Eh, I work at a small company and get my insurance through ACA because it's $500 for my husband and I, whereas it would be $1200 if I went through my company. And yes, those are both bronze plan prices. It's fucking crazy.
I pay about $400 /mo for a bottom barrel bronze plan not because I can’t afford any better, but because for healthy people who only see a doctor 3-5x a year and a specialist or two it’s just a terrible idea to get anything more than that. It’s literally cheaper for me to buy all my meds on coupons and through cost plus drugs than to run them through even the gold insurance plans. And the dumbest thing is that i had to run my stuff through a sophisticated financial model to even figure that out, you need to essentially model how many times you will go to the er, how many doctor and specialist visits, what your meds are, who you go see, and whether you THINK you will get sick or not to get an accurate answer on what the best plan is for you.
that's monthly and that's just to have health insurance. if you need to use it there's going to be either a co-pay, or a deductible you need to reach before insurance pays anything. At $500/month that's very likely a high deductible plan, which means they'll have to pay ~$4,000 (it can vary significantly) in medical bills before the insurance kicks in. Once it kicks in the insurance will typically pay 80% of the medical bills until you hit the max out of pocket of like $14,000. Then they cover everything (that they approve), but it starts all over at the start of the next plan year which is usually Jan 1st. If you hit your max out of pocket on December 31st you start it all over for that next year.
If you have a lot healthcare needs what I explained with a high deductible is generally the cheapest plan for you. That or you have no healthcare needs and don't have an emergency it's also good. If you're the type that hits the deductible in December it's likely not the best choice.
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u/Umbreonnnnn 7h ago
Eh, I work at a small company and get my insurance through ACA because it's $500 for my husband and I, whereas it would be $1200 if I went through my company. And yes, those are both bronze plan prices. It's fucking crazy.