Sitka Mountain Gear
Disgusting
Community
Contributors to this thread:
spike78 26-Oct-17
JTV 26-Oct-17
keepemsharp 26-Oct-17
K Cummings 26-Oct-17
Joey Ward 26-Oct-17
JTV 26-Oct-17
Bake 26-Oct-17
K Cummings 26-Oct-17
Joey Ward 26-Oct-17
kyrob 26-Oct-17
JTV 26-Oct-17
sleepyhunter 26-Oct-17
HDE 26-Oct-17
Whitey 26-Oct-17
Gray Ghost 26-Oct-17
K Cummings 26-Oct-17
spike78 26-Oct-17
kyrob 26-Oct-17
Woods Walker 26-Oct-17
HDE 26-Oct-17
Keith 26-Oct-17
AZOnecam 26-Oct-17
Woods Walker 26-Oct-17
BIG BEAR 26-Oct-17
AZOnecam 27-Oct-17
spike78 27-Oct-17
K Cummings 27-Oct-17
Spike Bull 27-Oct-17
Bowfreak 27-Oct-17
DRR324 27-Oct-17
Mint 27-Oct-17
LINK 27-Oct-17
Bowfreak 27-Oct-17
Brotsky 27-Oct-17
K Cummings 27-Oct-17
sleepyhunter 27-Oct-17
K Cummings 27-Oct-17
BIG BEAR 27-Oct-17
HA/KS 27-Oct-17
kps@work 27-Oct-17
sleepyhunter 27-Oct-17
From: spike78
26-Oct-17
Just received an email at work informing us that as of Jan 1, my health insurance is now going up about $40 more per week. I will now be at about $480 a month. I'm guessing it doesn't compare to small business owners but what about the rest of you?

From: JTV
26-Oct-17
Its cheaper for me to pay out of pocket than to carry insurance... all I want is catastrophic... let me get that, and I'll be happy... until then they can piss off ... other than my pisser, I'm a healthy SOB ...

From: keepemsharp
26-Oct-17
Tell your reps and senators to get off their but and repeal the dam thing.

From: K Cummings
26-Oct-17
It's always cheaper to pay out of pocket...until it isn't.

Unfortunately, at that point, it usually falls on the backs of those that chose to be insured all along. That is, in part, why insurance is as expensive as it is.

KPC

From: Joey Ward
26-Oct-17
JTV, no prostate issues then? I took from another of your posts that it was you that had to run with a cath and bag strapped to your leg.

Maybe I misunderstood.

From: JTV
26-Oct-17
No, like I said, other than my Pisser, as long as I'm on my piss pill's I'm fine ... I had my yearly check up today with my urologist, he renewed my prescriptions and I did a PSA blood test.... total for the visit $120, wont go back till next year ... my two meds run $40 a month total, if I get them for 90 day scripts, I get even a "Yuuuger" break (aprox $480 yearly, less if I go the 90 day route) thats cheaper out of pocket than most insurance plans are a month, plus no damn deductible...... like I said, all I want is catastrophic care .... I do go to a general practitioner in the spring for a yearly check up there, never any problems, she then gives the yearly referral to the urologist... Price for the general doc visit.. $100...once a year, no blood tests unless I want some done .. she says I'm as healthy as a 30 years old... it pays to eat right, work out and not smoke .. ... all I want is catastrophic .... why pay for Obiecare or Insurance when its cheaper out of pocket for me...insurance runs thousands for something I cant even use because the deductibles are so damn high... ...

From: Bake
26-Oct-17
I think ours is going down. It's through my wife's employment. They changed it this year and took away the health testing that they made us do before. They used to base our rates on whether we passed their health screening, but apparently they've gone with a different company, and we don't have to do it anymore.

From: K Cummings
26-Oct-17
There is not a week that goes by that I am not asked to attend a spaghetti dinner, charity auction, or contribute to someone's GoFundMe page because someone lacked the proper insurance coverage.

Premiums suck no doubt, but there won't be any spaghetti dinners for me or mine if I can help it.

KPC

From: Joey Ward
26-Oct-17
Good to hear. Stay healthy.

From: kyrob
26-Oct-17
I work for an outfit that has over 100,000 employees worldwide. For myself and family I paid 740 a month this year and 2018 would have been around 900 a month but wife got job that offers insurance and now it will only be around 500 a month for all of us.

From: JTV
26-Oct-17
what works for one, may not work for another ....with some of those premiums or Obiecare, many still can not afford, then with the super high deductibles, forget about it ....

From: sleepyhunter
26-Oct-17
When I had to get a prostrate biopsy 2012 it was $1100 out of pocket co pay. My prostrate robotic surgery was $19k in 2012. It's a good idea to have insurance if possible.

From: HDE
26-Oct-17
Mine went up. Yes, cheaper to not have until you need it...

That's the crux to it all.

From: Whitey
26-Oct-17
With 70% of the country either overweight or obese health insurance will only get more expensive. I believe I read that the avg. American takes 3 prescription drugs a day. That won’t end well.

