prescription drug costs

[concernedmom]

I'm plan administrator so I picked our plan. It's decent for our size (20 employees).


We have a $4,000 deductible. Insurance only pays for preventive care (as in annual physical, cholesterol screening, immunizations, etc.) before you hit the $4,000 deductible. You pay 100% of everything else until you hit the deductible, including drugs. After you hit the deductible, insurance pays 100% of everything. That's provided you're in net-work. The deductible is $8,000 for out of network. Luckily, the network is very extensive and includes all local hospitals plus the majority of physicians, pharmacies, labs, & clinics so no one goes out of network.


Our company also puts $500 per quarter ($2,000/year) into an HSA (health savings account) for the employee to use towards the deductible. The employee can then add the remaining $2,000 in pre-tax contributions through their weekly payroll so the net out of pocket to the employee (if done right) is $2,000 per year for in-network. Employee's cost of premiums is $40/week or $2,080/year so total of $4,080/year. (Actually less because premiums are pre-tax, too so with tax savings it's much less)


For an individual, the deductible is $2,000, company pays $1,000, leaving the employee $1,000 out of pocket. Employee only premiums are $8/week or $416/year.

 

[concernedmom]

I'm plan administrator so I picked our plan. It's decent for our size (20 employees).


We have a $4,000 deductible. Insurance only pays for preventive care (as in annual physical, cholesterol screening, immunizations, etc.) before you hit the $4,000 deductible. You pay 100% of everything else until you hit the deductible, including drugs. After you hit the deductible, insurance pays 100% of everything. That's provided you're in net-work. The deductible is $8,000 for out of network. Luckily, the network is very extensive and includes all local hospitals plus the majority of physicians, pharmacies, labs, & clinics so no one goes out of network.


Our company also puts $500 per quarter ($2,000/year) into an HSA (health savings account) for the employee to use towards the deductible. The employee can then add the remaining $2,000 in pre-tax contributions through their weekly payroll so the net out of pocket to the employee (if done right) is $2,000 per year for in-network. Employee's cost of premiums is $40/week or $2,080/year so total of $4,080/year. (Actually less because premiums are pre-tax, too so with tax savings it's much less)


For an individual, the deductible is $2,000, company pays $1,000, leaving the employee $1,000 out of pocket. Employee only premiums are $8/week or $416/year.

 

[concernedmom]

I'm plan administrator so I picked our plan. It's decent for our size (20 employees).


We have a $4,000 deductible. Insurance only pays for preventive care (as in annual physical, cholesterol screening, immunizations, etc.) before you hit the $4,000 deductible. You pay 100% of everything else until you hit the deductible, including drugs. After you hit the deductible, insurance pays 100% of everything. That's provided you're in net-work. The deductible is $8,000 for out of network. Luckily, the network is very extensive and includes all local hospitals plus the majority of physicians, pharmacies, labs, & clinics so no one goes out of network.


Our company also puts $500 per quarter ($2,000/year) into an HSA (health savings account) for the employee to use towards the deductible. The employee can then add the remaining $2,000 in pre-tax contributions through their weekly payroll so the net out of pocket to the employee (if done right) is $2,000 per year for in-network. Employee's cost of premiums is $40/week or $2,080/year so total of $4,080/year. (Actually less because premiums are pre-tax, too so with tax savings it's much less)


For an individual, the deductible is $2,000, company pays $1,000, leaving the employee $1,000 out of pocket. Employee only premiums are $8/week or $416/year.

 

[concernedmom]

I'm plan administrator so I picked our plan. It's decent for our size (20 employees).


We have a $4,000 deductible. Insurance only pays for preventive care (as in annual physical, cholesterol screening, immunizations, etc.) before you hit the $4,000 deductible. You pay 100% of everything else until you hit the deductible, including drugs. After you hit the deductible, insurance pays 100% of everything. That's provided you're in net-work. The deductible is $8,000 for out of network. Luckily, the network is very extensive and includes all local hospitals plus the majority of physicians, pharmacies, labs, & clinics so no one goes out of network.


Our company also puts $500 per quarter ($2,000/year) into an HSA (health savings account) for the employee to use towards the deductible. The employee can then add the remaining $2,000 in pre-tax contributions through their weekly payroll so the net out of pocket to the employee (if done right) is $2,000 per year for in-network. Employee's cost of premiums is $40/week or $2,080/year so total of $4,080/year. (Actually less because premiums are pre-tax, too so with tax savings it's much less)


For an individual, the deductible is $2,000, company pays $1,000, leaving the employee $1,000 out of pocket. Employee only premiums are $8/week or $416/year.

