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How much $$ is your health insurance

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Posted by: OzyMoto---------------------

I was riding without health insurance and it happened ( bad break/surgury) I want to get back into riding but not without Health insurance.

Who are you guys getting your insurance from and how much does it cost per month?

Thanks



Posted by: RM_guy---------------------

I have Blue Point PPO (for family) through where I work and I pay $240 per month and copays for prescriptions and doc visits. My employer pays the rest. A self employed friend of mine pays for the same coverage (but his includes dental too) and pays $9000 a year ($750 per month).

There are catastrophic insurance policies that have a large deductible to cover the really big medical bills too. They are much cheaper but are only really good for when you get hurt or sick real bad.

You are very wise to have insurance before you ride. I couldn't imaging not having any when I see the bills from the ER.



Posted by: mx547---------------------

i have united healthcare for myself, wife and two kids. it's about $670/month. my company pays for all but $22 of it.



Posted by: dklink2000---------------------

14 bucks a month including dental. I have know idea how much the company puts in. it's though aetna



Posted by: Enduro_Nut---------------------

I am self employed with a small company and mine is/WAS $1,240 a mo. through United Healthcare - great company but in 2 years went from $469 to $1,240 - OUCH :flame: so we dropped it!



Posted by: GETMETOCA---------------------

I have Cigna Healthcare through work.  I pay about $44 a month for medical and $8 a month for dental.  My employer pays the Lion's share of the insurance, which is another $270/mo. I have a $1000 deductible.

I am SHOCKED at what many of you are paying! :scream:



Posted by: bsmith---------------------

I have a comprehensive PPO plan and pay $620 a month for 4 of us. $200 per adult and $100 per child with a $20 Prescription Drug rider. This plan has a $750 Major medical deductable.

At 28 mine is $200 a month, if your above 50 it will be more like $500 and up per month.

If you a fairly healthy, don't have the extra money, and don't need a comprehensive plan with Dr visits than you might look at a major medical plan with a higher deductable. For me it was about $51 per month.

I would go talk to an insurance broker and tell them what your looking for and can afford. But be sure and read the policy and look for any exclusions.
He might even suggest an accident plan.



Posted by: Philip---------------------

We have group PPO Plus which cost me $80.00 a month. they take it out of my check byweekly. $10 co-pay on meds and doctor visits and 100% emergency room visits. 80% on every thing else. Dental and AD&D. I don't know how long it will last at this price b/c I hear it is skyrocketing everywhere.

Oh I forgot $400.00 deductible.



Posted by: dirt bike dave---------------------

Health care costs in the US have been rising very rapidly. 

Those who are currently enjoying a relatively low rate through your employers may be in for a real shock when their contract is up for renewal.  Unless your employer is willing to bite the bullet and spend a lot more on its employees, you will be looking at either reduced coverage, or the same coverage at a higher out of pocket cost for you.



Posted by: Solid State---------------------

We have two policies. My company's plan costs us $240/month for an HMO, and my wife's company's plan is BCBS PPO at a whopping $1400/month. So we pay close to $1700/month out of pocket. Consider yourselves lucky by comparison.



Posted by: Smit-Dog---------------------

Solid State - Why aren't you covered under you wife's plan, or vice versa? I'd imagine that it's cheaper to have 2 people covered under one plan, as opposed to 1 person covered by 2 plans.



Posted by: HomeMadeSin---------------------

Zilch

The company pays 100%, but I do have $20 co-pays for each visit.  For 13 employees, the company pays around $80k/yr for health and another $40k for disability, dental, etc.



Posted by: High Lord Gomer---------------------

For family coverage with Guardian, I pay around $250 a month and my company pays the other $1400-$1600. It does pay 100% of everything after a $250/person deductible.

I'm surprised they renewed it this year, I expect it to be gone next year.



