OT: Health insurance

Delta_dawg

New member
Jul 15, 2021
21
8
3
I’m self employed and was paying my own health insurance for the last 5-6 years which was running about $550 a month last year with blue cross. Got married and the wife’s company was with signa and was like $200 a month to add me so did that. She’s now swapped jobs and they have blue cross so we just added me on that. Come to find out it’s $1200 a month. So I’m back looking for myself. Anyone have any advice?
 

johnson86-1

Well-known member
Aug 22, 2012
12,235
2,465
113
I’m self employed and was paying my own health insurance for the last 5-6 years which was running about $550 a month last year with blue cross. Got married and the wife’s company was with signa and was like $200 a month to add me so did that. She’s now swapped jobs and they have blue cross so we just added me on that. Come to find out it’s $1200 a month. So I’m back looking for myself. Anyone have any advice?

Get divorced. Don’t report any of your income. And get a subsidy on Aca exchange.
 

ronpolk

Well-known member
May 6, 2009
8,123
2,610
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If you have kids, blue cross might not be best anyway. We live about 10 miles from the state’s only childrens hospital and can’t use it.
 

Smoked Toag

New member
Jul 15, 2021
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If you have kids, blue cross might not be best anyway. We live about 10 miles from the state’s only childrens hospital and can’t use it.

Isn’t that some internal issue though? Surely to be worked out soon I would hope.
 

Smoked Toag

New member
Jul 15, 2021
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I’m a HDHP guy myself. If you can make it through a year or two with nothing big you can nearly self insure. Got to watch that out of pocket maximum.
 

ronpolk

Well-known member
May 6, 2009
8,123
2,610
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Isn’t that some internal issue though? Surely to be worked out soon I would hope.

Yeah, I think a contract issue. From my understanding, UMMC wants to be paid more than Baptist or St D and blue cross thinks the reimbursement should be the same (I could have that wrong). I don’t know who’s right or wrong on the issue, but it does need to be worked out. Frustrating paying for insurance and not being able to use it where you want or need.

I’m salty about it in particular right now because of a recent incident with my 2 year old son. Everything turned out to be fine but it would have been nice if we could have gone to the childrens hospital.
 

PBDog

Well-known member
Oct 1, 2021
1,033
757
113
I’m a HDHP guy myself. If you can make it through a year or two with nothing big you can nearly self insure. Got to watch that out of pocket maximum.

This is me. I crunched the numbers and it’s pretty damn close to a wash. Plus flex money is all yours at retirement. My plan let’s me invest it in a few market funds. IMO this is how insurance should work - don’t go to the doc for every fever since it’s your money pissing away.
 

MSUGUY

Member
Oct 11, 2020
346
199
43
I bet maternity coverage is causing the increased premium. BCBS is the 900-1500# gorilla in health insurance, just ask UMC. They do provide good coverage though.
There’s just not enough competition in health insurance.
You may want to go check out MEDISHARE.
 

Hugh's Burner Phone

Well-known member
Aug 3, 2017
4,312
3,447
113
I'm pretty pissed at BCBS. We have anthem through them and last week my wife had to go to an orthopedic doctor about her knee. He wanted to do a fluid shot but insurance denied it as not medically necessary. The 17ing shot is used to treat the exact issue my wife has. The doctor who specializes in the field said it needs to be done but those asshats say it's medically unnecessary. Like she would decide to get a shot into her knee just because it's a damn fetish or something.
 

tacodawg

Member
Jan 2, 2020
956
45
28
I have BCBS Anthem through the shipyard and pay $81 a week for my son and I. They pay for my daily immunosuppressant injection, $4500/shot.
 

PooPopsBaldHead

Well-known member
Dec 15, 2017
7,961
5,059
113
$1.65 million a year for your shots? Holy **** do you never, ever, ever get to complain about the healthcare/insurance system... You win the lottery every day bro. You singlehandedly take up everyone's premium $6 or something lol.


ETA. Feel free to rail on big pharma doh.
 

TrueMaroonGrind

Well-known member
Jan 6, 2017
3,676
859
113
I'm pretty pissed at BCBS. We have anthem through them and last week my wife had to go to an orthopedic doctor about her knee. He wanted to do a fluid shot but insurance denied it as not medically necessary. The 17ing shot is used to treat the exact issue my wife has. The doctor who specializes in the field said it needs to be done but those asshats say it's medically unnecessary. Like she would decide to get a shot into her knee just because it's a damn fetish or something.

We had a similar experience with my wife’s back issues. They made her get an X-ray before she could get an MRI. All the doctors said it was nonsense and they would see nothing on an X-ray, but insurance wouldn’t approve an MRI until she got an X-ray. This cost us more money for a procedure she didn’t need and delayed her MRI 3 days. She was in a lot of pain and it was a really long time to delay her treatment. Common sense does not prevail in insurance. They don’t care that you are a person. You’re just a line in spreadsheet to be plugged into their formulas.
 

