online program for anything without it going through two different rejections and having to write a statement for each item. A single $2 bottle of Hydrogen Peroxide, submit the receipt, picture of the label, address of the store purchased at .. rejected. More back and forth, submitting screenshots of bank statements with purchases notated, finally accepted. Sweet, only took me 2+ hours to get my $2 back - NOT worth the time, especially not when extrapolated to a hundred or so purchases. Co-pays, large bills, even those are a headache to get back. Watched hundreds of dollars just disappear last year unused from the FSA.. So, we'd like to shift to a high deductible HSA-eligible plan; I'd really like to just have a card in my wallet we only swipe for medical related expenses - that's something we can manage easily. * Next, I'd like to look into invisalign/ braces to fix some issues I wish my parents had when I was younger. * After that, my wife would like to look at Lasik. If not that, then her best options for good vision coverage. * Most importantly, we don't want to have to worry about walking into the "wrong" doctor's office if one of our kids has an emergency. Just got back from my employer's "health fair" (30+ reps packed into 600ish sq. ft.) and could not be more disappointed. I pulled my benefits statements before going over so I'd know what I'm currently covered for and paying in co-pays etc. thinking "this will make it easy, I'll just go down the list and see who offers what!" Wrong. There's an exception to everything. So here I am, a gigantic pile of brochures in front of me that you need a background in analysis to decipher, trudging through OPM's plan comparison tool. And I'm mad. Mad that none of these pamphlets are formatted the same. Mad that they use different measures and terms for the same services. Mad that they're nigh impossible to "side by side." Mad that no one can explain why my premium is going up so much for no new benefits. Mad that even trying to understand the difference between "basic option" and "standard option" is eye-bleedingly tedious. Mad that the reps can't answer questions about levels of coverage compared to their competitors, but can bring up no less than five times that they "cover 52 therapeutic massage visits per calendar year!" It almost feels deliberate - the difficulty here in trying to decide what's best for my family's health. The best response and info I've been able to get are from co-workers enrolled in other plans ... "what did you pay for this, where did you go for that" etc. etc.\ I'm frustrated. This is a major deal for me. I have worked hard to be in a position to provide for my family (we're single income and I'm also the benefits provider) but can't understand it all. I'm frustrated that I feel ignorant and un-educated on something so important. Rant off. Thanks for listening, PF - if you have any tips, I'm happy to listen.

I'm a grown-ass man, and I cannot understand the options available to me for Health/Dental/Vision Insurance.. This is infuriating.

5cfa505ea8b340f58801cd0837356150

5775ed3ac0ac4e1b96c653da6ec1514d

I'm an MD and I don't understand either side (insurance/medicare wise) of this cluster fuck we call healthcare. Whatever happened to just paying for a service? Now we employ armies of coders etc in order to extract a partial payment from the insurance who say we are owed more than we'd bill straight out. By a wide margin.

So a few things. One costs are going up likely because a lot of the ACA required stuff has encouraged more people to actually seek out care and use their insurance. One of the secrets of insurance was that if no one uses it because they are afraid of having to pay out of pocket, then the insurance company wins. But when things like preventive care are mandated to be covered (typically for free), people use them. So now you have members that used to have basically 0 health expense now with 3-500 expense. That has to be paid by someone, and with the way insurance works, the costs get spread across all the members. We don't treat (at least not anymore) health insurance like cars. Otherwise it would cost 10 bucks a year for a 19 year old and 60,000 a year for a 60 year old. Now as far as understanding it, do you have specific questions? For the most part if you understand the terms, copay, deductible, out of pocket max, and coinsurance. You should be able to figure it out. Then after that its usually a matter of looking at the exclusions and special cases. Maybe plan A has a $500 maternity option whereas plan B just routes all maternity care thru the standard deductible and coinsurance rules. I've been working in healthcare for about 10 years, with a fair bit of experience with insurance from the provider side, so I can try to help you understand things if you have a specific question.

personalfinance

3vy6a0

I'll try not to rant for too long here.. Federal employee, married, two young children. I'm not MENSA material, but I'm no dolt either. Current health insurance is going up by over $500 this year. As far as I can tell, for no increase in coverage. We were not unhappy, but also not pleased with our insurance the last two years, but a catastrophic accident and the birth of two kids planted me firmly in the "we're not changing anything in the middle of this" mindset. So now, here it is, open season, and my family is shopping around. We know a few things * First, our current FSA option sucks; it's so cumbersome that it's not worth my time. It's literally money thrown away because I can't get reimbursed through their online program for anything without it going through two different rejections and having to write a statement for each item. A single $2 bottle of Hydrogen Peroxide, submit the receipt, picture of the label, address of the store purchased at .. rejected. More back and forth, submitting screenshots of bank statements with purchases notated, finally accepted. Sweet, only took me 2+ hours to get my $2 back - NOT worth the time, especially not when extrapolated to a hundred or so purchases. Co-pays, large bills, even those are a headache to get back. Watched hundreds of dollars just disappear last year unused from the FSA.. So, we'd like to shift to a high deductible HSA-eligible plan; I'd really like to just have a card in my wallet we only swipe for medical related expenses - that's something we can manage easily. * Next, I'd like to look into invisalign/ braces to fix some issues I wish my parents had when I was younger. * After that, my wife would like to look at Lasik. If not that, then her best options for good vision coverage. * Most importantly, we don't want to have to worry about walking into the "wrong" doctor's office if one of our kids has an emergency. Just got back from my employer's "health fair" (30+ reps packed into 600ish sq. ft.) and could not be more disappointed. I pulled my benefits statements before going over so I'd know what I'm currently covered for and paying in co-pays etc. thinking "this will make it easy, I'll just go down the list and see who offers what!" Wrong. There's an exception to everything. So here I am, a gigantic pile of brochures in front of me that you need a background in analysis to decipher, trudging through OPM's plan comparison tool. And I'm mad. Mad that none of these pamphlets are formatted the same. Mad that they use different measures and terms for the same services. Mad that they're nigh impossible to "side by side." Mad that no one can explain why my premium is going up so much for no new benefits. Mad that even trying to understand the difference between "basic option" and "standard option" is eye-bleedingly tedious. Mad that the reps can't answer questions about levels of coverage compared to their competitors, but can bring up no less than five times that they "cover 52 therapeutic massage visits per calendar year!" It almost feels deliberate - the difficulty here in trying to decide what's best for my family's health. The best response and info I've been able to get are from co-workers enrolled in other plans ... "what did you pay for this, where did you go for that" etc. etc.\ I'm frustrated. This is a major deal for me. I have worked hard to be in a position to provide for my family (we're single income and I'm also the benefits provider) but can't understand it all. I'm frustrated that I feel ignorant and un-educated on something so important. Rant off. Thanks for listening, PF - if you have any tips, I'm happy to listen.

I'm a grown-ass man, and I cannot understand the options available to me for Health/Dental/Vision Insurance.. This is infuriating.

5cfa505ea8b340f58801cd0837356150

58dcb406a703459c9fd91012b567f39c

I'm an MD and I don't understand either side (insurance/medicare wise) of this cluster fuck we call healthcare. Whatever happened to just paying for a service? Now we employ armies of coders etc in order to extract a partial payment from the insurance who say we are owed more than we'd bill straight out. By a wide margin.

Oh and to address the items you mentioned. Lasik and Orthodontics (for adults) are almost always considered cosmetic and almost never covered. Like 0 dollars. You can use FSA dollars for these items though. In the off chance there was some coverage it would be in your vision and dental policies respectively. Emergency care and out of network. Just depends on the plan. Most DON"T charge an out of network penalty for the emergency room care. Now after the "Emergency" is over, and they admit you and you start getting different care. That might be different. Also there is a difference between a hospital ER, an Urgent Care clinic, and convenient care clinic and a standalone ER facility. They likely all have different rules. Keep in mind also that doctors AND facilities can be in or out of network. So "St. Josephs Hospital" might be in your network, but the anesthesiologist Dr. Vikek Patel (who is an independent provider) might not be. Some insurance plans will give you just reduced coverage for out of network and others will give you 0. You just have to read the fine print. Its a giant pain in the ass.

personalfinance

3vy6a0

I'll try not to rant for too long here.. Federal employee, married, two young children. I'm not MENSA material, but I'm no dolt either. Current health insurance is going up by over $500 this year. As far as I can tell, for no increase in coverage. We were not unhappy, but also not pleased with our insurance the last two years, but a catastrophic accident and the birth of two kids planted me firmly in the "we're not changing anything in the middle of this" mindset. So now, here it is, open season, and my family is shopping around. We know a few things * First, our current FSA option sucks; it's so cumbersome that it's not worth my time. It's literally money thrown away because I can't get reimbursed through their online program for anything without it going through two different rejections and having to write a statement for each item. A single $2 bottle of Hydrogen Peroxide, submit the receipt, picture of the label, address of the store purchased at .. rejected. More back and forth, submitting screenshots of bank statements with purchases notated, finally accepted. Sweet, only took me 2+ hours to get my $2 back - NOT worth the time, especially not when extrapolated to a hundred or so purchases. Co-pays, large bills, even those are a headache to get back. Watched hundreds of dollars just disappear last year unused from the FSA.. So, we'd like to shift to a high deductible HSA-eligible plan; I'd really like to just have a card in my wallet we only swipe for medical related expenses - that's something we can manage easily. * Next, I'd like to look into invisalign/ braces to fix some issues I wish my parents had when I was younger. * After that, my wife would like to look at Lasik. If not that, then her best options for good vision coverage. * Most importantly, we don't want to have to worry about walking into the "wrong" doctor's office if one of our kids has an emergency. Just got back from my employer's "health fair" (30+ reps packed into 600ish sq. ft.) and could not be more disappointed. I pulled my benefits statements before going over so I'd know what I'm currently covered for and paying in co-pays etc. thinking "this will make it easy, I'll just go down the list and see who offers what!" Wrong. There's an exception to everything. So here I am, a gigantic pile of brochures in front of me that you need a background in analysis to decipher, trudging through OPM's plan comparison tool. And I'm mad. Mad that none of these pamphlets are formatted the same. Mad that they use different measures and terms for the same services. Mad that they're nigh impossible to "side by side." Mad that no one can explain why my premium is going up so much for no new benefits. Mad that even trying to understand the difference between "basic option" and "standard option" is eye-bleedingly tedious. Mad that the reps can't answer questions about levels of coverage compared to their competitors, but can bring up no less than five times that they "cover 52 therapeutic massage visits per calendar year!" It almost feels deliberate - the difficulty here in trying to decide what's best for my family's health. The best response and info I've been able to get are from co-workers enrolled in other plans ... "what did you pay for this, where did you go for that" etc. etc.\ I'm frustrated. This is a major deal for me. I have worked hard to be in a position to provide for my family (we're single income and I'm also the benefits provider) but can't understand it all. I'm frustrated that I feel ignorant and un-educated on something so important. Rant off. Thanks for listening, PF - if you have any tips, I'm happy to listen.