 

[concernedmom]

I'm plan administrator so I picked our plan. It's decent for our size (20 employees).


We have a $4,000 deductible. Insurance only pays for preventive care (as in annual physical, cholesterol screening, immunizations, etc.) before you hit the $4,000 deductible. You pay 100% of everything else until you hit the deductible, including drugs. After you hit the deductible, insurance pays 100% of everything. That's provided you're in net-work. The deductible is $8,000 for out of network. Luckily, the network is very extensive and includes all local hospitals plus the majority of physicians, pharmacies, labs, & clinics so no one goes out of network.


Our company also puts $500 per quarter ($2,000/year) into an HSA (health savings account) for the employee to use towards the deductible. The employee can then add the remaining $2,000 in pre-tax contributions through their weekly payroll so the net out of pocket to the employee (if done right) is $2,000 per year for in-network. Employee's cost of premiums is $40/week or $2,080/year so total of $4,080/year. (Actually less because premiums are pre-tax, too so with tax savings it's much less)


For an individual, the deductible is $2,000, company pays $1,000, leaving the employee $1,000 out of pocket. Employee only premiums are $8/week or $416/year.

 

[bittyhorse23]

<div class="FTQUOTE"><begin quote><i>Originally posted by: <b>Emily65Roses</b></i>

If one isn't willing to help their fellow man when they're down and can't afford health care, then why should anyone do the same for you when you're too sick to work? I'm fine with helping someone who can't afford health care because I know one day I will be in a place where I won't be able to afford mine either.



I might add, many of the millions of people without health care are not just lazy people or "welfare mothers." They are people working full time at sh*t jobs like Walmart that provide inadequate health care... or none at all.



And for the love of god, people, please watch your use of the term "socialized medicine." Lots of the people lobbying for health care in the US are NOT lobbying for socialized medicine.



Let me repeat that (as people seem to miss it or ignore it). <b>People in the US that want universal health care are NOT necessarily for socialized medicine.</b> Socialized medicine = government controls and runs all hospitals, clinics, etc. We are looking for a single-payer system. Just that our taxes go in and then the government pays for all health care. They DO NOT CONTROL IT... they simply pay for it.</end quote></div>

Right on Em!!!!!!!! <img src="i/expressions/face-icon-small-smile.gif" border="0">

 

[bittyhorse23]

<div class="FTQUOTE"><begin quote><i>Originally posted by: <b>Emily65Roses</b></i>

If one isn't willing to help their fellow man when they're down and can't afford health care, then why should anyone do the same for you when you're too sick to work? I'm fine with helping someone who can't afford health care because I know one day I will be in a place where I won't be able to afford mine either.



I might add, many of the millions of people without health care are not just lazy people or "welfare mothers." They are people working full time at sh*t jobs like Walmart that provide inadequate health care... or none at all.



And for the love of god, people, please watch your use of the term "socialized medicine." Lots of the people lobbying for health care in the US are NOT lobbying for socialized medicine.



Let me repeat that (as people seem to miss it or ignore it). <b>People in the US that want universal health care are NOT necessarily for socialized medicine.</b> Socialized medicine = government controls and runs all hospitals, clinics, etc. We are looking for a single-payer system. Just that our taxes go in and then the government pays for all health care. They DO NOT CONTROL IT... they simply pay for it.</end quote></div>

Right on Em!!!!!!!! <img src="i/expressions/face-icon-small-smile.gif" border="0">

 

[bittyhorse23]

<div class="FTQUOTE"><begin quote><i>Originally posted by: <b>Emily65Roses</b></i>

If one isn't willing to help their fellow man when they're down and can't afford health care, then why should anyone do the same for you when you're too sick to work? I'm fine with helping someone who can't afford health care because I know one day I will be in a place where I won't be able to afford mine either.



I might add, many of the millions of people without health care are not just lazy people or "welfare mothers." They are people working full time at sh*t jobs like Walmart that provide inadequate health care... or none at all.



And for the love of god, people, please watch your use of the term "socialized medicine." Lots of the people lobbying for health care in the US are NOT lobbying for socialized medicine.