AROB44

Active member
Mar 20, 2008
1,302
118
63
I have BCBS Anthem through the shipyard and pay $81 a week for my son and I. They pay for my daily immunosuppressant injection, $4500/shot.

Have idea what you are on, but it sure makes the cyclosporine I've been on for 20+ years (kidney transplant) seem cheap as dirt.
 

Nicephorus

New member
Sep 3, 2018
150
0
0
I'm pretty pissed at BCBS. We have anthem through them and last week my wife had to go to an orthopedic doctor about her knee. He wanted to do a fluid shot but insurance denied it as not medically necessary. The 17ing shot is used to treat the exact issue my wife has. The doctor who specializes in the field said it needs to be done but those asshats say it's medically unnecessary. Like she would decide to get a shot into her knee just because it's a damn fetish or something.

I work in healthcare and this unfortunately is a common theme with them
 
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Go Budaw

Member
Aug 22, 2012
7,321
0
36
I have BCBS Anthem through the shipyard and pay $81 a week for my son and I. They pay for my daily immunosuppressant injection, $4500/shot.

Reading **** like this and other similar accounts straight up makes my blood boil. The flat out shittiest, most 17ed up health care system in the entire civilized world, and there really isn’t a close 2nd place.
 

harrybollocks

New member
Oct 11, 2012
610
1
0
Harry Bollocks likes the healthcare systems in Britain, France and Germany, especially the French system even with some of the ******** and tradeoffs inherent in national healthcare (cue the outrage from the "but socialism" crowd that probably likes some social welfare programs but hates the word socialism and can't even define it properly). Not saying universal healthcare will automatically work well here. Harry Bollocks has good, but a bit expensive, health insurance with access to good doctors. Mrs. Harry Bollocks makes a lot more here than she did in France, something I like (I can fit two Euro homes into my one American home. Big cars and big washers and dryers are cool too). Tradeoffs. One day I'll get to use socialized healthcare again: Medicare.
 

tacodawg

Member
Jan 2, 2020
956
45
28
$1.65 million a year for your shots? Holy **** do you never, ever, ever get to complain about the healthcare/insurance system... You win the lottery every day bro. You singlehandedly take up everyone's premium $6 or something lol.


ETA. Feel free to rail on big pharma doh.

It’s a blessing for sure. I can’t function without the medicine whatsoever so I’m grateful for the insurance.
 

dorndawg

Well-known member
Sep 10, 2012
7,025
5,136
113
Reading **** like this and other similar accounts straight up makes my blood boil. The flat out shittiest, most 17ed up health care system in the entire civilized world, and there really isn’t a close 2nd place.

If only there was some better way...
 

BoomBoom.sixpack

New member
Aug 22, 2012
810
0
0
This is me. I crunched the numbers and it’s pretty damn close to a wash. Plus flex money is all yours at retirement. My plan let’s me invest it in a few market funds. IMO this is how insurance should work - don’t go to the doc for every fever since it’s your money pissing away.

Health Savings Account (HSA) money is yours to keep, Flex money (FSA) does not roll over year to year.

I'm on one, and it hits you on office visits, full price rather than the copay that you usually get on traditional plans. Still a good deal if you expect minimal usage.
 

eckie1

Well-known member
Jun 23, 2007
3,256
2,438
113
Your wife’s premiums aren’t on the insurance company….

I’m self employed and was paying my own health insurance for the last 5-6 years which was running about $550 a month last year with blue cross. Got married and the wife’s company was with signa and was like $200 a month to add me so did that. She’s now swapped jobs and they have blue cross so we just added me on that. Come to find out it’s $1200 a month. So I’m back looking for myself. Anyone have any advice?

It’s on how much her employer contributes to the plans.

FWIW, I used to work for a BCBS conglomerate…. You may not know, but all BCBS plans (states) are independently owned and operated. The only commonality is that they all answer to the BCBS Association in Chicago.

When I worked for my BCBS company (5 states), my insurance was decent. I now work for a completely different company that uses United and the premiums and plans are immensely better than I had when I worked basically for the source. It’s because my current company foots most of the bill.
 

GloryDawg

Well-known member
Mar 3, 2005
14,497
5,344
113
I’m self employed and was paying my own health insurance for the last 5-6 years which was running about $550 a month last year with blue cross. Got married and the wife’s company was with signa and was like $200 a month to add me so did that. She’s now swapped jobs and they have blue cross so we just added me on that. Come to find out it’s $1200 a month. So I’m back looking for myself. Anyone have any advice?

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