I'm a grown-ass man, and I cannot understand the options available to me for Health/Dental/Vision Insurance.. This is infuriating.

b0fab35fd959454db8ce3def9de4a6a4

86503a01ca904fdcb150b82707fa1929

I'm sure there will be plenty of criticism here about this response, but here's what I've done: Does the HSA your employer offer roll over? If so, I sign up for this, and set the contribution amount to be the same as if I was paying for the other insurance (the traditional plan) minus the cost of the HSA. Say the traditional insurance is $200 per pay period, and the HSA is $50. I set my contribution at $150 per pay period, so my out of pocket costs are the same. Then, after a few months, I have enough money in the account to cover my typical medical expenses (cough/cold, etc.) and screenings are free. I look at it like this: I don't go to the doctor often, nor does my spouse. If we did, an HSA would probably not work. However, our out of pocket expenses are the same, and instead of giving the money to an insurance company in the form of premiums, we're paying into an account that will eventually turn into either retirement savings or get spent on medical expenses. This is highly dependent on your situation.

Oh and to address the items you mentioned. Lasik and Orthodontics (for adults) are almost always considered cosmetic and almost never covered. Like 0 dollars. You can use FSA dollars for these items though. In the off chance there was some coverage it would be in your vision and dental policies respectively. Emergency care and out of network. Just depends on the plan. Most DON"T charge an out of network penalty for the emergency room care. Now after the "Emergency" is over, and they admit you and you start getting different care. That might be different. Also there is a difference between a hospital ER, an Urgent Care clinic, and convenient care clinic and a standalone ER facility. They likely all have different rules. Keep in mind also that doctors AND facilities can be in or out of network. So "St. Josephs Hospital" might be in your network, but the anesthesiologist Dr. Vikek Patel (who is an independent provider) might not be. Some insurance plans will give you just reduced coverage for out of network and others will give you 0. You just have to read the fine print. Its a giant pain in the ass.

personalfinance

3vy6a0

I'll try not to rant for too long here.. Federal employee, married, two young children. I'm not MENSA material, but I'm no dolt either. Current health insurance is going up by over $500 this year. As far as I can tell, for no increase in coverage. We were not unhappy, but also not pleased with our insurance the last two years, but a catastrophic accident and the birth of two kids planted me firmly in the "we're not changing anything in the middle of this" mindset. So now, here it is, open season, and my family is shopping around. We know a few things * First, our current FSA option sucks; it's so cumbersome that it's not worth my time. It's literally money thrown away because I can't get reimbursed through their online program for anything without it going through two different rejections and having to write a statement for each item. A single $2 bottle of Hydrogen Peroxide, submit the receipt, picture of the label, address of the store purchased at .. rejected. More back and forth, submitting screenshots of bank statements with purchases notated, finally accepted. Sweet, only took me 2+ hours to get my $2 back - NOT worth the time, especially not when extrapolated to a hundred or so purchases. Co-pays, large bills, even those are a headache to get back. Watched hundreds of dollars just disappear last year unused from the FSA.. So, we'd like to shift to a high deductible HSA-eligible plan; I'd really like to just have a card in my wallet we only swipe for medical related expenses - that's something we can manage easily. * Next, I'd like to look into invisalign/ braces to fix some issues I wish my parents had when I was younger. * After that, my wife would like to look at Lasik. If not that, then her best options for good vision coverage. * Most importantly, we don't want to have to worry about walking into the "wrong" doctor's office if one of our kids has an emergency. Just got back from my employer's "health fair" (30+ reps packed into 600ish sq. ft.) and could not be more disappointed. I pulled my benefits statements before going over so I'd know what I'm currently covered for and paying in co-pays etc. thinking "this will make it easy, I'll just go down the list and see who offers what!" Wrong. There's an exception to everything. So here I am, a gigantic pile of brochures in front of me that you need a background in analysis to decipher, trudging through OPM's plan comparison tool. And I'm mad. Mad that none of these pamphlets are formatted the same. Mad that they use different measures and terms for the same services. Mad that they're nigh impossible to "side by side." Mad that no one can explain why my premium is going up so much for no new benefits. Mad that even trying to understand the difference between "basic option" and "standard option" is eye-bleedingly tedious. Mad that the reps can't answer questions about levels of coverage compared to their competitors, but can bring up no less than five times that they "cover 52 therapeutic massage visits per calendar year!" It almost feels deliberate - the difficulty here in trying to decide what's best for my family's health. The best response and info I've been able to get are from co-workers enrolled in other plans ... "what did you pay for this, where did you go for that" etc. etc.\ I'm frustrated. This is a major deal for me. I have worked hard to be in a position to provide for my family (we're single income and I'm also the benefits provider) but can't understand it all. I'm frustrated that I feel ignorant and un-educated on something so important. Rant off. Thanks for listening, PF - if you have any tips, I'm happy to listen.

I'm a grown-ass man, and I cannot understand the options available to me for Health/Dental/Vision Insurance.. This is infuriating.

b0fab35fd959454db8ce3def9de4a6a4

5775ed3ac0ac4e1b96c653da6ec1514d

I'm sure there will be plenty of criticism here about this response, but here's what I've done: Does the HSA your employer offer roll over? If so, I sign up for this, and set the contribution amount to be the same as if I was paying for the other insurance (the traditional plan) minus the cost of the HSA. Say the traditional insurance is $200 per pay period, and the HSA is $50. I set my contribution at $150 per pay period, so my out of pocket costs are the same. Then, after a few months, I have enough money in the account to cover my typical medical expenses (cough/cold, etc.) and screenings are free. I look at it like this: I don't go to the doctor often, nor does my spouse. If we did, an HSA would probably not work. However, our out of pocket expenses are the same, and instead of giving the money to an insurance company in the form of premiums, we're paying into an account that will eventually turn into either retirement savings or get spent on medical expenses. This is highly dependent on your situation.

So a few things. One costs are going up likely because a lot of the ACA required stuff has encouraged more people to actually seek out care and use their insurance. One of the secrets of insurance was that if no one uses it because they are afraid of having to pay out of pocket, then the insurance company wins. But when things like preventive care are mandated to be covered (typically for free), people use them. So now you have members that used to have basically 0 health expense now with 3-500 expense. That has to be paid by someone, and with the way insurance works, the costs get spread across all the members. We don't treat (at least not anymore) health insurance like cars. Otherwise it would cost 10 bucks a year for a 19 year old and 60,000 a year for a 60 year old. Now as far as understanding it, do you have specific questions? For the most part if you understand the terms, copay, deductible, out of pocket max, and coinsurance. You should be able to figure it out. Then after that its usually a matter of looking at the exclusions and special cases. Maybe plan A has a $500 maternity option whereas plan B just routes all maternity care thru the standard deductible and coinsurance rules. I've been working in healthcare for about 10 years, with a fair bit of experience with insurance from the provider side, so I can try to help you understand things if you have a specific question.

personalfinance

3vy6a0

I'll try not to rant for too long here.. Federal employee, married, two young children. I'm not MENSA material, but I'm no dolt either. Current health insurance is going up by over $500 this year. As far as I can tell, for no increase in coverage. We were not unhappy, but also not pleased with our insurance the last two years, but a catastrophic accident and the birth of two kids planted me firmly in the "we're not changing anything in the middle of this" mindset. So now, here it is, open season, and my family is shopping around. We know a few things * First, our current FSA option sucks; it's so cumbersome that it's not worth my time. It's literally money thrown away because I can't get reimbursed through their online program for anything without it going through two different rejections and having to write a statement for each item. A single $2 bottle of Hydrogen Peroxide, submit the receipt, picture of the label, address of the store purchased at .. rejected. More back and forth, submitting screenshots of bank statements with purchases notated, finally accepted. Sweet, only took me 2+ hours to get my $2 back - NOT worth the time, especially not when extrapolated to a hundred or so purchases. Co-pays, large bills, even those are a headache to get back. Watched hundreds of dollars just disappear last year unused from the FSA.. So, we'd like to shift to a high deductible HSA-eligible plan; I'd really like to just have a card in my wallet we only swipe for medical related expenses - that's something we can manage easily. * Next, I'd like to look into invisalign/ braces to fix some issues I wish my parents had when I was younger. * After that, my wife would like to look at Lasik. If not that, then her best options for good vision coverage. * Most importantly, we don't want to have to worry about walking into the "wrong" doctor's office if one of our kids has an emergency. Just got back from my employer's "health fair" (30+ reps packed into 600ish sq. ft.) and could not be more disappointed. I pulled my benefits statements before going over so I'd know what I'm currently covered for and paying in co-pays etc. thinking "this will make it easy, I'll just go down the list and see who offers what!" Wrong. There's an exception to everything. So here I am, a gigantic pile of brochures in front of me that you need a background in analysis to decipher, trudging through OPM's plan comparison tool. And I'm mad. Mad that none of these pamphlets are formatted the same. Mad that they use different measures and terms for the same services. Mad that they're nigh impossible to "side by side." Mad that no one can explain why my premium is going up so much for no new benefits. Mad that even trying to understand the difference between "basic option" and "standard option" is eye-bleedingly tedious. Mad that the reps can't answer questions about levels of coverage compared to their competitors, but can bring up no less than five times that they "cover 52 therapeutic massage visits per calendar year!" It almost feels deliberate - the difficulty here in trying to decide what's best for my family's health. The best response and info I've been able to get are from co-workers enrolled in other plans ... "what did you pay for this, where did you go for that" etc. etc.\ I'm frustrated. This is a major deal for me. I have worked hard to be in a position to provide for my family (we're single income and I'm also the benefits provider) but can't understand it all. I'm frustrated that I feel ignorant and un-educated on something so important. Rant off. Thanks for listening, PF - if you have any tips, I'm happy to listen.

I'm a grown-ass man, and I cannot understand the options available to me for Health/Dental/Vision Insurance.. This is infuriating.

b0fab35fd959454db8ce3def9de4a6a4

728fcd7b3eeb457a9fdb5dd922d7265d

I'm sure there will be plenty of criticism here about this response, but here's what I've done: Does the HSA your employer offer roll over? If so, I sign up for this, and set the contribution amount to be the same as if I was paying for the other insurance (the traditional plan) minus the cost of the HSA. Say the traditional insurance is $200 per pay period, and the HSA is $50. I set my contribution at $150 per pay period, so my out of pocket costs are the same. Then, after a few months, I have enough money in the account to cover my typical medical expenses (cough/cold, etc.) and screenings are free. I look at it like this: I don't go to the doctor often, nor does my spouse. If we did, an HSA would probably not work. However, our out of pocket expenses are the same, and instead of giving the money to an insurance company in the form of premiums, we're paying into an account that will eventually turn into either retirement savings or get spent on medical expenses. This is highly dependent on your situation.