From: Gray Ghost
26-Oct-17
The average person spends $10K on health care in the US per year. Obviously, certain demographic groups spend more, or less. If you're a statistics and odds kinda guy, you can establish what group you fall into, and what your probable risk is. Then, you can save accordingly to self-insure.

Or, you can let the insurance companies manage that risk, and charge you accordingly, with their mark-up, of course.

Matt

From: K Cummings
26-Oct-17
Averages only work over large numbers.

Take 100,000 people averaging 10k each. That's 1 billion dollars.

70,000 of those people might spend a grand or less. 100 of those people might spend a million dollars or more and all the rest might fall somewhere in between.

Good luck on which one you might be.

KPC

From: spike78
26-Oct-17
KPC in my liberal state MANY get it for FREE!

From: kyrob
26-Oct-17
I always thought the more employees a company had, the lower the premium cost would be for it's employees. My previous employer had less than 10,000 employees worldwide and the family plan was 256 dollars a month. It was the same provider as the company I now work for that I posted above about. Both were 80/20 plans. Gotta have it I guess. My wife had a 20 minute out patient procedure a couple weeks ago and it was a bit over 13,000 dollars. Hurts my head to think about it.

From: Woods Walker
26-Oct-17
"KPC in my liberal state MANY get it for FREE!"

Free? Really? The doctors, nurses, administrators and clerical people work for nothing?

From: HDE
26-Oct-17
Most employer plans take you at face value without proof of insurability. Because of this, you have to pay the highest premium based on the mortality rates, or risk of highest claim, of a general population.

From: Keith
26-Oct-17
I had a colonoscopy done 7 years ago, it was around $4000. I just had the another one done earlier this month , and don't know if all the bills are in yet, but it is now up to $16,500. Granted there were extra lab charges this time around, but an increase of $12,500 in 7 years? That's ridiculous.

From: AZOnecam
26-Oct-17
The doctors, lab techs, nurses, on-and-on will still get paid. Lowering the price for one group means raising it for another group. The more overhead of gov't oversight raises it even more.

No such thing as free health care, it's just a question of who foots the bill.

From: Woods Walker
26-Oct-17
"No such thing as free health care, it's just a question of who foots the bill."

DING DING DING! We have a winner here folks!

From: BIG BEAR
26-Oct-17
The uninsured take their kids to the ER every time they get sick like it's a regular doctors office... The ER will not refuse to treat them...and bingo bango... free health care...... I for one am glad to be in a union job where we still have decent insurance and I still get retiree health care.... Our newly hired guys do not get retiree health care...

From: AZOnecam
27-Oct-17
Because it's not sustainable, right? I've been in the ER with a broken/dislocated shoulder looking around at people basically holding wounds together, chainsaw cuts, fish hooks in their face, "in line" with somebody's kid who has a runny nose.

Guess who gets a free visit, and who ends up paying?

From: spike78
27-Oct-17
WW yes it obviously is not free but some lazy non workers do not pay out of pocket so therefore for them it is FREE. I obviously help pay for it from my hard work.

From: K Cummings
27-Oct-17
"KPC in my liberal state MANY get it for FREE!"

I get what your saying, but as was mentioned, nothing is free. Some of those freebies are on Medicaid or some other public health plan and some were "smart" and chose to save the premium and play the averages. Unfortunately, they expected an "average" of 10k but had a 750k whopper so they went bankrupt and their bill gets conveniently added to everyone else who is insured.

That, in part, is why as Keith said a colonoscopy went from 4K to 16.5k in 7 years.

The only people who are truly self insured are those who have enough cash on hand to actually pay for whatever they encounter. All the rest are just blowin' smoke and hoping for the best. After all, if something goes wrong, some rich insurance company will eventually pay for it. And they will...because they actually DO have the ability and the wherewithal to play the averages. That, and they have the unique ability to simply pass the added cost on to all the other policy holders.

NOTHING is free.

KPC

27-Oct-17
I work for a company with over 600,000 employees worldwide. We have excellent insurance that is 75/25. I pay $93.77 a week for my wife and I. I am healthy as an ox and take no drugs for anything, though my wife has one prescription.

Two years ago I found out the hard way that I was highly allergic to wasps. The ambulance ride alone was $8500 plus my co-pay of $150. Oh yeah, four staples in the back of my head, I cracked the oak doorjamb when i went down.

I was in full blown anaphylactic shock which one epipen from the ambulance did not touch. A firetruck arrived and the firemen were digging out the paddles to jump start my heart when a second ambulance arrived with another epipen and that was enough to get me going again.

Of course, I was sixty five then and two epipens filled with epinephrin is a serious concern with a normal old guy so they kept me in hospital overnight monitoring every heartbeat.

I ran like a swiss watch so they reluctantly let my brother and a friend spring me the next day. We went to my house, grilled streaks and drank too many beers!

I had a repeat performance just two weeks later that was only $2600 plus my co-pay of $50. I used my brand new epipen on myself that day and walked out to the ambulance. While I did pass out right after injecting myself, I was alone at home, ten stitches this time, it was a much different scene than the first one.