Posted by: KXTodd---------------------

Self employed so I don't have the greatest but it seems to be a great deal for what it is. Unicare for 4 of us $939 every 3 months! No dental, no pregnancy benefits. Have used it for knee surgery and a couple other things and no problem.



Posted by: Y2Z---------------------

free for me, man i love canada!



Posted by: Solid State---------------------

Quote:
Originally posted by Smit-Dog
Solid State - Why aren't you covered under you wife's plan, or vice versa? I'd imagine that it's cheaper to have 2 people covered under one plan, as opposed to 1 person covered by 2 plans.


Smit-Dog,

Go figure, the HMO will cover my daughter's medication (hugely expensive)but the PPO will not. On the other hand, the HMO has horrible medical care and will not take most of my kid's specialists. Welcome to the world of primary and secondary insurances. My wife says the billing is a nightmare, but I don't mind it. I just tell her that no matter what bills come, never send a payment as the laws in this state make the secondary pay for whatever the primary doesn't. Still a rip-off though.



Posted by: dirt bike dave---------------------

Quote:
Originally posted by Y2Z
free for me, man i love canada!


If you ever need major surgery or state of the art care, come on over to our side of the border. You won't be the first. 



Posted by: BSWIFT---------------------

I'm on my wife's plan for $80/month.  $15 copay for Dr., $30 copay for Specialist, $50 ER, NO DEDUCTIBLE!  Prescriptions are $10/$30 generic/name brand. 

My company is BCBS PPO.  Pretty much the same as others have mentioned already.  My latest round of meds cost more than the total for me being added onto my wifes plan, which is Aetna.



Posted by: Enduro_Nut---------------------

KXTodd - Who are you using(UNICARE?)? Have not heard of unicare. I'm currently searching and could use all the info. I can get!! How were they when you went for surgery - picky??



Posted by: Chili---------------------

Quote:
Originally posted by dirt bike dave


If you ever need major surgery or state of the art care, come on over to our side of the border. You won't be the first. 


Both state of the art care and major surgeries can be handled and are available on this side of the border Once you make it to the top of the waiting list. As an exapmle of waits you'll wait for 12 months for an MRI were I am currently



Posted by: OzyMoto---------------------

Thanks you for all your replies! I live in California and I'm looking at Blue Cross PPO 2500. it's about 150 per month. I wanted to get Health net but since I recently had surgury and still have screws and a plate in my foot they wont underwrite a policy for me.

I'm also looking into short term disability insurance to go with this. Peace of mind is expensive

Thanks again



Posted by: KXTodd---------------------

Enduro-nut http://www.unicare.com/user_groups/members/index.htm
Looks like they're not nationwide but they do provide in Texas it says?
I didn't have any problems when I went to surgery at all, but then again I went 3 days after I had my wreck! Not so smart on my part



Posted by: WaltCMoto---------------------

Im self employed and have my own policy with Blue cross. 375 a month covers our family of 5. 1000 deductable, only use it for surgery basically. No maternity, not an issue for us.



Posted by: blackhawk468---------------------

Self Employed. 150/mo with 1500 deductable, no copay. Dones't cover dental or maternity. Got this one cuz, im healthy and only need to go to the dr. once a year for check-up, and it would cost me the least $$ if I got hurt riding MX. There was a better one that I tried to get but when they started asking me questions about motorcycles I backed out. www.ehealthinsurance.com is a good place to get quotes.



Posted by: TheGrinch---------------------

They are really trying to push people in Oz to take out private health insurance. I have the basics, but no hospital cover. I'd rather go to a public hospital for free, than pay a small fortune every month "just in case" I have an accident and want to go to a private hospital.

Unfortunately like Chilli said, the waiting list is pretty long if it's not emergency surgery.

Having said all that, I am currently looking into income protection insurance now that I have a mortgage and all. I don't want to leave the wive paying of the mortgage if I have a serious accident.



