Quote:
Originally Posted by davew
just for kicks and giggles you should go on the 'exchange' to see how good of a deal you would get $800/mo premium?
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I did as you asked, davew. Of course I can't actually purchase insurance on the exchanges since I am Medicare eligible. But, by lying about my age, I was able to acquire some information.
So, here are some comparisons of them (people on the exchange) and me Insurance through FEHB)
Premiums: Them $571.63 Me: $201.76
Deductible: Them $750 Me: $350.00
Copay for office visit: Them $15 primary; $60 specialist, Me: $25 both
OOP Max Them: $7350 Me: $5500
Labs: Them: 20% coinsurance. Me: free if done by Quest or Lab Corp
In patient Services such as surgery $850 copay with deductible. 30% Coinsurance after deductible is met Me 10% copay
Emergency room: Them: $1000 copay; 30%coinsurance after deductible.
Me: 10% coinsurance. Nothing for accidental injury.
With my insurance through the Federal Employees Heath Benefits Plan many services are fully covered even before the deductible is met. These include:
Preventive services
Office Visits
Virtual Visits
Urgent Care
Prescription Drugs
Maternity (Don't think I will need that one)
Lab work done by Lab Corp or Quest
Hearing Aids
Chiropractic Care
Acupuncture.
Why do I get so much more for so much less than those on the exchanges?
The answer is simple. FEHBP has a balance of young and healthy with older and sicker. Exchanges do not. If you are going to say that everyone must have health insurance then you must mean it. A $95 a year penalty does not cut it. $1000 a month to start and then we shoot you.
Or, better yet, Medicare for all.
ETA: I don't really think we should shoot anyone.