May 30, 2010,
A.J. asks from Lewisville, TX on May 25, 2010
Need Advice on HSA Plan and Health Discount Plans?
Is anyone currently using a Health Savings Account Insurance plan through their work? Can you tell me if it has been convenient? What happens if I run out of money in my HSA account before my deductible is paid off?
Does anyone think it is a good idea to sign up for a health/medical discount membership to stretch my HSA funds? I'm told I can do this and it would be about $40 extra a month but I honestly don't know if its worth it
So What Happened?™
Ok, So I had no choice on the HSA plan but called and talked to the Unique Care Discount plan rep, Beth Kiselak and ended up going with it too because it added vet discounts and my chiropractor, there is also a nurse line and some other stuff I'd actually see myself using.
Here's the link for all you ladies who asked me about it. Beth is very nice. http://uniquecareonline.com/sitehome.php?user=kiselak
L.K. answers from Kansas City on May 26, 2010
A lot of good thoughts already but I thought I'd add my 2 cents.
I think you do have to look at your family, family's health and costs related to health care. I disagree with the poster who said people will wait and not go to the doc. At least from my experience, we are NOT paying the $75-$100 for my husband's med, it is still just a $4 co-pay. Our 20 year old son just had a case of strep throat, that med too was covered. But that is where you come in to be your own advocate.
When I saw my doc last fall for my physical, I explained we had an HSA and was there any difference if I was considered a "private pay" and it was considerably less! Unfortunately, your PPO's and HMO's may "pay" better in what you see, but many times their contracts with the docs/hospitals discount things so much that it really all comes out in the wash. You just don't see it, (unless you watch your statements and insurance EOB's).
We also looked that we were overall very healthy. I see a chiropractor for many things and our traditional insurance did not cover so I was paying that out of pocket.
We "funded" ours with my husband's bonus check one year but another way is the monthly like someone mentioned. And you do NOT have to use or lose it. It carries over year to year, or at least ours does.
I personally would not go back to a traditional insurance plan.
S.M. answers from Dallas on May 28, 2010
My husband and I were on the HSA with my company until this year and loved it. We switched over to the POS not knowing what kind of expenses we were going to have with our newborn (copays were more predictable). After this year we will be changing back. I go along with one of the others, in that I have a certain amount deducted from my paycheck to match the deductible which is $3000/family. Just like some put money into a FSA. Plus, my company puts in $1500 to start as an incentive to go on the HSA.
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C.C. answers from Dallas on May 26, 2010
HSAs are typically only available for employees enrolled in a high deductible health plan (HDHP). To make that decision, you really need to know what are your average annual medical expenses and be really good at budgeting. I was enrolled in an HDHP and had an HSA account. We are a family of 5 (two adults, three children) but we are all in relatively healthy condition so we had no expectation of extreme medical costs. We never hit our annual family deductible level (which is usually higher under an HDHP), and I didn't put enough money into my HSA to cover what we had to pay out of pocket (doctor visits, prescriptions, etc.). Plus, if there is any major medical incident your HDHP coverage probably won't be as good as a traditional health plan (it may be something like 70% insurance coverage and 30% out of pocket, vs. a 90% / 10% ratio, depending on what your company offers). So after two years of unsuccessfully trying to figure out how much money to put in the HSA to cover our higher out-of-pocket expenses, I gave up and went back to a PPO so now I know exactly what I'll pay for doctor visits, prescriptions, etc. I also put some money into a flexible spending account (FSA) to help cover some of the out-of-pocket expenses (like co-pays).
The one nice thing about an HSA is that if there is still money in it at the end of the year it will roll over to the next year. With an FSA, whatever is left the IRS gets!
I don't know anything about discount plans.