Posted by: taw117---------------------

I pay $65.00 a week for health & dental through my job.have heard if some group like setra or another motorcycle group could get enough people to join as a group you can get rates at a group rate premium! Something to check on!



Posted by: Fe_princess---------------------

I pay $75 a month split between two checks and my boss pays the other $125, so in total it's $200.
My dental is questionable but free...



Posted by: BigBore---------------------

Holy cow....seeing what some people are paying makes me feel damn lucky to not have to pay a dime for my coverage (the school district I work for pays for it).



Posted by: zio---------------------

Y2Z, gotta burst your bubble- yours ain't free. That's one of the biggest reasons your taxes are so dang high.

Ozy- don't bother with that Blue Cross plan. Go for a Blue Shield plan called the Preferred Savings $2400. No copays for office visits or prescriptions, but a lot less per month. And for major medical stuff, your out of pocket limit is a lot lower.

No company will take you until you get a clean bill of health from your Doc. You can try a short term policy from CPIC if you want. Their Option 12 plans are renewable for up to a year. They won't cover pre-existing conditions, but that means they'll usually accept you as long as you don't have any other major health conditions like cancer or the Clap. But back to the Blue Shield policy vs. the Blue Cross one- here's the scoop: take the monthly premium, multiply it by 12 (better to get a year-long perspective than just one month). Then subtract the difference. On average, how many times do you go to the doctor? Figure a doctor visit on the Blue Shield plan will cost you roughly $55 (you don't have a copay, but you will get a discount if you use a Blue Shield doc). Do the same for prescriptions. And one more thing to consider is if you're self employed, you can use pre-taxed income to pay for medical expenses under the Blue Shield plan. MSA plans allow self-employed people or spouses of self-employeds to open up a special savings acct much like an IRA, except you get to spend the money on medical, dental, vision, etc. expenses. For most folks, the monthly savings in premium is enough to justify going with the cheaper plan. Remember- health insurance is intended to protect you from big financial losses, not pay for every splinter and sniffle.

Stay away from Health Net. They're not a bad company at all (In fact, they're one of my favorites for employer-sponsored plans) and their policies are as good as the next guy's. But their underwriting is the worst of any individual company out there. I have more trouble getting folks approved with them than anyone else.

You can shop around the net for prices. But when it's time to actually apply, I recommend using a good broker. It doesn't cost a penny more, and the good ones will help you through the whole process, and provide personal support for the life of the policy (help with claims & stuff). I haven't heard much good about the online brokers. Send me a pm with your location, and I'll give you the name of a very good agent, and i promise it won't be me).

And for the rest of you, make your agent shop around. Health insurance premiums are going to keep going up. Do a cost analysis like I mentioned above to determine if you really need to be spending so much per month.

For employers who have employees share the expenses- your agent should have you in a Sec. 125 POP plan so that they're paying their portion of premiums with pre-taxed dollars. The main purpose of this is to reduce the employee's taxable income, and to reduce your payroll taxes as well as your Workers' Comp costs (most Workers' Comp rates are based on taxable payroll). POP plans just got a whole lot easier to administer since the IRS removed the annual 5500 filing requirement. Now, you only have to do it once at initial plan implementation.

There. That's my health insurance 101 lecture. It's not often I get to give out helpful advice here on DRN. But I love it whenever I can help with insurance stuff. Come to think of it, if anyone ever has a question or claim issue, PM me & I might be able to help. I won't ever sell insurance to anyone on DRN. I just love helping people with this stuff for no other reason than it's hard to find someone willing to help without an ulterior motive.



Posted by: 70 marlin---------------------

The U pay's $625, I pay $88. This is for a family of five, for an HMO. This is a monthly premium for me.



Posted by: dead---------------------

72 a month for one person. 50 deduct I believe. I work for a healthcare administrator so we have pretty good benefits. I have yet to use any of the coverage so I don't know how "good" it really is.
::
Found my card.

