Manhattan Health Insurance

[John105]

I do the HSA at my company - assuming everything in network:
Individual deductible: $1600
Individual OOP Max: $3,600
Family deductible: $3,200
Family OOP Max: $7,200

Company HSA contribution between $0 and $1,100 for individual; $0 and $2,200 for family depending on income.

PPO Option:
Individual deductible: $600
Individual OOP Max: $2,500
Family deductible: $1,200
Family OOP Max: $3,800

Monthly Premiums: Self/Self & Spouse/Self & Kid(s)/Family
HSA: $71/$157/$127/$226
PPO: $158/$350/$282/$502

Upfront cost savings of $3,300 for family coverage + company HSA contribution + ability to save in HSA makes me willing to roll the dice. I know some are terrible (as is some PPO coverage).

I’m gonna say it looks like your employer provides very good coverage. Mine had deductibles higher than your HSA, with a PPO. I don’t want to say it’s a disgrace but I think a guy who had a hip replacement said it cost him like $8500 on the PPO. I was paying $650 for a family PPO “but” my deductibles and oop
Are not like your ppo, but higher than your HSA. Terrible!

My wife going full time at the school district was a game changer. Here in PA, No deductible and $20/$40/$100 dr/specialist/emergency. $40 for hip surgery/replacement. Basically everything is $40 other than hospital stays. That’s $100 per day. A friend who is a NJ teacher and a coworker’s wife, they get $10/$15/$125. I know I should not be, but I’m envious of their $10/$15 copays…what also matters is how much the employer contributes. I bet your employer is solidly over 80%. My wife’s is 88.25%. Why it matters is when there are increases, the employer bears most of it when their contribution is high…

 

[99Saturn]

I’m gonna say it looks like your employer provides very good coverage. Mine had deductibles higher than your HSA, with a PPO. I don’t want to say it’s a disgrace but I think a guy who had a hip replacement said it cost him like $8500 on the PPO. I was paying $650 for a family PPO “but” my deductibles and oop
Are not like your ppo, but higher than your HSA. Terrible!

My wife going full time at the school district was a game changer. Here in PA, No deductible and $20/$40/$100 dr/specialist/emergency. $40 for hip surgery/replacement. Basically everything is $40 other than hospital stays. That’s $100 per day. A friend who is a NJ teacher and a coworker’s wife, they get $10/$15/$125. I know I should not be, but I’m envious of their $10/$15 copays…what also matters is how much the employer contributes. I bet your employer is solidly over 80%. My wife’s is 88.25%. Why it matters is when there are increases, the employer bears most of it when their contribution is high…

You're right. My company sets the limits based on the minimum allowable deductibles to qualify as a HDHP based on IRS guidance for the year, which is why it's so low, it's basically the lowest deductible that can be offered before you can't call it an HDHP and therefore can't offer an HSA. That was pretty much my point - the HDHP w/HSA doesn't have to be terrible, it's just many places don't want to pay for better coverage (be it PPO or a HDHP).

FWIW, my company did not have a HDHP option for a long time, just launched a couple of years ago. Completely anecdotal but when launched the handful of coworkers I spoke with thought it was terrible versus our existing options. I heard the a common comment in conversation about if something major happened getting dropped a $1,000 or $2,000 bill was going to be crazy. All about people's perspective versus what their existing options are.