DeluxeXL t1_iuikz5s wrote on October 31, 2022 at 4:34 PM

Can you list the actual premiums, deductibles, OOP max, specific PPO coverage for the types of services needed, etc. for both plans?

Remember that with HSA, every medical expense is "tax deductible" because you can always save up in HSA and distribute it back tax-free, whereas with non-HDHP, expenses are only deductible when itemized.

bgr2258 OP t1_iuinm2y wrote on October 31, 2022 at 4:52 PM

I'm not sure if I know the "actual premiums" involved. The information I have only tells me what my own cost will be. The PPO is the company basic plan, which costs me $0. The HSA is cheaper, which means the company contributes $125.38/month back into the HSA.

Here's some more details, which I'll add back to the post:

HSA premium: $-125.38/mo (company contributes back into HSA)
HSA deductible: $6350
HSA OOP max: $6350
HSA expected medication costs: $4000 ish
HSA expected specialist visit costs: $2300 ish (hooray therapy!)
PPO Premium: $0 (covered by company)
PPO deductible: $2000
PPO OOP max: $5000 (i can't help reading that as POOP MAX)
PPO expected medication costs: $600ish
PPO expected office visit costs: $700ish (hooray cheaper therapy!)

DeluxeXL t1_iuipz8z wrote on October 31, 2022 at 5:07 PM

Looks like non-HDHP PPO is better for you because the out of pocket costs are lower, even if they are not tax deductible.

p.s. Your HDHP is a "new style", where deductible = OOP max. Many years ago, HDHP deductible used to be at only the legal minimum. At some point, insurance companies increased it to the OOP max, making a HDHP basically a catastrophic insurance.

wilsonhammer t1_iuiqzec wrote on October 31, 2022 at 5:14 PM

> p.s. Your HDHP is a "new style", where deductible = OOP max. Many years ago, HDHP deductible used to be at only the legal minimum. At some point, insurance companies increased it to the OOP max, making a HDHP basically a catastrophic insurance.

oh shit! I didn't catch that reviewing OPs post. one more reason for me to hate health insurance.

TheVermonster t1_iujabyd wrote on October 31, 2022 at 7:22 PM

My HDHP has $4k individual deductible, $6k family deductible, and the OOP Max is only individual at $12k.

yeah87 t1_iujs0k9 wrote on October 31, 2022 at 9:23 PM

The legal OOP max for 2022 is $8,700.

yeah87 t1_iujrrjy wrote on October 31, 2022 at 9:22 PM

There's quite a bit of room between the legal minimum and the OOP max. My deductible has been right in the middle for the past 10 years of HDHP.

AllTheyEatIsLettuce t1_iuj9if7 wrote on October 31, 2022 at 7:17 PM

> I'm not sure if I know the "actual premiums" involved.

The average amount an employer pays toward the "cost" of any employer-dependent health coverage product premium is 73% of the sticker price.

If $125.38 is being subtracted from your pay to pay the insurance seller for the product "H" premium, now you kinda know what the "cost" is: 125.38/.27=464.37.