United HealthCare PPO
Office co-pay $15



Posted by: Smit-Dog---------------------

I pay $1,642 per year, or $137 per month for medical, dental, and accidental death/dismemberment for a family of 5. This is taken out of pre-tax dollars. I also set aside $1,600 in flexible health care spending account, also pre-tax.

The medical plan option I selected has the highest copay's and deductible, but lowest premium. Like Zio said, invest in health insurance to protect yourself against catastrophic accidents, not so that revolving visits to your GP are free.

I don't know my employer's share of health insurance.

My out-of-pocket premiums when up 61% between 2002 and 2003; I am not looking forward to 2004's open enrollment next month.



Posted by: dirtbikedad---------------------

Try the Army... 100% medical and dental for you and free coverage with small co-pay for your family members. You can't beat it. Did I mention that the medical and dental continue for free after you retire.



Posted by: holeshot---------------------

Quote:
Originally posted by zio
Y2Z, gotta burst your bubble- yours ain't free. That's one of the biggest reasons your taxes are so dang high.


Gotta burst your bubble, but yours is less free. The subject is not even an issue in Canada - if you have a problem, just check into the nearest hospital. Your automatically covered if you are a citizen or resident. Even if you're unemployed and not paying in, you're still covered.

Our company's last HMO had a clause concerning broken bones, "if the bone is not protruding through the skin, then it is not considered an emergency". Talk about cold. :silly: With the skyrocketing costs of healthcare and the aging of America, it won't be much longer before Americans will band together and stand up for their rights regarding health care.


Aetna HMO deductibles -

240 bucks if you check into a hospital
50 bucks if you visit the ER
15 bucks co-pay


But getting them to pay the hospital bills is a real battle.



Posted by: rairden---------------------

I pay $44/month. It's Blue-Cross Blue Shield. PPO plan.



Posted by: OzyMoto---------------------

Quote:
Originally posted by zio
Y2Z, gotta burst your bubble- yours ain't free. That's one of the biggest reasons your taxes are so dang high.

Ozy- don't bother with that Blue Cross plan. Go for a Blue Shield plan called the Preferred Savings $2400. No copays for office visits or prescriptions, but a lot less per month. And for major medical stuff, your out of pocket limit is a lot lower.

No company will take you until you get a clean bill of health from your Doc. You can try a short term policy from CPIC if you want. Their Option 12 plans are renewable for up to a year. They won't cover pre-existing conditions, but that means they'll usually accept you as long as you don't have any other major health conditions like cancer or the Clap. But back to the Blue Shield policy vs. the Blue Cross one- here's the scoop: take the monthly premium, multiply it by 12 (better to get a year-long perspective than just one month). Then subtract the difference. On average, how many times do you go to the doctor? Figure a doctor visit on the Blue Shield plan will cost you roughly $55 (you don't have a copay, but you will get a discount if you use a Blue Shield doc). Do the same for prescriptions. And one more thing to consider is if you're self employed, you can use pre-taxed income to pay for medical expenses under the Blue Shield plan. MSA plans allow self-employed people or spouses of self-employeds to open up a special savings acct much like an IRA, except you get to spend the money on medical, dental, vision, etc. expenses. For most folks, the monthly savings in premium is enough to justify going with the cheaper plan. Remember- health insurance is intended to protect you from big financial losses, not pay for every splinter and sniffle.

Stay away from Health Net. They're not a bad company at all (In fact, they're one of my favorites for employer-sponsored plans) and their policies are as good as the next guy's. But their underwriting is the worst of any individual company out there. I have more trouble getting folks approved with them than anyone else.

You can shop around the net for prices. But when it's time to actually apply, I recommend using a good broker. It doesn't cost a penny more, and the good ones will help you through the whole process, and provide personal support for the life of the policy (help with claims & stuff). I haven't heard much good about the online brokers. Send me a pm with your location, and I'll give you the name of a very good agent, and i promise it won't be me).

