I must be missing something or just have different circumstances. I have seen several people mention HSA plans have saved them money, but I've looked the past two years and never came to a scenario that I would come out ahead. I have what FloridaBlue classifies as a "extended bronze" plan, pretty reasonable co-pays for Dr ($25) and Specialist ($65) visits. An HSA policy would have me paying full freight on those and only a handful of visits between wife and I would offset any benefit. Maybe I need to dig in deeper as to how it could work for me.
Plans vary a lot by state. Here are the choices I considered.
Plan PremiumYr Ded OOP MaxHSA Coinsurance
Anthem HK Bronze X 6500 837.99 10,056 6500 7900 no 50% ER, 40% all else
Anthem HK Bronze X 5250 854.92 10,259 5250 7900 no 50% ER, 35% all else, $40 PCP
Anthem HK Bronze X 5900 877.73 10,533 5900 7900 no 50% ER, 35% all else, $30 generic drugs
Anthem HK Bronze X 4900 HSA 886.68 10,640 4900 6700 YES 50% ER, 35% all else
Anthem HK Bronze X 5700 890.14 10,682 5700 7900 no 50% ER, 30% specialist, Gen drugs $25,
PCP OptimaFit Bronze 6000 HSA 964.44 11,573 6000 6650 YES 40% ER, 20% all else
Piedmont POS Bronze HSA 5500 980.24 11,763 5500 6650 Yes 50% ER, 35% all else
Anthem HK Gold X 1350 1085.63 13,028 1350 7900 no 40% ER, gen
sorry this didn't format better. The ones that made the final cut to consider were the HSA (4th one) and Gold (last one). The PCP and Piedmont plans didn't have all of my doctors.
The non-HSA bronze ones had a cheaper premium, but not after applying my $682 estimated benefit of making an HSA contribution. The lower deductibles and out of pocket max made the HSA plan better.
I do the best analysis I can of premiums, HSA, Deductible, Max OOP, and which doctors are in plan. Co-pays before and after deductible are harder to compare but I try. My point is that I don't automatically go with an HSA plan, but it has come out best each year for me. So far.