We're looking at changing health insurance plans when I go on maternity leave so that I can take more than 12 weeks off (hoping for 18 months or so). We've always been on my plan as a city employee. I'm a teacher. Anyway, I guess I'm out of touch with how much people pay out of pocket when they work for a private company. If you don't mind sharing, what's the monthly rate that you pay for your family?
It looks like if we take DH's plan it'll cost us 800/month with no dental plan. Yikes!
Re: NBR: Monthly health insurance premiums
Right now I only have insurance on myself. If I were to get insurance for fiance, baby, and myself that will cost $815.15/mo. Outrageous IMO, especially because we don't make a ton to begin with!
Edit: Just double-checked and it actually will cost me $1630.30, I have to pay twice a month, each time I get paid.
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I pay nothing out of pocket for the coverage. The whole family is on my PPO through work. Medical, Dental, no eye. We also have a FSA I can put up to $2500 in each year. That I can use for eye, deductibles, prescriptions, co-pays...
(ETA: Deductible is $1500 per person. $3K max. 80/20 after that. Dental is $50 copay a year 80/20 for dental work. Nothing (other than the $50) for preventative.)
ETAA: I can put $5K a year for child expenses in the FSA as well, separate from the $2500 max for other things.
Exact same boat with us-- we are on DH's PPO through the DC Plumber's Union, and I also have a FSA through my work that I can put it up to $5k a year. My FSA will also reimburse for childcare in addition to the other things PP mentioned.
26 years old, married since June 2009, DS born 1/19/13
Dear Baby Pacheco...
I have UHC and I believe ours is the same. I'm in TN.
So much of this depends on the state you live in, unfortunately. When I lived in Florida, I got really good health insurance for like $50 a month. Then I moved to Louisiana and my health insurance was $190 a month for just me. After we got married, we both wanted to use my insurance and our monthly costs went up to $475 a month. Oh and we still had out of pocket costs, too. Joy!
I was so excited to get on Tricare that it's not funny.
We don't pay any premiums, but we have a high deductible. It's $2500 per person. Once you reach $2500, they pay 80% - then once you reach the max out of pocket of $3000, they pay everything 100% - even Rx.
Oh, that is all per person, but there is a family deductible of $7500, and a family OOP max of $9000 (even if there are 10 people in the family). The company provides the first $1500 for us in a fund, so really the most we could pay in medical expenses for a whole family in a year is $7500. A lot, but better than the deductibles I've seen other people pay just to have coverage. Also, things like well child visits and pap exams are covered 100% regardless of where you are in your deductible, with no co-pays. So if we stuck to basic and preventative care, (and kept sick visits to less than $1500) we wouldn't pay anything at all. That hasn't happened yet, thanks to being pregnant two years in a row, I have reached the max both times
Can you explain what changing insurance has to do with being able to stay out for 18 months? I don't see how the 2 are related
We're currently on a health insurance plan through my employer. I can stay covered for 12 weeks through FMLA, but if I take off more time than that we'll either have to pay for COBRA or go on a different health insurance plan, either through DH's job or a private plan. So we need to figure out our options before we decide for sure how long my leave will be.
I am completely disgusted with health insurance in our country right now. We aren't low income so we don't qualify for any state or federal subsidies, and DH works for a small private company that would offer him decent insurance but premiums go WAY up for a family. But I think it would be ridiculous for me to go back to work earlier than I want to just so we can stay on my health insurance. Although my plan is VERY good. NO monthly premium, and some visits but not all have $15-$20 copays.
This happened to me last time! Our insurance plan year starts July 1st, and I had my baby three weeks into July. Fortunately, my OB office doesn't bill for visits until the baby is born, so I didn't pay for those until the second deductible (and I don't have co-pays).
But, unfortunately, I did have ultrasounds, blood work, and an emergency hospital visit that went towards the deductible before July. Luckily, once I had my baby in July, I met my OOP max, and was covered 100% until this July 1st, which covered the blood work and early ultrasounds for this baby. And now I'm on the new deductible, but I'll max out again by January, and be covered 100% again until July.
Insurance is not a good time.