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wanttostayhidden t1_iudpptf wrote

>with high deductible plan, I need to pay 20% coinsurance

You actually pay the full amount of all medical expenses (except preventative stuff) before you reach your deductible. The 20% coinsurance comes into play after reaching the deductible.

If you have several appointments a year, HSA might not be a good idea. You have to look at all the numbers (premiums, deductibles, max out of pocket, expected expenses, etc) and see what is best for you.

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blanktom9 t1_iue9qhe wrote

To be clear, you pay the plan's negotiated amount, not the cash amount, which can be significantly different. For example, my routine blood work for my physical was charged at $595 but the insurance company negotiated a price of $54. I haven't hit my deductible yet, so I was only charged $54. Even through I have a high deductible I haven't met, I'm still benefiting from the insurance.

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