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health care system choice


Question Posted Wednesday October 22 2003, 7:10 pm

I just got a new job and the health care system is weird. I can choose to either pay $30 a month or $15 a month. If I pay $30 a month, the company pays for all my health care over $1600, if I spend more than that in the year. If I pay $15 a month, the company doesn't start paying until after $2800. I'm healthy and don't think I'll need more than $1600 for the year, so I think I might go with the cheap plan and save on my monthly payments. But I'll be screwed if something happens to me, like I fall off a bridge and need $4000 surgery, because I'll have to spend $2800 total instead of $1600. What would you do?

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MissNiceness answered Thursday October 23 2003, 4:36 pm:
If you can afford it, go with the $30/mo plan. Better to be safe than sorry.

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metawidget answered Thursday October 23 2003, 1:22 am:
Would having to come up $2800 all at once be an insurmountable challenge? If something bad (like $2800 bad) happens in the next 7 years or so, it'd be worth it to shell out for the better plan. I don't know too much about pricing in the US, but if you're doing regular check-ups and dentist's appointments, that's some amount, say $200, off the deductible already.

More insurance is nice, because savings month-to-month tend not to feel like much at the time, whereas paying 75% more for your surgery while recovering from that hypothetical fall off a bridge (or whatever) is just too much bad news all at once.

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oncebeyondyears answered Wednesday October 22 2003, 9:21 pm:
Should something happen you have to pay at least $1600 either way. So, you need to be ready to pay that already

Let us say you will not have an health problem until the 12th month.

the $30.00 way:
You need to pay and save $164.00 ($30 + $134)

the $15.00 way:
You need to pay and save $249.00 ($15 + $234)

each month to be ready by that month.

Usually these systems allow you to change your choice annually. It would be best if the <b>first</b> year you went the $30.00 / month route AND saved up for the $2800 so that next year:

the $30.00 way one year:
you pay and save $164.00 ($30 + $134) to gain a savings balance of <b>$1608</b>. Next opportunity change to the $15 plan. Then you have $2800 - <b>$1608</b> = $1192 left to add to savings. You also have more saving power since you will not be spending $30 but $15.

2nd year you pay and save $115 ($15 + $100) to get to the balance of: $2808 = <b>$1608 (saved last year)</b> + <b>$1200 (saved in second year)</b>.

Note 1: even if you get injured the 2nd month of the second year your total additional money you need to pay out should only be $1192 since you have <b>$1608</b> already in the bank!

Note 2: You will be <b>earning interest</b> on your <b>$1608</b> so the balance will actually be higher as you proceed through the second year.

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Draak answered Wednesday October 22 2003, 8:16 pm:
I'd pay the $30, better safe than sorry.

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