Originally Posted by Bimmerbill
I wish I was brave enough to try out the high decuctable health plans they have available. Not sure it would make sense with a little kid tho, as we end up at the docs a lot.
I explained it to my wife like this
Look at the premiums...
for example $250/mo for high deductible plan vs $450/mo for plan with co pays.
Then compare the co pays (like $50/visit).
If you see the doctor (or a kid sees the doctor) a combined 24 times during the year, the co pay plan costs $200/mo MORE plus 24*$50=$1200. That is $3600 out of pocket on the co pay plan.
On the high deductible plan, you just need to know those doctors visits would cost "about" $125 visit (we have a high deductible plan, so I know this is what it costs us).
That $125 times 24 visits is $3000. You came out ahead by $600 with high deductible plan. You would really need to deal with SURGERY or catastrophic health care for the high deductible plan to NOT come out ahead.
**edit to add**
in first year on high deductible plan, we did hit our $7000 max within 3 months because a high cost procedure- good news is we had "free" visits from that point forward for 2009.