livingalmostlarge
Recycles dryer sheets
- Joined
- Feb 8, 2014
- Messages
- 403
Okay I need help deciding if this is worth it. I am unsure exactly if the benefits make sense to switch from the PPO to the HMO. The problem is these sentences. Is this normal? we've never had a hdhp offer before. It's always been just PPO
Only for HSA
1. If you enroll one or more family members, you must meet the full Family Deductible before the plan starts to pay expenses for any one individual.
2. If you enroll one or more family members, you must meet the full Family Out of Pocket maximum before the plan starts to pay eligible covered services for at 100% for any one individual.
So this is our two options 2 adults and 2 kids
HSA
Premium $137.02 per month month
Deductible $3400 Individual/$6800 Family
Max OOP $6000 Individual? / $12000 Family
Company HSA contribution $400/month ($4800 for the year)
Covered Services
Office Visits 20%
Virtual Visits 20%
ER 20%
Urgent Car 20%
Hospital Stay 20%
Pharmacy 20%
Medical PPO
Premium $312.75 per month
Deductible $200 individual / $600 Family
Max OOP $1500 individual / $4500 Family
Covered Services
Office Visits $15
Virtual Visits $15
ER $200
Urgent Car $15
Hospital Stay $0
Pharmacy $5, $25, $50, 30% - require deductible to met then plan pays
So my DK2 has pretty expensive treatments and hits the maximum OOP. DK1 uses mental health and maxes out the deductible. DH and I only use routine preventative.
So is it worth switching?
Only for HSA
1. If you enroll one or more family members, you must meet the full Family Deductible before the plan starts to pay expenses for any one individual.
2. If you enroll one or more family members, you must meet the full Family Out of Pocket maximum before the plan starts to pay eligible covered services for at 100% for any one individual.
So this is our two options 2 adults and 2 kids
HSA
Premium $137.02 per month month
Deductible $3400 Individual/$6800 Family
Max OOP $6000 Individual? / $12000 Family
Company HSA contribution $400/month ($4800 for the year)
Covered Services
Office Visits 20%
Virtual Visits 20%
ER 20%
Urgent Car 20%
Hospital Stay 20%
Pharmacy 20%
Medical PPO
Premium $312.75 per month
Deductible $200 individual / $600 Family
Max OOP $1500 individual / $4500 Family
Covered Services
Office Visits $15
Virtual Visits $15
ER $200
Urgent Car $15
Hospital Stay $0
Pharmacy $5, $25, $50, 30% - require deductible to met then plan pays
So my DK2 has pretty expensive treatments and hits the maximum OOP. DK1 uses mental health and maxes out the deductible. DH and I only use routine preventative.
So is it worth switching?