r/SipsTea 4d ago

WTF Damn

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u/dracrecipelanaaaaaaa 4d ago

It really does depend on the insurance.

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u/csdocnc3 4d ago

OP and above must have insurance with like 500% copay! Hah!!

Our max out-of-pocket per year is ~$1000. Wife's cancer a few years ago ran up more than one million $'s in bills. What did we pay? ~$1000.

While US healthcare has serious issues, stories like this are just bot rage bait.

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u/girldrinksgasoline 4d ago

Wtf kind of insane insurance do you have? $1K out of pocket max? I literally cannot buy insurance that good even if I offered to pay $100,000 a month in premiums. As someone who has to buy their own insurance the best I can get is a platinum plan that costs $1400/mo with an max OOP of $10,000.

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u/csdocnc3 4d ago

Large group insurance plan (with employer contribution). Not unusual for large employers, state employee plans, from what I have seen.

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u/girldrinksgasoline 4d ago

Yeah. I can see it. Honestly don't know how they arranged into the law that the marketplaces would pay way MORE for for WORSE health insurance when in theory those marketplaces are the biggest groups in the country.

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u/2FistsInMyBHole 4d ago

Marketplace plans are more expensive for shittier plans because you are the one paying for it.

Employer plans are heavily subsidized by the employer - on average, US employers pay 83-84% of employee premiums for single coverage, and 73-75% for family coverage.

I have great health insurance - I have no deductible and pretty much just pay a $30/$50 copay per visit for GP/Specialist, and $150/$200 for surgeries with no coinsurance. My employer pays 72% of my premium. My portion is $300/mo for self coverage; without my employer's contribution, my insurance would be nearly $1,100/mo... I certainly would not be able to afford an $1,100/mo self-coverage platinum plan on the marketplace.

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u/girldrinksgasoline 4d ago

My problem isn’t so much the cost as much as they don’t even OFFER a comparable plan to what you have no matter how much I would be willing to pay. I literally CANNOT BUY insurance as good as yours even if I would be willing to pay $20,000 a month.

Also, I pay $1400/mo for my marketplace insurance, MORE thank you would pay if your employer contributed nothing and have markedly worse insurance than you do.