T.A. answers from Toledo on May 26, 2010
We have a high deductible plan ($5,000 per person, $10,000 a family) and we utilize a HSA. We currently put about $180 a month into this account and will use every bit of this. Know this before you spend $40/month on a discount. With our high deductible plan, there have been arrangements made with our providers to give us the rate that the insurance company would otherwise pay them as long as we stay in-network. For example, I had to go to ER over the Christmas holiday for pneumonia. This is something that I would never do and was trying to hold out til the doctor's office opened on Monday but I had been running a 104 temp for four days. I absolutely did not want to go to ER because I knew I would have to pay out of pocket for this. To sum it up....my bill was original bill was $3000 but it was lowered to $1000 because that is what insurance would have paid. $1000 is still alot of money but I was very thankful that I had been putting money into a flex spending account to pay for it. It distance hurt quite as bad as it would have if I didn't have that money set aside.
C.J. answers from Dallas on May 26, 2010
I think someone below got the HDHP confused with HSA. We love our HSA and set it up to be just shy of our deductable on our plan. If we find we have to pay out of pocket, we just submit it and the check comes in a few weeks.
They are pre-tax dollars, so you are taxed less. Occassionally we have gotten burned where we didn't use all the $$. As our kids have gotten older, we have also put less and less in there.
Re: the membership, I would really look at what it offers and if there are services that you could apply and the discount is greater than the cost, go for it. Personally, I have found a lot of those services talk a good game, but when you go to use them so many strings attached, not quite worth it.
You may also want to call and talk to the office gals at your PCP. They do the billing, etc and could offer you some of their thoughts.
D.W. answers from Indianapolis on May 26, 2010
I would only select an HSA as a last resort (personally).
Companies are moving to them because they're less expensive for the company, more expensive for the employee/family.
One of the biggest reasons NOT to use one (my company offers one) is that it prevents people from going to the doctor because they don't want to put out the money. In our company's case, it's a $2000 out of pocket deductible before insurance kicks in. Most people don't want to pay $100/month for cholesterol meds, $75 for a visit to the pediatrician, so they wait and hope the condition improves.
As a recent cancer patient, we were fortunate to have incredible insurance to cover what is likely now almost $400K in expenses related to my treatment and recovery.
A HSA is better than nothing, but it's certainly not the best option out there. I personally chose not to accept the HSA and went with the more expensive traditional PPO because the coverage was more comprehensive.
D.M. answers from Detroit on May 26, 2010
Hi A.---We use an HSA. My husband's company is small so it does not offer a group insurance plan. They do give my husband an extra check to buy insurance however.
Our family is of the opinion that we are primarily responsible for our health. We are very proactive, making sure we eat a diet that consists mostly of fruits, veggies, whole grains, legumes, nuts and seeds. We are active and exercise regularly.
We do our yearly exams but we do not do all of the tests that most doctors offer. A lot of tests are unnecessary. For example, I no longer get mammograms, instead I get thermascan screening, which costs about 1/5 to 1/6 of what a mammogram costs. Research shows that thermascans find problems in the breast years before a mammogram does.
We have a high deductible so our monthly premiums are low. Partly, these choices are based on the fact that our youngest just finished his first year of college. Without small children, we simply go to the doctor less often.
It is convenient. If your HSA account runs out, you are paying deductibles out of pocket. The benefits of the HSA is that you don't pay taxes on the $ that you put into the acct. So when the account is used up, you are then paying with $ that you will need to pay taxes on.
Any good insurance agent should be able to explain the pros and cons. I don't know much about health discounts. Much, I guess, would depend on how much your family uses the health care system.
I hope I've answered some of your questions. Please feel free to give me a call and we can go into more detail, if you'd like. Good luck with your exploration. D. ###-###-####
N.A. answers from Dallas on May 26, 2010
I am single mother of a 4 year old. My son has three non-generic meds that he takes on a monthly basis, each at $40. This plan has actullay given me a piece of mind. We also visit one or more doctors a month. At $ 35 a visit.
Do you see the math. If ididn't have the plan that would be money out of pocket i would have to come up with. So for $40 dollars a paycheck, I can spend well beyond that amount. If you run out money the deductions are still coming out, you are now responsible for you health care cost. I hope this is helpful . Good Luck!!!!!