All i know is we pay 750 a month for health, vision, and dental. Thats for my wife, myself, and our one kid. Also it goes up every year, which is just stupid. Its just another bill the working class have to pay for. Also I really enjoyed your rant, and let this be known you are not alone when it comes to this shit. They make it difficult for a reason, and all insurance companies basically do this shit. Shopping for car insurance and living in Wayne County (MI) is fucking terrible. Oh my insurance went up 100$ more a month because ive never got a ticket or accident. This also happens yearly. Its just a giant fucking money sink. Just consider this shit the workingmans tax.

personalfinance

3vy6a0

I'll try not to rant for too long here.. Federal employee, married, two young children. I'm not MENSA material, but I'm no dolt either. Current health insurance is going up by over $500 this year. As far as I can tell, for no increase in coverage. We were not unhappy, but also not pleased with our insurance the last two years, but a catastrophic accident and the birth of two kids planted me firmly in the "we're not changing anything in the middle of this" mindset. So now, here it is, open season, and my family is shopping around. We know a few things * First, our current FSA option sucks; it's so cumbersome that it's not worth my time. It's literally money thrown away because I can't get reimbursed through their online program for anything without it going through two different rejections and having to write a statement for each item. A single $2 bottle of Hydrogen Peroxide, submit the receipt, picture of the label, address of the store purchased at .. rejected. More back and forth, submitting screenshots of bank statements with purchases notated, finally accepted. Sweet, only took me 2+ hours to get my $2 back - NOT worth the time, especially not when extrapolated to a hundred or so purchases. Co-pays, large bills, even those are a headache to get back. Watched hundreds of dollars just disappear last year unused from the FSA.. So, we'd like to shift to a high deductible HSA-eligible plan; I'd really like to just have a card in my wallet we only swipe for medical related expenses - that's something we can manage easily. * Next, I'd like to look into invisalign/ braces to fix some issues I wish my parents had when I was younger. * After that, my wife would like to look at Lasik. If not that, then her best options for good vision coverage. * Most importantly, we don't want to have to worry about walking into the "wrong" doctor's office if one of our kids has an emergency. Just got back from my employer's "health fair" (30+ reps packed into 600ish sq. ft.) and could not be more disappointed. I pulled my benefits statements before going over so I'd know what I'm currently covered for and paying in co-pays etc. thinking "this will make it easy, I'll just go down the list and see who offers what!" Wrong. There's an exception to everything. So here I am, a gigantic pile of brochures in front of me that you need a background in analysis to decipher, trudging through OPM's plan comparison tool. And I'm mad. Mad that none of these pamphlets are formatted the same. Mad that they use different measures and terms for the same services. Mad that they're nigh impossible to "side by side." Mad that no one can explain why my premium is going up so much for no new benefits. Mad that even trying to understand the difference between "basic option" and "standard option" is eye-bleedingly tedious. Mad that the reps can't answer questions about levels of coverage compared to their competitors, but can bring up no less than five times that they "cover 52 therapeutic massage visits per calendar year!" It almost feels deliberate - the difficulty here in trying to decide what's best for my family's health. The best response and info I've been able to get are from co-workers enrolled in other plans ... "what did you pay for this, where did you go for that" etc. etc.\ I'm frustrated. This is a major deal for me. I have worked hard to be in a position to provide for my family (we're single income and I'm also the benefits provider) but can't understand it all. I'm frustrated that I feel ignorant and un-educated on something so important. Rant off. Thanks for listening, PF - if you have any tips, I'm happy to listen.

I'm a grown-ass man, and I cannot understand the options available to me for Health/Dental/Vision Insurance.. This is infuriating.

b0fab35fd959454db8ce3def9de4a6a4

f30872096e8249b381e0eb56bf26ae03

I'm sure there will be plenty of criticism here about this response, but here's what I've done: Does the HSA your employer offer roll over? If so, I sign up for this, and set the contribution amount to be the same as if I was paying for the other insurance (the traditional plan) minus the cost of the HSA. Say the traditional insurance is $200 per pay period, and the HSA is $50. I set my contribution at $150 per pay period, so my out of pocket costs are the same. Then, after a few months, I have enough money in the account to cover my typical medical expenses (cough/cold, etc.) and screenings are free. I look at it like this: I don't go to the doctor often, nor does my spouse. If we did, an HSA would probably not work. However, our out of pocket expenses are the same, and instead of giving the money to an insurance company in the form of premiums, we're paying into an account that will eventually turn into either retirement savings or get spent on medical expenses. This is highly dependent on your situation.

Orthodontist and former General Dentist here: Dental insurance is a waste of money UNLESS your employer is paying for a good portion of it for you, OR you actually have dental work that needs to be done. If you need to buy it yourself, save your money. If it's offered by the company do your financial due diligence on how much it actually will cost. Also, look into company health flex spending. If all you are receiving is preventative care, you're likely to spend about $200-$400 a year (Exam and cleaning 2x a year, and various xrays 1x a year). If your premium for the dental plan is $600/year for $1000 of "benefit" it's a waste of money. Don't forget that there are copays and deductibles for different procedures and different tiers of insurance. When you have family plans and such is where it gets to be closer to worthwhile. TL;DR: dental insurance depends on what you intend on using it for.

personalfinance

3vy6a0

I'll try not to rant for too long here.. Federal employee, married, two young children. I'm not MENSA material, but I'm no dolt either. Current health insurance is going up by over $500 this year. As far as I can tell, for no increase in coverage. We were not unhappy, but also not pleased with our insurance the last two years, but a catastrophic accident and the birth of two kids planted me firmly in the "we're not changing anything in the middle of this" mindset. So now, here it is, open season, and my family is shopping around. We know a few things * First, our current FSA option sucks; it's so cumbersome that it's not worth my time. It's literally money thrown away because I can't get reimbursed through their online program for anything without it going through two different rejections and having to write a statement for each item. A single $2 bottle of Hydrogen Peroxide, submit the receipt, picture of the label, address of the store purchased at .. rejected. More back and forth, submitting screenshots of bank statements with purchases notated, finally accepted. Sweet, only took me 2+ hours to get my $2 back - NOT worth the time, especially not when extrapolated to a hundred or so purchases. Co-pays, large bills, even those are a headache to get back. Watched hundreds of dollars just disappear last year unused from the FSA.. So, we'd like to shift to a high deductible HSA-eligible plan; I'd really like to just have a card in my wallet we only swipe for medical related expenses - that's something we can manage easily. * Next, I'd like to look into invisalign/ braces to fix some issues I wish my parents had when I was younger. * After that, my wife would like to look at Lasik. If not that, then her best options for good vision coverage. * Most importantly, we don't want to have to worry about walking into the "wrong" doctor's office if one of our kids has an emergency. Just got back from my employer's "health fair" (30+ reps packed into 600ish sq. ft.) and could not be more disappointed. I pulled my benefits statements before going over so I'd know what I'm currently covered for and paying in co-pays etc. thinking "this will make it easy, I'll just go down the list and see who offers what!" Wrong. There's an exception to everything. So here I am, a gigantic pile of brochures in front of me that you need a background in analysis to decipher, trudging through OPM's plan comparison tool. And I'm mad. Mad that none of these pamphlets are formatted the same. Mad that they use different measures and terms for the same services. Mad that they're nigh impossible to "side by side." Mad that no one can explain why my premium is going up so much for no new benefits. Mad that even trying to understand the difference between "basic option" and "standard option" is eye-bleedingly tedious. Mad that the reps can't answer questions about levels of coverage compared to their competitors, but can bring up no less than five times that they "cover 52 therapeutic massage visits per calendar year!" It almost feels deliberate - the difficulty here in trying to decide what's best for my family's health. The best response and info I've been able to get are from co-workers enrolled in other plans ... "what did you pay for this, where did you go for that" etc. etc.\ I'm frustrated. This is a major deal for me. I have worked hard to be in a position to provide for my family (we're single income and I'm also the benefits provider) but can't understand it all. I'm frustrated that I feel ignorant and un-educated on something so important. Rant off. Thanks for listening, PF - if you have any tips, I'm happy to listen.

I'm a grown-ass man, and I cannot understand the options available to me for Health/Dental/Vision Insurance.. This is infuriating.

b0fab35fd959454db8ce3def9de4a6a4

1aa6fb40e7fd464491a6945588309564

I'm sure there will be plenty of criticism here about this response, but here's what I've done: Does the HSA your employer offer roll over? If so, I sign up for this, and set the contribution amount to be the same as if I was paying for the other insurance (the traditional plan) minus the cost of the HSA. Say the traditional insurance is $200 per pay period, and the HSA is $50. I set my contribution at $150 per pay period, so my out of pocket costs are the same. Then, after a few months, I have enough money in the account to cover my typical medical expenses (cough/cold, etc.) and screenings are free. I look at it like this: I don't go to the doctor often, nor does my spouse. If we did, an HSA would probably not work. However, our out of pocket expenses are the same, and instead of giving the money to an insurance company in the form of premiums, we're paying into an account that will eventually turn into either retirement savings or get spent on medical expenses. This is highly dependent on your situation.

Who are the vision providers who cover any part of lasik? My wife works in healthcare and has access to just about any provider we want. I shopped around every single one and was laughed off the phone when I asked if or how much of Lasik they would cover.

personalfinance

3vy6a0

I'll try not to rant for too long here.. Federal employee, married, two young children. I'm not MENSA material, but I'm no dolt either. Current health insurance is going up by over $500 this year. As far as I can tell, for no increase in coverage. We were not unhappy, but also not pleased with our insurance the last two years, but a catastrophic accident and the birth of two kids planted me firmly in the "we're not changing anything in the middle of this" mindset. So now, here it is, open season, and my family is shopping around. We know a few things * First, our current FSA option sucks; it's so cumbersome that it's not worth my time. It's literally money thrown away because I can't get reimbursed through their online program for anything without it going through two different rejections and having to write a statement for each item. A single $2 bottle of Hydrogen Peroxide, submit the receipt, picture of the label, address of the store purchased at .. rejected. More back and forth, submitting screenshots of bank statements with purchases notated, finally accepted. Sweet, only took me 2+ hours to get my $2 back - NOT worth the time, especially not when extrapolated to a hundred or so purchases. Co-pays, large bills, even those are a headache to get back. Watched hundreds of dollars just disappear last year unused from the FSA.. So, we'd like to shift to a high deductible HSA-eligible plan; I'd really like to just have a card in my wallet we only swipe for medical related expenses - that's something we can manage easily. * Next, I'd like to look into invisalign/ braces to fix some issues I wish my parents had when I was younger. * After that, my wife would like to look at Lasik. If not that, then her best options for good vision coverage. * Most importantly, we don't want to have to worry about walking into the "wrong" doctor's office if one of our kids has an emergency. Just got back from my employer's "health fair" (30+ reps packed into 600ish sq. ft.) and could not be more disappointed. I pulled my benefits statements before going over so I'd know what I'm currently covered for and paying in co-pays etc. thinking "this will make it easy, I'll just go down the list and see who offers what!" Wrong. There's an exception to everything. So here I am, a gigantic pile of brochures in front of me that you need a background in analysis to decipher, trudging through OPM's plan comparison tool. And I'm mad. Mad that none of these pamphlets are formatted the same. Mad that they use different measures and terms for the same services. Mad that they're nigh impossible to "side by side." Mad that no one can explain why my premium is going up so much for no new benefits. Mad that even trying to understand the difference between "basic option" and "standard option" is eye-bleedingly tedious. Mad that the reps can't answer questions about levels of coverage compared to their competitors, but can bring up no less than five times that they "cover 52 therapeutic massage visits per calendar year!" It almost feels deliberate - the difficulty here in trying to decide what's best for my family's health. The best response and info I've been able to get are from co-workers enrolled in other plans ... "what did you pay for this, where did you go for that" etc. etc.\ I'm frustrated. This is a major deal for me. I have worked hard to be in a position to provide for my family (we're single income and I'm also the benefits provider) but can't understand it all. I'm frustrated that I feel ignorant and un-educated on something so important. Rant off. Thanks for listening, PF - if you have any tips, I'm happy to listen.

