By yourself definitely hax. If you go through your company you will be subject to the obamacare rules. It's cheaper by far to get it yourself and not have to pay the fees.
You can't get a price in MN without inputing all your info. Without anything to compare against, your price is worthless. Mine runs almost $700 my wife's is almost $600. That's for $5000 deduct each. Prior to the ACA, it was under $300.
I go to Sloan Kettering which does not accept any of the Obamacare subsidized plans so even if I was eligible I still wouldn't get one.
Currently the plan that I am on and is expiring is my union plan that uses Horizon Blue Cross Blue Shield (Horizon is NJ's version of BCBS) network, which covers what I need. So I am going to try to get insurance from them. I entered info and am waiting for them to call me.
There are so many plans that differ in small ways. I believe that I should go for one of the low out of pocket plans, even if the premium is high, because I know I will be using the insurance.
This year I will need at least 2 CT scans @ $4,000 each, 4 chest X-rays (I forget what they cost), and 4 sets of blood work @ almost $2,000. Plus whatever the oncologist and radiologists charges. Then I will need 12 Pro-Time tests for the blood thinners and 2 visits to the cardiologist.
So since I know that I am definitely going to be using a lot of healthcare, unlike other people who don't know if they will ever see a doctor in the next year, should I get a certain plan?
After 25 years of providing coverage for us & employees, we dropped our company group policy year before last because of Obama care premium increases. I am 59 & my wife is 55 & here is what we pay now:
Me: bronze plan, $6000 deductible, $7500 max out of pocket costs me $556 per month. I pay for EVERYTHING including drugs up to $6000 & at that point I still pay for most things until it reaches the $7500 max out of pocket.
Wife: silver plan, $3500 deductible, $6000 max out of pocket is $711 per month. Her's pays for many generic drugs with a $15 copay & pays for Dr visits with copays. Copays for other things are expensive.
Last year I spent $18000 in premiums & medical expenses & I'm expecting to spend $25,000 this year. This is why I can't retire any time soon.
Adding up all the info you gave, you can spend up to $28,000 or so before the max out of pocket kicks in and you don't have to pay anymore (for in network stuff).
I skipped the marketplace and went directly to BCBS, I got a non-subsidized plan. $469/month for a good plan, $0 deductible, $3,500 max out of pocket, and all my current doctors and other stuff is tier 1 so they cover it fully.
It's actually only $200 more per month than I was paying for Cobra.
I skipped the marketplace and went directly to BCBS, I got a non-subsidized plan. $469/month for a good plan, $0 deductible, $3,500 max out of pocket, and all my current doctors and other stuff is tier 1 so they cover it fully. It's actually only $200 more per month than I was paying for Cobra.
Local 68 (Operating Engineers) here, just shifted to Omnia for our union. Works well for me, since all my doctors and my hospital are Tier 1. Glad it's working well for you, Jrzy! Mine's a statewide local, the NY and PA people that work in NJ are getting boned by it. Good deal for me, not so good for my co-workers.
Yeah, I picked the Omnia Gold plan. I am really surprised that it's only $469. I like the way I could go to a specialist or anything like that, no referrals or any crap like that.
The only downside is that they don't cover anything out of state, so no more going to Sloan Kettering in Manhattan. But I hated driving thru that sh*thole city anyway, so I'll just go to the one in Basking Ridge.
I'm amazed at these low rates; are you under 40 or are the rates subsidized in any way?
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