NCBeachyGrl
October 3rd, 2012, 05:49 PM
Hi ladies! Open enrollment is coming up soon and I am looking at my options and need some advice. I will be having a baby in April so that is really my big concern. I don't want to be hit with a lot of bills and then struggle for the rest of the year with medical expenses.
If we stay in our current plan:
$60 a month for insurance + $200 a month for contribution to health savings plan = $260 a month. Will have a $1,250 deductible, office visit will be 70% coverage no deductible (pretty much $26-30 every visits to pediatrician), hospital will be 70% coverage after deductible, $5,500 out of pocket limit. I will be able to get back $2,000 from my HSA so that will pretty much cover the delivery (dr. office estimated $1,500). Might also be able to use for other hospital fees. Then, for the rest of the year have to pay out of pocket for anything else that comes up.
I wanted to also add that getting reimbursed from the HSA is a PITA. We have to wait until we get the insurance statement and save receipts, then we have to fill out forms, fax it off, then wait another 2 weeks for check to come in the mail. Sometimes it can take a month or more to get $ back.
Or we could upgrade to premier plan:
$265 a month to get $500 deductible, $2,500 out of pocket limit, $25 office visits, hospital 85% coverage after deductible. Would not contribute to HSA so would have to rely on insurance coverage and then pay the rest out of pocket.
What would you do????
If we stay in our current plan:
$60 a month for insurance + $200 a month for contribution to health savings plan = $260 a month. Will have a $1,250 deductible, office visit will be 70% coverage no deductible (pretty much $26-30 every visits to pediatrician), hospital will be 70% coverage after deductible, $5,500 out of pocket limit. I will be able to get back $2,000 from my HSA so that will pretty much cover the delivery (dr. office estimated $1,500). Might also be able to use for other hospital fees. Then, for the rest of the year have to pay out of pocket for anything else that comes up.
I wanted to also add that getting reimbursed from the HSA is a PITA. We have to wait until we get the insurance statement and save receipts, then we have to fill out forms, fax it off, then wait another 2 weeks for check to come in the mail. Sometimes it can take a month or more to get $ back.
Or we could upgrade to premier plan:
$265 a month to get $500 deductible, $2,500 out of pocket limit, $25 office visits, hospital 85% coverage after deductible. Would not contribute to HSA so would have to rely on insurance coverage and then pay the rest out of pocket.
What would you do????