I'm a grown-ass man, and I cannot understand the options available to me for Health/Dental/Vision Insurance.. This is infuriating.

b0fab35fd959454db8ce3def9de4a6a4

e64b4827c8c3450bbd6c97b8d1320b12

I'm sure there will be plenty of criticism here about this response, but here's what I've done: Does the HSA your employer offer roll over? If so, I sign up for this, and set the contribution amount to be the same as if I was paying for the other insurance (the traditional plan) minus the cost of the HSA. Say the traditional insurance is $200 per pay period, and the HSA is $50. I set my contribution at $150 per pay period, so my out of pocket costs are the same. Then, after a few months, I have enough money in the account to cover my typical medical expenses (cough/cold, etc.) and screenings are free. I look at it like this: I don't go to the doctor often, nor does my spouse. If we did, an HSA would probably not work. However, our out of pocket expenses are the same, and instead of giving the money to an insurance company in the form of premiums, we're paying into an account that will eventually turn into either retirement savings or get spent on medical expenses. This is highly dependent on your situation.

I have no help to offer but I just do the following: Pick *some* insurance, it seems pretty clear having none is bad and illegal. As far as I can tell there is *no* way to tell what will or won't be covered, before or after you've gotten it. They are so poorly worded and there are so many fine prints and gotchas that they can basically do whatever they want whenever they want. So I just avoid visiting doctors as much as possible, and make a point of asking them the cost of everything on the rare occasions it seems absolutely necessary. They never know the cost, but if they know you are concerned they may charge less. Then hope for the best and as the bills come in over the next few months pay them. Does this sounds terrible? It is, but I can't figure out any other options so I've stopped trying to understand the system that clearly does not work or make any sense. I'm also a grown-ass man myself, and by most accounts very intelligent, but there is no way I could ever figure this stuff out, and I strongly suspect the people who think they have this stuff figured out are deceiving themselves. tl;dr Sorry, but bend over and expect to be fucked, its the only option US Healthcare offers. (Sorry also ranting)

personalfinance

3vy6a0

I'll try not to rant for too long here.. Federal employee, married, two young children. I'm not MENSA material, but I'm no dolt either. Current health insurance is going up by over $500 this year. As far as I can tell, for no increase in coverage. We were not unhappy, but also not pleased with our insurance the last two years, but a catastrophic accident and the birth of two kids planted me firmly in the "we're not changing anything in the middle of this" mindset. So now, here it is, open season, and my family is shopping around. We know a few things * First, our current FSA option sucks; it's so cumbersome that it's not worth my time. It's literally money thrown away because I can't get reimbursed through their online program for anything without it going through two different rejections and having to write a statement for each item. A single $2 bottle of Hydrogen Peroxide, submit the receipt, picture of the label, address of the store purchased at .. rejected. More back and forth, submitting screenshots of bank statements with purchases notated, finally accepted. Sweet, only took me 2+ hours to get my $2 back - NOT worth the time, especially not when extrapolated to a hundred or so purchases. Co-pays, large bills, even those are a headache to get back. Watched hundreds of dollars just disappear last year unused from the FSA.. So, we'd like to shift to a high deductible HSA-eligible plan; I'd really like to just have a card in my wallet we only swipe for medical related expenses - that's something we can manage easily. * Next, I'd like to look into invisalign/ braces to fix some issues I wish my parents had when I was younger. * After that, my wife would like to look at Lasik. If not that, then her best options for good vision coverage. * Most importantly, we don't want to have to worry about walking into the "wrong" doctor's office if one of our kids has an emergency. Just got back from my employer's "health fair" (30+ reps packed into 600ish sq. ft.) and could not be more disappointed. I pulled my benefits statements before going over so I'd know what I'm currently covered for and paying in co-pays etc. thinking "this will make it easy, I'll just go down the list and see who offers what!" Wrong. There's an exception to everything. So here I am, a gigantic pile of brochures in front of me that you need a background in analysis to decipher, trudging through OPM's plan comparison tool. And I'm mad. Mad that none of these pamphlets are formatted the same. Mad that they use different measures and terms for the same services. Mad that they're nigh impossible to "side by side." Mad that no one can explain why my premium is going up so much for no new benefits. Mad that even trying to understand the difference between "basic option" and "standard option" is eye-bleedingly tedious. Mad that the reps can't answer questions about levels of coverage compared to their competitors, but can bring up no less than five times that they "cover 52 therapeutic massage visits per calendar year!" It almost feels deliberate - the difficulty here in trying to decide what's best for my family's health. The best response and info I've been able to get are from co-workers enrolled in other plans ... "what did you pay for this, where did you go for that" etc. etc.\ I'm frustrated. This is a major deal for me. I have worked hard to be in a position to provide for my family (we're single income and I'm also the benefits provider) but can't understand it all. I'm frustrated that I feel ignorant and un-educated on something so important. Rant off. Thanks for listening, PF - if you have any tips, I'm happy to listen.

I'm a grown-ass man, and I cannot understand the options available to me for Health/Dental/Vision Insurance.. This is infuriating.

b0fab35fd959454db8ce3def9de4a6a4

58dcb406a703459c9fd91012b567f39c

I'm sure there will be plenty of criticism here about this response, but here's what I've done: Does the HSA your employer offer roll over? If so, I sign up for this, and set the contribution amount to be the same as if I was paying for the other insurance (the traditional plan) minus the cost of the HSA. Say the traditional insurance is $200 per pay period, and the HSA is $50. I set my contribution at $150 per pay period, so my out of pocket costs are the same. Then, after a few months, I have enough money in the account to cover my typical medical expenses (cough/cold, etc.) and screenings are free. I look at it like this: I don't go to the doctor often, nor does my spouse. If we did, an HSA would probably not work. However, our out of pocket expenses are the same, and instead of giving the money to an insurance company in the form of premiums, we're paying into an account that will eventually turn into either retirement savings or get spent on medical expenses. This is highly dependent on your situation.

Oh and to address the items you mentioned. Lasik and Orthodontics (for adults) are almost always considered cosmetic and almost never covered. Like 0 dollars. You can use FSA dollars for these items though. In the off chance there was some coverage it would be in your vision and dental policies respectively. Emergency care and out of network. Just depends on the plan. Most DON"T charge an out of network penalty for the emergency room care. Now after the "Emergency" is over, and they admit you and you start getting different care. That might be different. Also there is a difference between a hospital ER, an Urgent Care clinic, and convenient care clinic and a standalone ER facility. They likely all have different rules. Keep in mind also that doctors AND facilities can be in or out of network. So "St. Josephs Hospital" might be in your network, but the anesthesiologist Dr. Vikek Patel (who is an independent provider) might not be. Some insurance plans will give you just reduced coverage for out of network and others will give you 0. You just have to read the fine print. Its a giant pain in the ass.

personalfinance

3vy6a0

I'll try not to rant for too long here.. Federal employee, married, two young children. I'm not MENSA material, but I'm no dolt either. Current health insurance is going up by over $500 this year. As far as I can tell, for no increase in coverage. We were not unhappy, but also not pleased with our insurance the last two years, but a catastrophic accident and the birth of two kids planted me firmly in the "we're not changing anything in the middle of this" mindset. So now, here it is, open season, and my family is shopping around. We know a few things * First, our current FSA option sucks; it's so cumbersome that it's not worth my time. It's literally money thrown away because I can't get reimbursed through their online program for anything without it going through two different rejections and having to write a statement for each item. A single $2 bottle of Hydrogen Peroxide, submit the receipt, picture of the label, address of the store purchased at .. rejected. More back and forth, submitting screenshots of bank statements with purchases notated, finally accepted. Sweet, only took me 2+ hours to get my $2 back - NOT worth the time, especially not when extrapolated to a hundred or so purchases. Co-pays, large bills, even those are a headache to get back. Watched hundreds of dollars just disappear last year unused from the FSA.. So, we'd like to shift to a high deductible HSA-eligible plan; I'd really like to just have a card in my wallet we only swipe for medical related expenses - that's something we can manage easily. * Next, I'd like to look into invisalign/ braces to fix some issues I wish my parents had when I was younger. * After that, my wife would like to look at Lasik. If not that, then her best options for good vision coverage. * Most importantly, we don't want to have to worry about walking into the "wrong" doctor's office if one of our kids has an emergency. Just got back from my employer's "health fair" (30+ reps packed into 600ish sq. ft.) and could not be more disappointed. I pulled my benefits statements before going over so I'd know what I'm currently covered for and paying in co-pays etc. thinking "this will make it easy, I'll just go down the list and see who offers what!" Wrong. There's an exception to everything. So here I am, a gigantic pile of brochures in front of me that you need a background in analysis to decipher, trudging through OPM's plan comparison tool. And I'm mad. Mad that none of these pamphlets are formatted the same. Mad that they use different measures and terms for the same services. Mad that they're nigh impossible to "side by side." Mad that no one can explain why my premium is going up so much for no new benefits. Mad that even trying to understand the difference between "basic option" and "standard option" is eye-bleedingly tedious. Mad that the reps can't answer questions about levels of coverage compared to their competitors, but can bring up no less than five times that they "cover 52 therapeutic massage visits per calendar year!" It almost feels deliberate - the difficulty here in trying to decide what's best for my family's health. The best response and info I've been able to get are from co-workers enrolled in other plans ... "what did you pay for this, where did you go for that" etc. etc.\ I'm frustrated. This is a major deal for me. I have worked hard to be in a position to provide for my family (we're single income and I'm also the benefits provider) but can't understand it all. I'm frustrated that I feel ignorant and un-educated on something so important. Rant off. Thanks for listening, PF - if you have any tips, I'm happy to listen.

