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Paying 20K+ for medical health insurance annully?! Norm?
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amother
OP


 

Post Mon, Feb 26 2024, 2:02 pm
Help!
I'm thrown off Medicaid
Both DH and I are on meds
So I need to take Fidelis Silver plan
To the tune of 20K per year

Do people here survive that? [financially]
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amother
Lavender


 

Post Mon, Feb 26 2024, 2:03 pm
Come in from the southern border you will get what you need for free.
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amother
Sienna


 

Post Mon, Feb 26 2024, 2:04 pm
We pay almost 40k
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Princess23




 
 
    
 

Post Mon, Feb 26 2024, 2:05 pm
amother OP wrote:
Help!
I'm thrown off Medicaid
Both DH and I are on meds
So I need to take Fidelis Silver plan
To the tune of 20K per year

Do people here survive that? [financially]


Do you guys get insurance from work? What got you thrown off? Are you at an age or stage where Medicare can help?
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amother
Oldlace


 

Post Mon, Feb 26 2024, 2:19 pm
You need a new job, one that provides/subsidizes your insurance.

It’s probably the best benefit my employer provides. BH I don’t pay a cent toward my insurance
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amother
Hyacinth


 

Post Mon, Feb 26 2024, 2:21 pm
Yup- we pay $2100 a month for insurance plus a $10,000 deductible.
We don’t even get dental bec we pay so much for health.
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amother
Slateblue


 

Post Mon, Feb 26 2024, 2:21 pm
Sometimes medications are cheaper out of pocket than with insurance, or might be cheaper than paying for an expensive insurance where they are covered.

Sites like goodrx offer discounts. Costco also has cheaper prices for prescriptions and you don't have to be a member to use the pharmacy.

For the amother who spends 40k/yr: How does one end up paying 3k+ per month just for insurance premiums?
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amother
Sienna


 

Post Mon, Feb 26 2024, 2:23 pm
amother Slateblue wrote:
Sometimes medications are cheaper out of pocket than with insurance, or might be cheaper than paying for an expensive insurance where they are covered.

Sites like goodrx offer discounts. Costco also has cheaper prices for prescriptions and you don't have to be a member to use the pharmacy.

For the amother who spends 40k/yr: How does one end up paying 3k+ per month just for insurance premiums?

One of my children needs a special plan which is more expensive.
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amother
Vermilion


 

Post Mon, Feb 26 2024, 2:23 pm
amother OP wrote:
Help!
I'm thrown off Medicaid
Both DH and I are on meds
So I need to take Fidelis Silver plan
To the tune of 20K per year

Do people here survive that? [financially]


Are you eligible for marketplace subsidaries?
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amother
Bergamot


 

Post Mon, Feb 26 2024, 2:24 pm
My work subsidizes 13k of my insurance per year, and it still costs us another 13 or so, plus we have an insanely high deductible, around 12 k I think.
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amother
Junglegreen


 

Post Mon, Feb 26 2024, 2:31 pm
If you don’t have significant medical needs look into a HealthShare. That’s what we are doing because we have no choice. Even though you might need to pay out of pocket for things like therapy it still comes out cheaper.
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amother
Amethyst


 

Post Mon, Feb 26 2024, 2:38 pm
Even through employers, most people still have to pay something these days. My husband's employer pays a portion, but the rest comes out of his paycheck (pretax, but still, that's money that we'd actually be getting in our account if it wasn't going to insurance premiums). And yes, 20k is not uncommon.
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Amarante




 
 
    
 

Post Mon, Feb 26 2024, 2:41 pm
If you were just kicked off MEDICAID your income should be low enough to get a sizesble premium through the marketplace. This is especially true of the Silver Plans which have additional subsidies for medical costs depending on your income.

Your children might still be eligible for CHIPS since the income caps are higher.

If you are not eligible for premiums you might be better off financially with a Bronze Tier as premiums would be lower.
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amother
OP


 

Post Tue, Feb 27 2024, 11:58 am
thanks everyone
so yeah
after APTC
on the bronze plan it's going to cost me 1068 monthly [for me and dh] + 150 for the kids

so that's 14,600 for the year

better than 20K but still whoah

I guess it is what it is

I wonder what will happen if I earn commission which will = even an higher income

sigh
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amother
Junglegreen


 

Post Tue, Feb 27 2024, 12:04 pm
amother OP wrote:
thanks everyone
so yeah
after APTC
on the bronze plan it's going to cost me 1068 monthly [for me and dh] + 150 for the kids

so that's 14,600 for the year

better than 20K but still whoah

I guess it is what it is


It highway robbery.
This is only if you don’t actually use the insurance.
You didn’t factor in all the copays and deductibles.
And good luck finding a competent doctor except for the ones swamped with Medicaid patients.
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amother
OP


 

Post Tue, Feb 27 2024, 12:44 pm
amother Junglegreen wrote:
It highway robbery.
This is only if you don’t actually use the insurance.
You didn’t factor in all the copays and deductibles.
And good luck finding a competent doctor except for the ones swamped with Medicaid patients.

please advise me otherwise?
also
I don't mind using a competent doctor even if he sees medicaid patience
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amother
Dimgray


 

Post Tue, Feb 27 2024, 1:37 pm
amother OP wrote:
please advise me otherwise?
also
I don't mind using a competent doctor even if he sees medicaid patience


Switch jobs to one that pays for your health insurance at least partially.
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Orangehead




 
 
    
 

Post Tue, Feb 27 2024, 1:41 pm
amother Oldlace wrote:
You need a new job, one that provides/subsidizes your insurance.

It’s probably the best benefit my employer provides. BH I don’t pay a cent toward my insurance


What do you for a living? You are very luck. Most employers don’t pay fully towards the plan
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amother
Oldlace


 

Post Tue, Feb 27 2024, 1:42 pm
Orangehead wrote:
What do you for a living? You are very luck. Most employers don’t pay fully towards the plan


I agree most don’t which is why I said it’s my best benefit; frankly another person may have a higher salary but pay more for insurance

I’m a hospital social worker
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amother
OP


 

Post Tue, Feb 27 2024, 1:53 pm
amother Dimgray wrote:
Switch jobs to one that pays for your health insurance at least partially.


if only it would be that simple
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