And for the rest of you, make your agent shop around. Health insurance premiums are going to keep going up. Do a cost analysis like I mentioned above to determine if you really need to be spending so much per month.

For employers who have employees share the expenses- your agent should have you in a Sec. 125 POP plan so that they're paying their portion of premiums with pre-taxed dollars. The main purpose of this is to reduce the employee's taxable income, and to reduce your payroll taxes as well as your Workers' Comp costs (most Workers' Comp rates are based on taxable payroll). POP plans just got a whole lot easier to administer since the IRS removed the annual 5500 filing requirement. Now, you only have to do it once at initial plan implementation.

There. That's my health insurance 101 lecture. It's not often I get to give out helpful advice here on DRN. But I love it whenever I can help with insurance stuff. Come to think of it, if anyone ever has a question or claim issue, PM me & I might be able to help. I won't ever sell insurance to anyone on DRN. I just love helping people with this stuff for no other reason than it's hard to find someone willing to help without an ulterior motive.


Thanks for the info. My email address is jjoswald@sbcglobal.net
I tried to PM you but the system here wont let me. Thanks



Posted by: Dist1740b---------------------

$106.00 for family a week! ppo
$60.00 a week Hmo (No chiro,dermo,phyc)...



Posted by: Neil Wig---------------------

Quote:
Gotta burst your bubble, but yours is less free. The subject is not even an issue in Canada - if you have a problem, just check into the nearest hospital. Your automatically covered if you are a citizen or resident. Even if you're unemployed and not paying in, you're still covered.


Well, nothing in life is free. If you think Canada's health care is, your on glue. 42% income tax, plus 7% PST, plus 6 or 7% GST, plus the "sin" tax (booze and cigs), plus, plus, plus......and the care you receive is marginal at best.



Posted by: holeshot---------------------

Quote:
Originally posted by Neil Wig


Well, nothing in life is free. If you think Canada's health care is, your on glue. 42% income tax, plus 7% PST, plus 6 or 7% GST, plus the "sin" tax (booze and cigs), plus, plus, plus......and the care you receive is marginal at best.


I spent the first 35 years of my life in Canada (born in Southern Alberta) and also made a few trips to hospitals in Medicine Hat and (the last time) in Calgary. When I went to the hospital when I was 28, the tests (numerous), the waiting period and even the hospital beds were identical to my most recent trip to SoCal hospitals. De Ja Vu (or however you spell it, pardon my French). And trust me, Cathy Bates is alive and well, and working in Parkview General hospital (SoCal).

I'm aware of the taxation situation in Canada (I was even a smoker once), but I much prefer it to the system in the US. Nobody said the system in Canada is perfect, but it's the lesser of two evils. Experience it first hand, and see if you like to be discriminated against because you have a pre-existng condition or your age (health care premiums jump dramatically when you get older)

I've heard that a few private hospitals are opening in Canada. Be careful, you might get your wish.

There may be a longer waitng period for tests in Canada for non-emergency situations, but I haven't experienced it personally. If you don't think that these negative reports on Canadian health care are mostly propaganda put out by US health insurance companies, health care organizations, etc., then you've had one too many Molson Canadians. :confused:



Posted by: john stu---------------------

health insurance lol who can aford it unless you get it through your work i wish i had some



Posted by: Neil Wig---------------------

Holeshot.....there's no such thing as too many Molsons.

You have a point about a possible propaganda campaign, and probably a lot more insight from being inside the system. Also, I suspect there are fringe benifits from being inside the system with regard to waiting lists and such. There are some cases where Canada's health care system works well. Simple breaks and accidents. Specialized and timely treatment of cancer are very poor in Canada. If you have cancer, and want to survive, get your butt down to the US, and buck up. Otherwise, save a dime, and buy a plot. As a side, note, my uncle has just been misdiagnosed for the second time with a retinal detachment in Medicine Hat, and Calgary.

YMMV.




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