I'm a grown-ass man, and I cannot understand the options available to me for Health/Dental/Vision Insurance.. This is infuriating.

92ea18c8d49442e3a84a663b23c41461

5775ed3ac0ac4e1b96c653da6ec1514d

I'm sure there will be plenty of criticism here about this response, but here's what I've done: Does the HSA your employer offer roll over? If so, I sign up for this, and set the contribution amount to be the same as if I was paying for the other insurance (the traditional plan) minus the cost of the HSA. Say the traditional insurance is $200 per pay period, and the HSA is $50. I set my contribution at $150 per pay period, so my out of pocket costs are the same. Then, after a few months, I have enough money in the account to cover my typical medical expenses (cough/cold, etc.) and screenings are free. I look at it like this: I don't go to the doctor often, nor does my spouse. If we did, an HSA would probably not work. However, our out of pocket expenses are the same, and instead of giving the money to an insurance company in the form of premiums, we're paying into an account that will eventually turn into either retirement savings or get spent on medical expenses. This is highly dependent on your situation.

So a few things. One costs are going up likely because a lot of the ACA required stuff has encouraged more people to actually seek out care and use their insurance. One of the secrets of insurance was that if no one uses it because they are afraid of having to pay out of pocket, then the insurance company wins. But when things like preventive care are mandated to be covered (typically for free), people use them. So now you have members that used to have basically 0 health expense now with 3-500 expense. That has to be paid by someone, and with the way insurance works, the costs get spread across all the members. We don't treat (at least not anymore) health insurance like cars. Otherwise it would cost 10 bucks a year for a 19 year old and 60,000 a year for a 60 year old. Now as far as understanding it, do you have specific questions? For the most part if you understand the terms, copay, deductible, out of pocket max, and coinsurance. You should be able to figure it out. Then after that its usually a matter of looking at the exclusions and special cases. Maybe plan A has a $500 maternity option whereas plan B just routes all maternity care thru the standard deductible and coinsurance rules. I've been working in healthcare for about 10 years, with a fair bit of experience with insurance from the provider side, so I can try to help you understand things if you have a specific question.

personalfinance

3vy6a0

I'll try not to rant for too long here.. Federal employee, married, two young children. I'm not MENSA material, but I'm no dolt either. Current health insurance is going up by over $500 this year. As far as I can tell, for no increase in coverage. We were not unhappy, but also not pleased with our insurance the last two years, but a catastrophic accident and the birth of two kids planted me firmly in the "we're not changing anything in the middle of this" mindset. So now, here it is, open season, and my family is shopping around. We know a few things * First, our current FSA option sucks; it's so cumbersome that it's not worth my time. It's literally money thrown away because I can't get reimbursed through their online program for anything without it going through two different rejections and having to write a statement for each item. A single $2 bottle of Hydrogen Peroxide, submit the receipt, picture of the label, address of the store purchased at .. rejected. More back and forth, submitting screenshots of bank statements with purchases notated, finally accepted. Sweet, only took me 2+ hours to get my $2 back - NOT worth the time, especially not when extrapolated to a hundred or so purchases. Co-pays, large bills, even those are a headache to get back. Watched hundreds of dollars just disappear last year unused from the FSA.. So, we'd like to shift to a high deductible HSA-eligible plan; I'd really like to just have a card in my wallet we only swipe for medical related expenses - that's something we can manage easily. * Next, I'd like to look into invisalign/ braces to fix some issues I wish my parents had when I was younger. * After that, my wife would like to look at Lasik. If not that, then her best options for good vision coverage. * Most importantly, we don't want to have to worry about walking into the "wrong" doctor's office if one of our kids has an emergency. Just got back from my employer's "health fair" (30+ reps packed into 600ish sq. ft.) and could not be more disappointed. I pulled my benefits statements before going over so I'd know what I'm currently covered for and paying in co-pays etc. thinking "this will make it easy, I'll just go down the list and see who offers what!" Wrong. There's an exception to everything. So here I am, a gigantic pile of brochures in front of me that you need a background in analysis to decipher, trudging through OPM's plan comparison tool. And I'm mad. Mad that none of these pamphlets are formatted the same. Mad that they use different measures and terms for the same services. Mad that they're nigh impossible to "side by side." Mad that no one can explain why my premium is going up so much for no new benefits. Mad that even trying to understand the difference between "basic option" and "standard option" is eye-bleedingly tedious. Mad that the reps can't answer questions about levels of coverage compared to their competitors, but can bring up no less than five times that they "cover 52 therapeutic massage visits per calendar year!" It almost feels deliberate - the difficulty here in trying to decide what's best for my family's health. The best response and info I've been able to get are from co-workers enrolled in other plans ... "what did you pay for this, where did you go for that" etc. etc.\ I'm frustrated. This is a major deal for me. I have worked hard to be in a position to provide for my family (we're single income and I'm also the benefits provider) but can't understand it all. I'm frustrated that I feel ignorant and un-educated on something so important. Rant off. Thanks for listening, PF - if you have any tips, I'm happy to listen.

I'm a grown-ass man, and I cannot understand the options available to me for Health/Dental/Vision Insurance.. This is infuriating.

92ea18c8d49442e3a84a663b23c41461

728fcd7b3eeb457a9fdb5dd922d7265d

I'm sure there will be plenty of criticism here about this response, but here's what I've done: Does the HSA your employer offer roll over? If so, I sign up for this, and set the contribution amount to be the same as if I was paying for the other insurance (the traditional plan) minus the cost of the HSA. Say the traditional insurance is $200 per pay period, and the HSA is $50. I set my contribution at $150 per pay period, so my out of pocket costs are the same. Then, after a few months, I have enough money in the account to cover my typical medical expenses (cough/cold, etc.) and screenings are free. I look at it like this: I don't go to the doctor often, nor does my spouse. If we did, an HSA would probably not work. However, our out of pocket expenses are the same, and instead of giving the money to an insurance company in the form of premiums, we're paying into an account that will eventually turn into either retirement savings or get spent on medical expenses. This is highly dependent on your situation.

All i know is we pay 750 a month for health, vision, and dental. Thats for my wife, myself, and our one kid. Also it goes up every year, which is just stupid. Its just another bill the working class have to pay for. Also I really enjoyed your rant, and let this be known you are not alone when it comes to this shit. They make it difficult for a reason, and all insurance companies basically do this shit. Shopping for car insurance and living in Wayne County (MI) is fucking terrible. Oh my insurance went up 100$ more a month because ive never got a ticket or accident. This also happens yearly. Its just a giant fucking money sink. Just consider this shit the workingmans tax.

personalfinance

3vy6a0

I'll try not to rant for too long here.. Federal employee, married, two young children. I'm not MENSA material, but I'm no dolt either. Current health insurance is going up by over $500 this year. As far as I can tell, for no increase in coverage. We were not unhappy, but also not pleased with our insurance the last two years, but a catastrophic accident and the birth of two kids planted me firmly in the "we're not changing anything in the middle of this" mindset. So now, here it is, open season, and my family is shopping around. We know a few things * First, our current FSA option sucks; it's so cumbersome that it's not worth my time. It's literally money thrown away because I can't get reimbursed through their online program for anything without it going through two different rejections and having to write a statement for each item. A single $2 bottle of Hydrogen Peroxide, submit the receipt, picture of the label, address of the store purchased at .. rejected. More back and forth, submitting screenshots of bank statements with purchases notated, finally accepted. Sweet, only took me 2+ hours to get my $2 back - NOT worth the time, especially not when extrapolated to a hundred or so purchases. Co-pays, large bills, even those are a headache to get back. Watched hundreds of dollars just disappear last year unused from the FSA.. So, we'd like to shift to a high deductible HSA-eligible plan; I'd really like to just have a card in my wallet we only swipe for medical related expenses - that's something we can manage easily. * Next, I'd like to look into invisalign/ braces to fix some issues I wish my parents had when I was younger. * After that, my wife would like to look at Lasik. If not that, then her best options for good vision coverage. * Most importantly, we don't want to have to worry about walking into the "wrong" doctor's office if one of our kids has an emergency. Just got back from my employer's "health fair" (30+ reps packed into 600ish sq. ft.) and could not be more disappointed. I pulled my benefits statements before going over so I'd know what I'm currently covered for and paying in co-pays etc. thinking "this will make it easy, I'll just go down the list and see who offers what!" Wrong. There's an exception to everything. So here I am, a gigantic pile of brochures in front of me that you need a background in analysis to decipher, trudging through OPM's plan comparison tool. And I'm mad. Mad that none of these pamphlets are formatted the same. Mad that they use different measures and terms for the same services. Mad that they're nigh impossible to "side by side." Mad that no one can explain why my premium is going up so much for no new benefits. Mad that even trying to understand the difference between "basic option" and "standard option" is eye-bleedingly tedious. Mad that the reps can't answer questions about levels of coverage compared to their competitors, but can bring up no less than five times that they "cover 52 therapeutic massage visits per calendar year!" It almost feels deliberate - the difficulty here in trying to decide what's best for my family's health. The best response and info I've been able to get are from co-workers enrolled in other plans ... "what did you pay for this, where did you go for that" etc. etc.\ I'm frustrated. This is a major deal for me. I have worked hard to be in a position to provide for my family (we're single income and I'm also the benefits provider) but can't understand it all. I'm frustrated that I feel ignorant and un-educated on something so important. Rant off. Thanks for listening, PF - if you have any tips, I'm happy to listen.

I'm a grown-ass man, and I cannot understand the options available to me for Health/Dental/Vision Insurance.. This is infuriating.

92ea18c8d49442e3a84a663b23c41461

f30872096e8249b381e0eb56bf26ae03

I'm sure there will be plenty of criticism here about this response, but here's what I've done: Does the HSA your employer offer roll over? If so, I sign up for this, and set the contribution amount to be the same as if I was paying for the other insurance (the traditional plan) minus the cost of the HSA. Say the traditional insurance is $200 per pay period, and the HSA is $50. I set my contribution at $150 per pay period, so my out of pocket costs are the same. Then, after a few months, I have enough money in the account to cover my typical medical expenses (cough/cold, etc.) and screenings are free. I look at it like this: I don't go to the doctor often, nor does my spouse. If we did, an HSA would probably not work. However, our out of pocket expenses are the same, and instead of giving the money to an insurance company in the form of premiums, we're paying into an account that will eventually turn into either retirement savings or get spent on medical expenses. This is highly dependent on your situation.

