General Discussion
Related: Editorials & Other Articles, Issue Forums, Alliance Forums, Region ForumsHas anyone ever heard of a $39,000.00 per year health insurance premium ???
Senator, Bill Cassidy from Louisiana stated this at the Tom Price hearing.
He said he knew a couple whose premium was $39,000.00 per year with
a $6,000.00 deductible.
He said he posted it on his facebook page.
Thinkingabout
(30,058 posts)looked he could probably find the truth. It was probably posted by one of his RW informed friends, needs new friends.
SamKnause
(13,107 posts)He said people thought he was lying so he posted the facts on facebook.
I think he is lying.
Thinkingabout
(30,058 posts)SamKnause
(13,107 posts)He said it at today's hearing.
I don't have a facebook account or I would try to find the
post he was talking about.
I don't think it is true either.
Achilleaze
(15,543 posts)Show us Comrade Casino's stinking tax returns.
Ooops, I mean show us the stinking evidence that some stinking anonymous person in some stinking anonymous place somewhere is claiming to the stinking right-wing fake-news propaganda echo chamber.
Bengus81
(6,931 posts)still_one
(92,213 posts)underpants
(182,826 posts)That's $3,300 a month. If they chose some whacked out plan like that....no let me stop - no this is extremely unlikely.
$6,000 deductible? Possibly. I ran into one policy specific to Miami-Dade county with a $10K deductible but that was way outside of the norm. Very odd.
sarcasmo
(23,968 posts)politicat
(9,808 posts)1) they have completely separate plans, not a family plan (because family plans have shared deductibles.)
2) Both Plans are platinum plus level care, with essentially no out of network at all and the widest possible in-network.
3) Neither plan has any type of gate-keeping, such as PCP referral requirements.
4) both may be well above 55 and below 65 and have an income that puts them well above exchange pricing.
That's a $1600 per month, per person plan. It indicates a really stupid person and a rapacious broker if they were willing to sign up for that, because for half the monthly cost, they could have a very good gold plan with a very low deductible for both.
A family of 6 -- two adults, four children -- totally self-employed, on a Gold plan, might have a monthly premium in the $2-3K range. Which is still cheaper than paying out of pocket for two broken arms, three ear infections, an adult kidney infection and an ovarian cyst removal, which is approximately the average annual usage of 6 regularly healthy, generally active people.
matt819
(10,749 posts)Another possibility is that he was looking not only at the premium but at the possible estimated annual outlay based on previous years healthcare expenses.
And another possibility is that he is looking at a plan that is not under the ACA but rather a private plan with a health insurance provider. In that case, absolutely, the premium could be more than $3000 a month.
I have a silver plan via the marketplace, also with a $6000 deductible, two people over 60, and my premium is about $1400 a month. Even had we opted for one of the better plans, I don't think we could have gotten the premium at more than $3000 a month, and if that was the case, the deductible would certainly not be $6000.
There is something wrong with this information
rickford66
(5,523 posts)I didn't even ask about the deductible. By luck I turned 65 that month and immediately was on Medicare. I don't believe this post ACA BS.
hunter
(38,316 posts)My wife, who was ill at the time, then went on a waiting list for our state's high risk plan. It was terrifying.
Under the old rules my wife and I are uninsurable because of preexisting conditions.
I also knew people who felt trapped in bad jobs because they, or someone in their family, had preexisting conditions and were afraid of losing their insurance.
doc03
(35,342 posts)and it never paid a penny on claims because I never met my deductible.
Buckeye_Democrat
(14,855 posts)Health care costs per capita in this country is over $10,000/year according to PBS:
http://www.pbs.org/newshour/rundown/new-peak-us-health-care-spending-10345-per-person/
A family plan for an older couple? Maybe it would be that insane.
I'm waaaaay below average for annual healthcare costs. It won't be that way forever, I'm sure.
Part of the high costs is greed. Another part is our large number of aging baby boomers. It was sure to happen eventually.
Princess Turandot
(4,787 posts)That might be one reason. Otherwise, the amount is much higher than it would cost to insure 2 adults via the marketplace here in NYC, where the cost of medical care is among the highest in the country.
The other thing though is that if they didn't have insurance before this, I have a hard time believing that such a large premium would be affordable for them. So they likely would have received a high offset from the government. (If it's true.)
SamKnause
(13,107 posts)I don't believe Cassidy.
Cassidy said he posted proof on his facebook page.
Buckeye_Democrat
(14,855 posts)Details from the supposed insurance quote (paper)...
The plan was listed as "Blue Saver 100/80 $3100"
Monthly Premium: $3319.85 (over $1800 for the subscriber and over $1500 for the spouse)
Deductible: $6200
Out of pocket max: $13,100
PCP Office Visit: 0% Coinsurance after deductible
Also, exchange type? I'm not sure what it means, but it looks like "NGF" is highlighted? I'm not sure what that means.
SamKnause
(13,107 posts)Buckeye_Democrat
(14,855 posts)Nothing "stood out" to me about the insurance being particularly good, but maybe someone who works in that field would spot something.
The ACA should cover part of those expenses, right?
politicat
(9,808 posts)That is pretty rare, actually. (We've had multiple gold+ level plans through employers, through all four major providers, and have never had a zero co-pay after deductible plan.)
Blue Saver is also an HSA plan, so the monthly premium may include the required HSA contribution. The HSA has the advantage of being a form of tax shelter; the WSJ calls it a "shadow IRA".
Buckeye_Democrat
(14,855 posts)linuxman
(2,337 posts)Not sure what his deductable is, but for 31K a year, they'd better be paying HIM for doctors visits.
My wife and I are ~200 per month.
politicat
(9,808 posts)I posted down below why someone would want to highly fund an HSA.
Uben
(7,719 posts)with a $5K deductible, so it sounds totally feasible. If a member of your family has cancer, they keep raising the price every year. The insurance companies are the big problem in healthcare, right along with big pharma and their price gouging. Everyone wants to be a gazillionaire...NOW! No matter that the costs fall on those who can least afford it.
Response to SamKnause (Original post)
WillowTree This message was self-deleted by its author.
Ms. Toad
(34,074 posts)with both adults (and maybe an adult child) who are smokers? whose income is high enough that they don't qualify for Medicaid - and whose state rejected Medicaid expansion?
Just listing a policy premium, without other details, is pretty much meaningless.
I think without the work subsidy, our family (for 3) would be in that ballpark. We've got a work-based subsidy and I recall being surprised at how expensive it would have been without that subsidy.
dubyadiprecession
(5,711 posts)with their healthcare!
doc03
(35,342 posts)said all he could find was insurance for $26000 a year. He had lost his job and was trying to start a business
so he took a chance and ended up having a heart attack and bypass surgery. He ended up filing bankruptcy.
MiniMe
(21,716 posts)With a $1,500 deductible
pnwmom
(108,980 posts)to anyone who wants them.
SickOfTheOnePct
(7,290 posts)I have a plan through my employer (federal government) that is almost $24,000 per year, when you count their contributions and mine. That's for me plus family (my daughters), but it only has a $350/person $700/family deductible, with a max $10,000 out of pocket annually.