The insurance company has been more than happy to pay for a half dozen epipens at $460 a pair, and two years, so far, of allergy shots. They say I am now imune as they give me eight full stings of venom everytime I go with no reactions.

My wife watched me die on our front deck that day. The whole affair scared her more than me and I sure felt bad about putting her through that but then again, here I am!! I pay a lot for insurance but so far I am grateful.

You just never know.

From: Bowfreak
27-Oct-17
I think I pay $80/month for great insurance for a family of 4. I pay the highest rate as my wife's employer offers her insurance but she turns it down for an FSA.

Historically my employer, a city of about 25,000 people, paid in benefits. Low wage and excellent benefits. Now the pay is way better and the benefits are less. I believe it is the perfect blend for us.

From: DRR324
27-Oct-17
I pay 135/month for family of 5. Not too bad, but employee co-pay is ridiculous, 5k per person, 10K total annually...

From: Mint
27-Oct-17
The company I work for pays 1/2 of the $1,600 monthly premium for myself and my wife for the oxford Liberty HMO plan which is the cheapest they have. The co-pay is $30 for my Doctor, $75 for walk in clinic and $150 for emergency room. Also have a $2,000 hospital deduction per person.

From: LINK
27-Oct-17
The company I work for pays 100% of my premium. My copay is 20$. Deductible per individual is 500$, max out of pocket for my family of 5 is 1300$. One of the main reasons I haven't left the company I work for.

From: Bowfreak
27-Oct-17
Link,

We had almost the exact deal a few years ago. Our Max out if pocket and deductibles went up but my employer covers the deductible increase through an HRA. It was much cheaper to raise deductibles and then pay the difference of the deductible raise with an HRA than to just leave it as is.

From: Brotsky
27-Oct-17
Wow Link, that is a Cadillac plan these days. Your company must pay a fortune for that.

From: K Cummings
27-Oct-17
For comparison, we get our health insurance through my wife's employer.

We chose an HMO with an HSA (with annual carryover). Employer deposits some to HSA and we deposit rest. Covered under plan is my wife, myself and one college age daughter. Company pays 100% of premium, for coverage. Wellness care is covered at 100%, 30.00 copay for routine office visits, 2000.00 annual deductible per person (2 deductibles max per year), 80/20 after deductible with an out of pocket maximum of 4000.00 (including deductible.)

They also had a traditional option where we would have had a monthly premium of about 300.00 but we decided to go the HMO route and put the 300.00 per mo in the HSA.

Cost for our plan to the employer was a little over 14k last year.

KPC

From: sleepyhunter
27-Oct-17
My wife and I set ours up separately, she works in education so she stayed on her plan by herself with a $2k out of pocket max deductible at no cost per month, I stayed on my HMO with $2400 out of pocket max and pay $42 week and included her on my Dental and Vision plan. Plus I get $1k put in an HSA account for prescriptions each year, and co pay for Dr. visits.

From: K Cummings
27-Oct-17
Sleepy:

Do either of your employers compensate you at all for the spouse opting out of your respective plans? Some employers do.

KPC

From: BIG BEAR
27-Oct-17
They made my wife Opt out ... we work together..... so she is under my health care.... They give her $61 a check (bi-weekly) for the opt out....

From: HA/KS
27-Oct-17
The district pays 100% of my premium and none of my wife's. I have $3,500 deductible and $5,000 max out of pocket. Co-pays of $40 and $60 not included in either so max out of pocket is a mythical concept.

My wife pays pays about $300/month premium. She pays 100% of the first $2500 then a co-pay of 20% until she meets her max out of pocket of $5,000.

From: kps@work
27-Oct-17
I have a high deductible medical policy with HSA. I plan to retire in a few years, so I max out my HSA contributions to build up a kitty. Plan to use that kitty to help pay for long term health ins premiums (tax free). When 65, you can also draw on HSA for none medical related things, but you then need to pay taxes on those withdrawals. So then, it is essentially like an IRA at that point. That was one of the best parts of the proposed (failed) repeal and replace. It allowed for doubling the HSA contribution limits. My opinion high deductible policies with HSA is a good way to keep medical expenses low. You are for the most part spending your own money. Would make folks think twice about getting non-essential care.

From: sleepyhunter
27-Oct-17
""Do either of your employers compensate you at all for the spouse opting out of your respective plans?""

No they don't. Over the last 7-8 yrs our health insurance has been changing yr to yr with take backs here and there to help the Company with cost. Re-imbursement has never been a benefit for the wife or myself. We decided in 2013 to pay the insurance the method we are using now, it does help keep our cost down. I'm 58 now if I retire when I'm 62 we will have to come up with another formula to pay for Health insurance. Retiree insurance now is approx. $500 monthly just for me. I'm certain it will increase in significantly in the next 3 1/2 yrs. I will also have the option to get included with my wife's plan. Whichever is cheaper will probably be the plan we go with.

  • Sitka Gear