Orthodontist and former General Dentist here: Dental insurance is a waste of money UNLESS your employer is paying for a good portion of it for you, OR you actually have dental work that needs to be done. If you need to buy it yourself, save your money. If it's offered by the company do your financial due diligence on how much it actually will cost. Also, look into company health flex spending. If all you are receiving is preventative care, you're likely to spend about $200-$400 a year (Exam and cleaning 2x a year, and various xrays 1x a year). If your premium for the dental plan is $600/year for $1000 of "benefit" it's a waste of money. Don't forget that there are copays and deductibles for different procedures and different tiers of insurance. When you have family plans and such is where it gets to be closer to worthwhile. TL;DR: dental insurance depends on what you intend on using it for.

personalfinance

3vy6a0

I'll try not to rant for too long here.. Federal employee, married, two young children. I'm not MENSA material, but I'm no dolt either. Current health insurance is going up by over $500 this year. As far as I can tell, for no increase in coverage. We were not unhappy, but also not pleased with our insurance the last two years, but a catastrophic accident and the birth of two kids planted me firmly in the "we're not changing anything in the middle of this" mindset. So now, here it is, open season, and my family is shopping around. We know a few things * First, our current FSA option sucks; it's so cumbersome that it's not worth my time. It's literally money thrown away because I can't get reimbursed through their online program for anything without it going through two different rejections and having to write a statement for each item. A single $2 bottle of Hydrogen Peroxide, submit the receipt, picture of the label, address of the store purchased at .. rejected. More back and forth, submitting screenshots of bank statements with purchases notated, finally accepted. Sweet, only took me 2+ hours to get my $2 back - NOT worth the time, especially not when extrapolated to a hundred or so purchases. Co-pays, large bills, even those are a headache to get back. Watched hundreds of dollars just disappear last year unused from the FSA.. So, we'd like to shift to a high deductible HSA-eligible plan; I'd really like to just have a card in my wallet we only swipe for medical related expenses - that's something we can manage easily. * Next, I'd like to look into invisalign/ braces to fix some issues I wish my parents had when I was younger. * After that, my wife would like to look at Lasik. If not that, then her best options for good vision coverage. * Most importantly, we don't want to have to worry about walking into the "wrong" doctor's office if one of our kids has an emergency. Just got back from my employer's "health fair" (30+ reps packed into 600ish sq. ft.) and could not be more disappointed. I pulled my benefits statements before going over so I'd know what I'm currently covered for and paying in co-pays etc. thinking "this will make it easy, I'll just go down the list and see who offers what!" Wrong. There's an exception to everything. So here I am, a gigantic pile of brochures in front of me that you need a background in analysis to decipher, trudging through OPM's plan comparison tool. And I'm mad. Mad that none of these pamphlets are formatted the same. Mad that they use different measures and terms for the same services. Mad that they're nigh impossible to "side by side." Mad that no one can explain why my premium is going up so much for no new benefits. Mad that even trying to understand the difference between "basic option" and "standard option" is eye-bleedingly tedious. Mad that the reps can't answer questions about levels of coverage compared to their competitors, but can bring up no less than five times that they "cover 52 therapeutic massage visits per calendar year!" It almost feels deliberate - the difficulty here in trying to decide what's best for my family's health. The best response and info I've been able to get are from co-workers enrolled in other plans ... "what did you pay for this, where did you go for that" etc. etc.\ I'm frustrated. This is a major deal for me. I have worked hard to be in a position to provide for my family (we're single income and I'm also the benefits provider) but can't understand it all. I'm frustrated that I feel ignorant and un-educated on something so important. Rant off. Thanks for listening, PF - if you have any tips, I'm happy to listen.

I'm a grown-ass man, and I cannot understand the options available to me for Health/Dental/Vision Insurance.. This is infuriating.

92ea18c8d49442e3a84a663b23c41461

1aa6fb40e7fd464491a6945588309564

I'm sure there will be plenty of criticism here about this response, but here's what I've done: Does the HSA your employer offer roll over? If so, I sign up for this, and set the contribution amount to be the same as if I was paying for the other insurance (the traditional plan) minus the cost of the HSA. Say the traditional insurance is $200 per pay period, and the HSA is $50. I set my contribution at $150 per pay period, so my out of pocket costs are the same. Then, after a few months, I have enough money in the account to cover my typical medical expenses (cough/cold, etc.) and screenings are free. I look at it like this: I don't go to the doctor often, nor does my spouse. If we did, an HSA would probably not work. However, our out of pocket expenses are the same, and instead of giving the money to an insurance company in the form of premiums, we're paying into an account that will eventually turn into either retirement savings or get spent on medical expenses. This is highly dependent on your situation.

Who are the vision providers who cover any part of lasik? My wife works in healthcare and has access to just about any provider we want. I shopped around every single one and was laughed off the phone when I asked if or how much of Lasik they would cover.

personalfinance

3vy6a0

I'll try not to rant for too long here.. Federal employee, married, two young children. I'm not MENSA material, but I'm no dolt either. Current health insurance is going up by over $500 this year. As far as I can tell, for no increase in coverage. We were not unhappy, but also not pleased with our insurance the last two years, but a catastrophic accident and the birth of two kids planted me firmly in the "we're not changing anything in the middle of this" mindset. So now, here it is, open season, and my family is shopping around. We know a few things * First, our current FSA option sucks; it's so cumbersome that it's not worth my time. It's literally money thrown away because I can't get reimbursed through their online program for anything without it going through two different rejections and having to write a statement for each item. A single $2 bottle of Hydrogen Peroxide, submit the receipt, picture of the label, address of the store purchased at .. rejected. More back and forth, submitting screenshots of bank statements with purchases notated, finally accepted. Sweet, only took me 2+ hours to get my $2 back - NOT worth the time, especially not when extrapolated to a hundred or so purchases. Co-pays, large bills, even those are a headache to get back. Watched hundreds of dollars just disappear last year unused from the FSA.. So, we'd like to shift to a high deductible HSA-eligible plan; I'd really like to just have a card in my wallet we only swipe for medical related expenses - that's something we can manage easily. * Next, I'd like to look into invisalign/ braces to fix some issues I wish my parents had when I was younger. * After that, my wife would like to look at Lasik. If not that, then her best options for good vision coverage. * Most importantly, we don't want to have to worry about walking into the "wrong" doctor's office if one of our kids has an emergency. Just got back from my employer's "health fair" (30+ reps packed into 600ish sq. ft.) and could not be more disappointed. I pulled my benefits statements before going over so I'd know what I'm currently covered for and paying in co-pays etc. thinking "this will make it easy, I'll just go down the list and see who offers what!" Wrong. There's an exception to everything. So here I am, a gigantic pile of brochures in front of me that you need a background in analysis to decipher, trudging through OPM's plan comparison tool. And I'm mad. Mad that none of these pamphlets are formatted the same. Mad that they use different measures and terms for the same services. Mad that they're nigh impossible to "side by side." Mad that no one can explain why my premium is going up so much for no new benefits. Mad that even trying to understand the difference between "basic option" and "standard option" is eye-bleedingly tedious. Mad that the reps can't answer questions about levels of coverage compared to their competitors, but can bring up no less than five times that they "cover 52 therapeutic massage visits per calendar year!" It almost feels deliberate - the difficulty here in trying to decide what's best for my family's health. The best response and info I've been able to get are from co-workers enrolled in other plans ... "what did you pay for this, where did you go for that" etc. etc.\ I'm frustrated. This is a major deal for me. I have worked hard to be in a position to provide for my family (we're single income and I'm also the benefits provider) but can't understand it all. I'm frustrated that I feel ignorant and un-educated on something so important. Rant off. Thanks for listening, PF - if you have any tips, I'm happy to listen.

I'm a grown-ass man, and I cannot understand the options available to me for Health/Dental/Vision Insurance.. This is infuriating.

92ea18c8d49442e3a84a663b23c41461

e64b4827c8c3450bbd6c97b8d1320b12

I'm sure there will be plenty of criticism here about this response, but here's what I've done: Does the HSA your employer offer roll over? If so, I sign up for this, and set the contribution amount to be the same as if I was paying for the other insurance (the traditional plan) minus the cost of the HSA. Say the traditional insurance is $200 per pay period, and the HSA is $50. I set my contribution at $150 per pay period, so my out of pocket costs are the same. Then, after a few months, I have enough money in the account to cover my typical medical expenses (cough/cold, etc.) and screenings are free. I look at it like this: I don't go to the doctor often, nor does my spouse. If we did, an HSA would probably not work. However, our out of pocket expenses are the same, and instead of giving the money to an insurance company in the form of premiums, we're paying into an account that will eventually turn into either retirement savings or get spent on medical expenses. This is highly dependent on your situation.

I have no help to offer but I just do the following: Pick *some* insurance, it seems pretty clear having none is bad and illegal. As far as I can tell there is *no* way to tell what will or won't be covered, before or after you've gotten it. They are so poorly worded and there are so many fine prints and gotchas that they can basically do whatever they want whenever they want. So I just avoid visiting doctors as much as possible, and make a point of asking them the cost of everything on the rare occasions it seems absolutely necessary. They never know the cost, but if they know you are concerned they may charge less. Then hope for the best and as the bills come in over the next few months pay them. Does this sounds terrible? It is, but I can't figure out any other options so I've stopped trying to understand the system that clearly does not work or make any sense. I'm also a grown-ass man myself, and by most accounts very intelligent, but there is no way I could ever figure this stuff out, and I strongly suspect the people who think they have this stuff figured out are deceiving themselves. tl;dr Sorry, but bend over and expect to be fucked, its the only option US Healthcare offers. (Sorry also ranting)

personalfinance

3vy6a0

I'll try not to rant for too long here.. Federal employee, married, two young children. I'm not MENSA material, but I'm no dolt either. Current health insurance is going up by over $500 this year. As far as I can tell, for no increase in coverage. We were not unhappy, but also not pleased with our insurance the last two years, but a catastrophic accident and the birth of two kids planted me firmly in the "we're not changing anything in the middle of this" mindset. So now, here it is, open season, and my family is shopping around. We know a few things * First, our current FSA option sucks; it's so cumbersome that it's not worth my time. It's literally money thrown away because I can't get reimbursed through their online program for anything without it going through two different rejections and having to write a statement for each item. A single $2 bottle of Hydrogen Peroxide, submit the receipt, picture of the label, address of the store purchased at .. rejected. More back and forth, submitting screenshots of bank statements with purchases notated, finally accepted. Sweet, only took me 2+ hours to get my $2 back - NOT worth the time, especially not when extrapolated to a hundred or so purchases. Co-pays, large bills, even those are a headache to get back. Watched hundreds of dollars just disappear last year unused from the FSA.. So, we'd like to shift to a high deductible HSA-eligible plan; I'd really like to just have a card in my wallet we only swipe for medical related expenses - that's something we can manage easily. * Next, I'd like to look into invisalign/ braces to fix some issues I wish my parents had when I was younger. * After that, my wife would like to look at Lasik. If not that, then her best options for good vision coverage. * Most importantly, we don't want to have to worry about walking into the "wrong" doctor's office if one of our kids has an emergency. Just got back from my employer's "health fair" (30+ reps packed into 600ish sq. ft.) and could not be more disappointed. I pulled my benefits statements before going over so I'd know what I'm currently covered for and paying in co-pays etc. thinking "this will make it easy, I'll just go down the list and see who offers what!" Wrong. There's an exception to everything. So here I am, a gigantic pile of brochures in front of me that you need a background in analysis to decipher, trudging through OPM's plan comparison tool. And I'm mad. Mad that none of these pamphlets are formatted the same. Mad that they use different measures and terms for the same services. Mad that they're nigh impossible to "side by side." Mad that no one can explain why my premium is going up so much for no new benefits. Mad that even trying to understand the difference between "basic option" and "standard option" is eye-bleedingly tedious. Mad that the reps can't answer questions about levels of coverage compared to their competitors, but can bring up no less than five times that they "cover 52 therapeutic massage visits per calendar year!" It almost feels deliberate - the difficulty here in trying to decide what's best for my family's health. The best response and info I've been able to get are from co-workers enrolled in other plans ... "what did you pay for this, where did you go for that" etc. etc.\ I'm frustrated. This is a major deal for me. I have worked hard to be in a position to provide for my family (we're single income and I'm also the benefits provider) but can't understand it all. I'm frustrated that I feel ignorant and un-educated on something so important. Rant off. Thanks for listening, PF - if you have any tips, I'm happy to listen.

