That pregnancy isn't going to be $20k
I would expect that to be higher.  Previous Message For me, the premium for my wife and I on the HDHP is $0/month (fully covered by my work), and the PPO for my wife and I is $310/month. The PPO has $1000 deductible and 80% coinsurance, the HDHP has $6600 deductible and 90% coinsurance. On a year with a $20k pregnancy and nothing else: PPO Calculation Premiums: $310/month × 12 = $3,720 Medical costs: Deductible: $1,000 Remaining: $20,000 − $1,000 = $19,000 Coinsurance (you pay 20%): 0.20 × $19,000 = $3,800 Total medical out-of-pocket: $1,000 + $3,800 = $4,800 PPO Total Cost = $3,720 + $4,800 = $8,520 ⸻ HDHP Calculation Premiums: $0/month × 12 = $0 Medical costs: Deductible: $6,600 Remaining: $20,000 − $6,600 = $13,400 Coinsurance (you pay 10%): 0.10 × $13,400 = $1,340 Total medical out-of-pocket: $6,600 + $1,340 = $7,940 HDHP Total Cost = $7,940 The coinsurance and premium difference does the heavy lifting here. So not every HDHP will come out ahead in this scenario. But you can see in certain situations that it can. Previous Message Can I ask your relative difference in premiums from PPO to HDHP? Maybe I'm looking at this all wrong. Or we have relatively inexpensive insurance. Previous Message max out of pocket, and what services you typically use throughout the year. It’s a simple calculation from there that AI could easily help you with. For instance, the HDHP is going to be cheaper for us in a pregnancy year than the PPO, due to the sky high premiums for the PPO. Which was counterintuitive when I began looking into it since it’s going to be a high usage year. Previous Message
Anyone know of a good calculator to compare past costs to see which plan we'd be better off with? (Not certain our plan selection website has one.)
Also, reasons why we haven't switched...
1) I'm risk adverse.
2) I'm getting old.
3) Don't recall premium savings being that much. Maybe $1500 to $2000 a year for family coverage.
4) We have several hundred dollars of labs drawn annually which end up just a $25 to $30 co-pay. This year a daughter had a few thousand in labs drawn that ended up costing a few hundred. If it would have all been out of pocket with a HDHP, we easily made up the premium difference.
5) We don't (can't) max out our 401(k)s & Roth IRAs as it is. No way we'd be able to take advantage of maxing out a HSA to use as an IRA.
6) In the past with the PPO we had a pre-tax savings from the plan that had to spent on healthcare. Catch was it was capped and had to be used in that calendar year. Now, it appears we may have an HSA (at least that what it's called) even with our PPO. Probably will not get the potential retirement savings, but still will have pre-tax savings that can be spent on healthcare.
|
|
Message Thread | This response ↓
 For those with a family HDHP, do you fund the entire deductible in your HSA? - snipes824 October 29, 2025, 10:13:41
- I repeat. SINGLE PAYER NOW* - Jackie October 30, 2025, 15:39:45
- I hate health insurance bullshit.* - Warrin'_Illini October 30, 2025, 11:39:52
- ...says the residents of only one developed country in the world.* - KingTalkyTiki October 30, 2025, 13:10:44
- I'm on pins and needles waiting to see what the premiums are gonna be* - Sammich October 30, 2025, 12:23:45
- Between premiums and payments, I'm north of $55K this year. - uofi1998 October 30, 2025, 11:43:23
- I don't get paid shit for salary but I do have the cheapest premiums of anyone I know - Taz October 30, 2025, 14:54:25
- holy shit* - VIV October 30, 2025, 13:14:23
- Woof...I'm just shy of 20K and thought I was getting fucked. I'll be quiet now. * - haighter October 30, 2025, 12:46:13
- whoa* - EffinIllini October 30, 2025, 12:33:08
- I HATE IT1!!* - Warrin'_Illini October 30, 2025, 11:47:16
- That is asinine* - snipes824 October 30, 2025, 11:47:11
- I'm learning the limits of the term "out of pocket maximum" this year* - Sammich October 30, 2025, 11:44:50
- I can't talk myself into a HDHP for our family from a PPO, though maybe we should. - EffinIllini October 30, 2025, 10:49:50
- Probably super dumb question...but here goes... - EffinIllini October 30, 2025, 12:29:00
- Yeah, if they had it in the 90's-00's I would have taken advantage of it. - KingTalkyTiki October 30, 2025, 11:11:46
- It essentially comes down to the premium difference, deductibles, coinsurance rates - snipes824 October 30, 2025, 10:56:18
- Companies are also lazy and will offer plans that no one should take. - Carl Spackler October 30, 2025, 11:28:24
- Congrats!* - ISeeDeadHawkeyes October 30, 2025, 11:07:28
- Your last line seems crazy to me that a HDHP would be cheaper than a PPO in that situation. - EffinIllini October 30, 2025, 11:05:26
- The premium plus company HSA payment difference is over $4000 per year. - ATL October 30, 2025, 13:26:22
- Here are my 2026 rates - Dilbert October 30, 2025, 12:29:31
- Yeah not all plans are created equal - snipes824 October 30, 2025, 11:29:38
- That pregnancy isn't going to be $20k - Dilbert October 30, 2025, 12:31:44
- Yeah, gotcha. - EffinIllini October 30, 2025, 12:14:02
- Yes we fund to max ($9550 this year) - and use a debit card for purchases - jfinsocal October 29, 2025, 13:54:23
- Sidejack, I really need to understand the Mega Back Door Roth IRA* - Dilbert October 29, 2025, 13:23:37
- I treat it like an IRA: max it out, and pay for healthcare directly out of pocket.* - illinibone October 29, 2025, 13:18:13
- Now I max out the amount I save in it. Earlier on I did the deductible only, which is/was lower. - ATL October 29, 2025, 10:55:53
- If you have extra money it’s a great investment tool* - CoronaTheirAss October 29, 2025, 10:36:29
- I max out the allowable amount regardless of deductible amount - Dilbert October 29, 2025, 10:22:02
- I get $$$ put into my HSA by my company. - Carl Spackler October 29, 2025, 10:17:00
« Back to index | View thread » |
on October 30, 2025, 12:31:44, in reply to "