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Nuclear Unicorn

(19,497 posts)
4. Being in your 20s and assuming generally good health, you shouldn't need coverage for anything
Fri Nov 14, 2014, 08:13 AM
Nov 2014

except the unexpected. That should continue into your late 30s, early 40s.

I'm not sure why your out-of-network copays are lower. The idea is usually to set prices so as to keep you in network.

In order to get doctors to accept lower payment the insurance company promises to funnel them more patients via networks. It's a horrible cost control mechanism but that's another thread.

I would go for the lower premium unless your profession and/or lifestyle and/or general health carry significant risk of prolonged care. For routine care and the occasional sniffles I'd go to a cash clinic.

Try not to be unconscious if someone takes you to a hospital, otherwise you'll be ruined because there is no limit, according to either plan, to what you can be charged and there will be no one to argue on your behalf to bring down your obligation.

If those are your only choices go with A. boston bean Nov 2014 #1
Plan B if you are healthy, plan A if not Travis_0004 Nov 2014 #2
My health care expense this year was just a few hundred dollars. PlanetaryOrbit Nov 2014 #3
You need to find out about the network. If it is not comprehensive, then Plan A will bankrupt you. Yo_Mama Nov 2014 #15
Being in your 20s and assuming generally good health, you shouldn't need coverage for anything Nuclear Unicorn Nov 2014 #4
Oh no PlanetaryOrbit Nov 2014 #5
Fair 'nuff. My original suggestion still holds, I believe. nt Nuclear Unicorn Nov 2014 #6
The reason the out of pocket max is unlimited for out of network mythology Nov 2014 #7
Your post is one more reason for single-payer. Vinca Nov 2014 #8
You're covered for the first 80% of what Medicare allows Lurks Often Nov 2014 #9
I know that. Vinca Nov 2014 #17
I would like to point out that I'm just plain ignorant. AngryAmish Nov 2014 #10
Plan A would be my choice Lurks Often Nov 2014 #11
No, in that scenario Plan A would save $1600. Nye Bevan Nov 2014 #14
We could both be wrong Lurks Often Nov 2014 #16
I would mercuryblues Nov 2014 #12
I crunched the numbers in Excel, Nye Bevan Nov 2014 #13
But, if possible, set aside the out-of-pocket maximum, and... Barack_America Nov 2014 #18
An HSA (health savings account) is great if you have money to contribute. Nye Bevan Nov 2014 #19
Thanks! PlanetaryOrbit Nov 2014 #20
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