I'm a grown-ass man, and I cannot understand the options available to me for Health/Dental/Vision Insurance.. This is infuriating.

92ea18c8d49442e3a84a663b23c41461

58dcb406a703459c9fd91012b567f39c

I'm sure there will be plenty of criticism here about this response, but here's what I've done: Does the HSA your employer offer roll over? If so, I sign up for this, and set the contribution amount to be the same as if I was paying for the other insurance (the traditional plan) minus the cost of the HSA. Say the traditional insurance is $200 per pay period, and the HSA is $50. I set my contribution at $150 per pay period, so my out of pocket costs are the same. Then, after a few months, I have enough money in the account to cover my typical medical expenses (cough/cold, etc.) and screenings are free. I look at it like this: I don't go to the doctor often, nor does my spouse. If we did, an HSA would probably not work. However, our out of pocket expenses are the same, and instead of giving the money to an insurance company in the form of premiums, we're paying into an account that will eventually turn into either retirement savings or get spent on medical expenses. This is highly dependent on your situation.

Oh and to address the items you mentioned. Lasik and Orthodontics (for adults) are almost always considered cosmetic and almost never covered. Like 0 dollars. You can use FSA dollars for these items though. In the off chance there was some coverage it would be in your vision and dental policies respectively. Emergency care and out of network. Just depends on the plan. Most DON"T charge an out of network penalty for the emergency room care. Now after the "Emergency" is over, and they admit you and you start getting different care. That might be different. Also there is a difference between a hospital ER, an Urgent Care clinic, and convenient care clinic and a standalone ER facility. They likely all have different rules. Keep in mind also that doctors AND facilities can be in or out of network. So "St. Josephs Hospital" might be in your network, but the anesthesiologist Dr. Vikek Patel (who is an independent provider) might not be. Some insurance plans will give you just reduced coverage for out of network and others will give you 0. You just have to read the fine print. Its a giant pain in the ass.

personalfinance

3vy6a0

I'll try not to rant for too long here.. Federal employee, married, two young children. I'm not MENSA material, but I'm no dolt either. Current health insurance is going up by over $500 this year. As far as I can tell, for no increase in coverage. We were not unhappy, but also not pleased with our insurance the last two years, but a catastrophic accident and the birth of two kids planted me firmly in the "we're not changing anything in the middle of this" mindset. So now, here it is, open season, and my family is shopping around. We know a few things * First, our current FSA option sucks; it's so cumbersome that it's not worth my time. It's literally money thrown away because I can't get reimbursed through their online program for anything without it going through two different rejections and having to write a statement for each item. A single $2 bottle of Hydrogen Peroxide, submit the receipt, picture of the label, address of the store purchased at .. rejected. More back and forth, submitting screenshots of bank statements with purchases notated, finally accepted. Sweet, only took me 2+ hours to get my $2 back - NOT worth the time, especially not when extrapolated to a hundred or so purchases. Co-pays, large bills, even those are a headache to get back. Watched hundreds of dollars just disappear last year unused from the FSA.. So, we'd like to shift to a high deductible HSA-eligible plan; I'd really like to just have a card in my wallet we only swipe for medical related expenses - that's something we can manage easily. * Next, I'd like to look into invisalign/ braces to fix some issues I wish my parents had when I was younger. * After that, my wife would like to look at Lasik. If not that, then her best options for good vision coverage. * Most importantly, we don't want to have to worry about walking into the "wrong" doctor's office if one of our kids has an emergency. Just got back from my employer's "health fair" (30+ reps packed into 600ish sq. ft.) and could not be more disappointed. I pulled my benefits statements before going over so I'd know what I'm currently covered for and paying in co-pays etc. thinking "this will make it easy, I'll just go down the list and see who offers what!" Wrong. There's an exception to everything. So here I am, a gigantic pile of brochures in front of me that you need a background in analysis to decipher, trudging through OPM's plan comparison tool. And I'm mad. Mad that none of these pamphlets are formatted the same. Mad that they use different measures and terms for the same services. Mad that they're nigh impossible to "side by side." Mad that no one can explain why my premium is going up so much for no new benefits. Mad that even trying to understand the difference between "basic option" and "standard option" is eye-bleedingly tedious. Mad that the reps can't answer questions about levels of coverage compared to their competitors, but can bring up no less than five times that they "cover 52 therapeutic massage visits per calendar year!" It almost feels deliberate - the difficulty here in trying to decide what's best for my family's health. The best response and info I've been able to get are from co-workers enrolled in other plans ... "what did you pay for this, where did you go for that" etc. etc.\ I'm frustrated. This is a major deal for me. I have worked hard to be in a position to provide for my family (we're single income and I'm also the benefits provider) but can't understand it all. I'm frustrated that I feel ignorant and un-educated on something so important. Rant off. Thanks for listening, PF - if you have any tips, I'm happy to listen.

I'm a grown-ass man, and I cannot understand the options available to me for Health/Dental/Vision Insurance.. This is infuriating.

5775ed3ac0ac4e1b96c653da6ec1514d

58dcb406a703459c9fd91012b567f39c

So a few things. One costs are going up likely because a lot of the ACA required stuff has encouraged more people to actually seek out care and use their insurance. One of the secrets of insurance was that if no one uses it because they are afraid of having to pay out of pocket, then the insurance company wins. But when things like preventive care are mandated to be covered (typically for free), people use them. So now you have members that used to have basically 0 health expense now with 3-500 expense. That has to be paid by someone, and with the way insurance works, the costs get spread across all the members. We don't treat (at least not anymore) health insurance like cars. Otherwise it would cost 10 bucks a year for a 19 year old and 60,000 a year for a 60 year old. Now as far as understanding it, do you have specific questions? For the most part if you understand the terms, copay, deductible, out of pocket max, and coinsurance. You should be able to figure it out. Then after that its usually a matter of looking at the exclusions and special cases. Maybe plan A has a $500 maternity option whereas plan B just routes all maternity care thru the standard deductible and coinsurance rules. I've been working in healthcare for about 10 years, with a fair bit of experience with insurance from the provider side, so I can try to help you understand things if you have a specific question.

Oh and to address the items you mentioned. Lasik and Orthodontics (for adults) are almost always considered cosmetic and almost never covered. Like 0 dollars. You can use FSA dollars for these items though. In the off chance there was some coverage it would be in your vision and dental policies respectively. Emergency care and out of network. Just depends on the plan. Most DON"T charge an out of network penalty for the emergency room care. Now after the "Emergency" is over, and they admit you and you start getting different care. That might be different. Also there is a difference between a hospital ER, an Urgent Care clinic, and convenient care clinic and a standalone ER facility. They likely all have different rules. Keep in mind also that doctors AND facilities can be in or out of network. So "St. Josephs Hospital" might be in your network, but the anesthesiologist Dr. Vikek Patel (who is an independent provider) might not be. Some insurance plans will give you just reduced coverage for out of network and others will give you 0. You just have to read the fine print. Its a giant pain in the ass.

personalfinance

3vy6a0

I'll try not to rant for too long here.. Federal employee, married, two young children. I'm not MENSA material, but I'm no dolt either. Current health insurance is going up by over $500 this year. As far as I can tell, for no increase in coverage. We were not unhappy, but also not pleased with our insurance the last two years, but a catastrophic accident and the birth of two kids planted me firmly in the "we're not changing anything in the middle of this" mindset. So now, here it is, open season, and my family is shopping around. We know a few things * First, our current FSA option sucks; it's so cumbersome that it's not worth my time. It's literally money thrown away because I can't get reimbursed through their online program for anything without it going through two different rejections and having to write a statement for each item. A single $2 bottle of Hydrogen Peroxide, submit the receipt, picture of the label, address of the store purchased at .. rejected. More back and forth, submitting screenshots of bank statements with purchases notated, finally accepted. Sweet, only took me 2+ hours to get my $2 back - NOT worth the time, especially not when extrapolated to a hundred or so purchases. Co-pays, large bills, even those are a headache to get back. Watched hundreds of dollars just disappear last year unused from the FSA.. So, we'd like to shift to a high deductible HSA-eligible plan; I'd really like to just have a card in my wallet we only swipe for medical related expenses - that's something we can manage easily. * Next, I'd like to look into invisalign/ braces to fix some issues I wish my parents had when I was younger. * After that, my wife would like to look at Lasik. If not that, then her best options for good vision coverage. * Most importantly, we don't want to have to worry about walking into the "wrong" doctor's office if one of our kids has an emergency. Just got back from my employer's "health fair" (30+ reps packed into 600ish sq. ft.) and could not be more disappointed. I pulled my benefits statements before going over so I'd know what I'm currently covered for and paying in co-pays etc. thinking "this will make it easy, I'll just go down the list and see who offers what!" Wrong. There's an exception to everything. So here I am, a gigantic pile of brochures in front of me that you need a background in analysis to decipher, trudging through OPM's plan comparison tool. And I'm mad. Mad that none of these pamphlets are formatted the same. Mad that they use different measures and terms for the same services. Mad that they're nigh impossible to "side by side." Mad that no one can explain why my premium is going up so much for no new benefits. Mad that even trying to understand the difference between "basic option" and "standard option" is eye-bleedingly tedious. Mad that the reps can't answer questions about levels of coverage compared to their competitors, but can bring up no less than five times that they "cover 52 therapeutic massage visits per calendar year!" It almost feels deliberate - the difficulty here in trying to decide what's best for my family's health. The best response and info I've been able to get are from co-workers enrolled in other plans ... "what did you pay for this, where did you go for that" etc. etc.\ I'm frustrated. This is a major deal for me. I have worked hard to be in a position to provide for my family (we're single income and I'm also the benefits provider) but can't understand it all. I'm frustrated that I feel ignorant and un-educated on something so important. Rant off. Thanks for listening, PF - if you have any tips, I'm happy to listen.

I'm a grown-ass man, and I cannot understand the options available to me for Health/Dental/Vision Insurance.. This is infuriating.

728fcd7b3eeb457a9fdb5dd922d7265d

58dcb406a703459c9fd91012b567f39c

All i know is we pay 750 a month for health, vision, and dental. Thats for my wife, myself, and our one kid. Also it goes up every year, which is just stupid. Its just another bill the working class have to pay for. Also I really enjoyed your rant, and let this be known you are not alone when it comes to this shit. They make it difficult for a reason, and all insurance companies basically do this shit. Shopping for car insurance and living in Wayne County (MI) is fucking terrible. Oh my insurance went up 100$ more a month because ive never got a ticket or accident. This also happens yearly. Its just a giant fucking money sink. Just consider this shit the workingmans tax.

Oh and to address the items you mentioned. Lasik and Orthodontics (for adults) are almost always considered cosmetic and almost never covered. Like 0 dollars. You can use FSA dollars for these items though. In the off chance there was some coverage it would be in your vision and dental policies respectively. Emergency care and out of network. Just depends on the plan. Most DON"T charge an out of network penalty for the emergency room care. Now after the "Emergency" is over, and they admit you and you start getting different care. That might be different. Also there is a difference between a hospital ER, an Urgent Care clinic, and convenient care clinic and a standalone ER facility. They likely all have different rules. Keep in mind also that doctors AND facilities can be in or out of network. So "St. Josephs Hospital" might be in your network, but the anesthesiologist Dr. Vikek Patel (who is an independent provider) might not be. Some insurance plans will give you just reduced coverage for out of network and others will give you 0. You just have to read the fine print. Its a giant pain in the ass.

personalfinance

3vy6a0

I'll try not to rant for too long here.. Federal employee, married, two young children. I'm not MENSA material, but I'm no dolt either. Current health insurance is going up by over $500 this year. As far as I can tell, for no increase in coverage. We were not unhappy, but also not pleased with our insurance the last two years, but a catastrophic accident and the birth of two kids planted me firmly in the "we're not changing anything in the middle of this" mindset. So now, here it is, open season, and my family is shopping around. We know a few things * First, our current FSA option sucks; it's so cumbersome that it's not worth my time. It's literally money thrown away because I can't get reimbursed through their online program for anything without it going through two different rejections and having to write a statement for each item. A single $2 bottle of Hydrogen Peroxide, submit the receipt, picture of the label, address of the store purchased at .. rejected. More back and forth, submitting screenshots of bank statements with purchases notated, finally accepted. Sweet, only took me 2+ hours to get my $2 back - NOT worth the time, especially not when extrapolated to a hundred or so purchases. Co-pays, large bills, even those are a headache to get back. Watched hundreds of dollars just disappear last year unused from the FSA.. So, we'd like to shift to a high deductible HSA-eligible plan; I'd really like to just have a card in my wallet we only swipe for medical related expenses - that's something we can manage easily. * Next, I'd like to look into invisalign/ braces to fix some issues I wish my parents had when I was younger. * After that, my wife would like to look at Lasik. If not that, then her best options for good vision coverage. * Most importantly, we don't want to have to worry about walking into the "wrong" doctor's office if one of our kids has an emergency. Just got back from my employer's "health fair" (30+ reps packed into 600ish sq. ft.) and could not be more disappointed. I pulled my benefits statements before going over so I'd know what I'm currently covered for and paying in co-pays etc. thinking "this will make it easy, I'll just go down the list and see who offers what!" Wrong. There's an exception to everything. So here I am, a gigantic pile of brochures in front of me that you need a background in analysis to decipher, trudging through OPM's plan comparison tool. And I'm mad. Mad that none of these pamphlets are formatted the same. Mad that they use different measures and terms for the same services. Mad that they're nigh impossible to "side by side." Mad that no one can explain why my premium is going up so much for no new benefits. Mad that even trying to understand the difference between "basic option" and "standard option" is eye-bleedingly tedious. Mad that the reps can't answer questions about levels of coverage compared to their competitors, but can bring up no less than five times that they "cover 52 therapeutic massage visits per calendar year!" It almost feels deliberate - the difficulty here in trying to decide what's best for my family's health. The best response and info I've been able to get are from co-workers enrolled in other plans ... "what did you pay for this, where did you go for that" etc. etc.\ I'm frustrated. This is a major deal for me. I have worked hard to be in a position to provide for my family (we're single income and I'm also the benefits provider) but can't understand it all. I'm frustrated that I feel ignorant and un-educated on something so important. Rant off. Thanks for listening, PF - if you have any tips, I'm happy to listen.

I'm a grown-ass man, and I cannot understand the options available to me for Health/Dental/Vision Insurance.. This is infuriating.

f30872096e8249b381e0eb56bf26ae03

1aa6fb40e7fd464491a6945588309564

Orthodontist and former General Dentist here: Dental insurance is a waste of money UNLESS your employer is paying for a good portion of it for you, OR you actually have dental work that needs to be done. If you need to buy it yourself, save your money. If it's offered by the company do your financial due diligence on how much it actually will cost. Also, look into company health flex spending. If all you are receiving is preventative care, you're likely to spend about $200-$400 a year (Exam and cleaning 2x a year, and various xrays 1x a year). If your premium for the dental plan is $600/year for $1000 of "benefit" it's a waste of money. Don't forget that there are copays and deductibles for different procedures and different tiers of insurance. When you have family plans and such is where it gets to be closer to worthwhile. TL;DR: dental insurance depends on what you intend on using it for.

Who are the vision providers who cover any part of lasik? My wife works in healthcare and has access to just about any provider we want. I shopped around every single one and was laughed off the phone when I asked if or how much of Lasik they would cover.

personalfinance

3vy6a0

I'll try not to rant for too long here.. Federal employee, married, two young children. I'm not MENSA material, but I'm no dolt either. Current health insurance is going up by over $500 this year. As far as I can tell, for no increase in coverage. We were not unhappy, but also not pleased with our insurance the last two years, but a catastrophic accident and the birth of two kids planted me firmly in the "we're not changing anything in the middle of this" mindset. So now, here it is, open season, and my family is shopping around. We know a few things * First, our current FSA option sucks; it's so cumbersome that it's not worth my time. It's literally money thrown away because I can't get reimbursed through their online program for anything without it going through two different rejections and having to write a statement for each item. A single $2 bottle of Hydrogen Peroxide, submit the receipt, picture of the label, address of the store purchased at .. rejected. More back and forth, submitting screenshots of bank statements with purchases notated, finally accepted. Sweet, only took me 2+ hours to get my $2 back - NOT worth the time, especially not when extrapolated to a hundred or so purchases. Co-pays, large bills, even those are a headache to get back. Watched hundreds of dollars just disappear last year unused from the FSA.. So, we'd like to shift to a high deductible HSA-eligible plan; I'd really like to just have a card in my wallet we only swipe for medical related expenses - that's something we can manage easily. * Next, I'd like to look into invisalign/ braces to fix some issues I wish my parents had when I was younger. * After that, my wife would like to look at Lasik. If not that, then her best options for good vision coverage. * Most importantly, we don't want to have to worry about walking into the "wrong" doctor's office if one of our kids has an emergency. Just got back from my employer's "health fair" (30+ reps packed into 600ish sq. ft.) and could not be more disappointed. I pulled my benefits statements before going over so I'd know what I'm currently covered for and paying in co-pays etc. thinking "this will make it easy, I'll just go down the list and see who offers what!" Wrong. There's an exception to everything. So here I am, a gigantic pile of brochures in front of me that you need a background in analysis to decipher, trudging through OPM's plan comparison tool. And I'm mad. Mad that none of these pamphlets are formatted the same. Mad that they use different measures and terms for the same services. Mad that they're nigh impossible to "side by side." Mad that no one can explain why my premium is going up so much for no new benefits. Mad that even trying to understand the difference between "basic option" and "standard option" is eye-bleedingly tedious. Mad that the reps can't answer questions about levels of coverage compared to their competitors, but can bring up no less than five times that they "cover 52 therapeutic massage visits per calendar year!" It almost feels deliberate - the difficulty here in trying to decide what's best for my family's health. The best response and info I've been able to get are from co-workers enrolled in other plans ... "what did you pay for this, where did you go for that" etc. etc.\ I'm frustrated. This is a major deal for me. I have worked hard to be in a position to provide for my family (we're single income and I'm also the benefits provider) but can't understand it all. I'm frustrated that I feel ignorant and un-educated on something so important. Rant off. Thanks for listening, PF - if you have any tips, I'm happy to listen.

I'm a grown-ass man, and I cannot understand the options available to me for Health/Dental/Vision Insurance.. This is infuriating.

f30872096e8249b381e0eb56bf26ae03

58dcb406a703459c9fd91012b567f39c

Orthodontist and former General Dentist here: Dental insurance is a waste of money UNLESS your employer is paying for a good portion of it for you, OR you actually have dental work that needs to be done. If you need to buy it yourself, save your money. If it's offered by the company do your financial due diligence on how much it actually will cost. Also, look into company health flex spending. If all you are receiving is preventative care, you're likely to spend about $200-$400 a year (Exam and cleaning 2x a year, and various xrays 1x a year). If your premium for the dental plan is $600/year for $1000 of "benefit" it's a waste of money. Don't forget that there are copays and deductibles for different procedures and different tiers of insurance. When you have family plans and such is where it gets to be closer to worthwhile. TL;DR: dental insurance depends on what you intend on using it for.

Oh and to address the items you mentioned. Lasik and Orthodontics (for adults) are almost always considered cosmetic and almost never covered. Like 0 dollars. You can use FSA dollars for these items though. In the off chance there was some coverage it would be in your vision and dental policies respectively. Emergency care and out of network. Just depends on the plan. Most DON"T charge an out of network penalty for the emergency room care. Now after the "Emergency" is over, and they admit you and you start getting different care. That might be different. Also there is a difference between a hospital ER, an Urgent Care clinic, and convenient care clinic and a standalone ER facility. They likely all have different rules. Keep in mind also that doctors AND facilities can be in or out of network. So "St. Josephs Hospital" might be in your network, but the anesthesiologist Dr. Vikek Patel (who is an independent provider) might not be. Some insurance plans will give you just reduced coverage for out of network and others will give you 0. You just have to read the fine print. Its a giant pain in the ass.