Let me repeat that (as people seem to miss it or ignore it). <b>People in the US that want universal health care are NOT necessarily for socialized medicine.</b> Socialized medicine = government controls and runs all hospitals, clinics, etc. We are looking for a single-payer system. Just that our taxes go in and then the government pays for all health care. They DO NOT CONTROL IT... they simply pay for it.</end quote></div>

Right on Em!!!!!!!! <img src="i/expressions/face-icon-small-smile.gif" border="0">

 

[bittyhorse23]

<div class="FTQUOTE"><begin quote><i>Originally posted by: <b>Emily65Roses</b></i>

If one isn't willing to help their fellow man when they're down and can't afford health care, then why should anyone do the same for you when you're too sick to work? I'm fine with helping someone who can't afford health care because I know one day I will be in a place where I won't be able to afford mine either.



I might add, many of the millions of people without health care are not just lazy people or "welfare mothers." They are people working full time at sh*t jobs like Walmart that provide inadequate health care... or none at all.



And for the love of god, people, please watch your use of the term "socialized medicine." Lots of the people lobbying for health care in the US are NOT lobbying for socialized medicine.



Let me repeat that (as people seem to miss it or ignore it). <b>People in the US that want universal health care are NOT necessarily for socialized medicine.</b> Socialized medicine = government controls and runs all hospitals, clinics, etc. We are looking for a single-payer system. Just that our taxes go in and then the government pays for all health care. They DO NOT CONTROL IT... they simply pay for it.</end quote>

Right on Em!!!!!!!! <img src="i/expressions/face-icon-small-smile.gif" border="0">

 

[bittyhorse23]

<div class="FTQUOTE"><begin quote><i>Originally posted by: <b>Emily65Roses</b></i>

If one isn't willing to help their fellow man when they're down and can't afford health care, then why should anyone do the same for you when you're too sick to work? I'm fine with helping someone who can't afford health care because I know one day I will be in a place where I won't be able to afford mine either.



I might add, many of the millions of people without health care are not just lazy people or "welfare mothers." They are people working full time at sh*t jobs like Walmart that provide inadequate health care... or none at all.



And for the love of god, people, please watch your use of the term "socialized medicine." Lots of the people lobbying for health care in the US are NOT lobbying for socialized medicine.



Let me repeat that (as people seem to miss it or ignore it). <b>People in the US that want universal health care are NOT necessarily for socialized medicine.</b> Socialized medicine = government controls and runs all hospitals, clinics, etc. We are looking for a single-payer system. Just that our taxes go in and then the government pays for all health care. They DO NOT CONTROL IT... they simply pay for it.</end quote>

Right on Em!!!!!!!! <img src="i/expressions/face-icon-small-smile.gif" border="0">

 

[jfarel]

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[jfarel]

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[jfarel]

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[jfarel]

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[jfarel]

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[jamie6girl]

<div class="FTQUOTE"><begin quote><i>Originally posted by: <b>concernedmom</b></i>

I'm plan administrator so I picked our plan. It's decent for our size (20 employees).


We have a $4,000 deductible. Insurance only pays for preventive care (as in annual physical, cholesterol screening, immunizations, etc.) before you hit the $4,000 deductible. You pay 100% of everything else until you hit the deductible, including drugs. After you hit the deductible, insurance pays 100% of everything. That's provided you're in net-work. The deductible is $8,000 for out of network. Luckily, the network is very extensive and includes all local hospitals plus the majority of physicians, pharmacies, labs, & clinics so no one goes out of network.


Our company also puts $500 per quarter ($2,000/year) into an HSA (health savings account) for the employee to use towards the deductible. The employee can then add the remaining $2,000 in pre-tax contributions through their weekly payroll so the net out of pocket to the employee (if done right) is $2,000 per year for in-network. Employee's cost of premiums is $40/week or $2,080/year so total of $4,080/year. (Actually less because premiums are pre-tax, too so with tax savings it's much less)


For an individual, the deductible is $2,000, company pays $1,000, leaving the employee $1,000 out of pocket. Employee only premiums are $8/week or $416/year.</end quote></div>


OK This just makes me very happy that I work for a big company. It also makes me realize that even though I think my insurance sucks, there's some out there that's worse. :-(

 

[jamie6girl]

<div class="FTQUOTE"><begin quote><i>Originally posted by: <b>concernedmom</b></i>

I'm plan administrator so I picked our plan. It's decent for our size (20 employees).


We have a $4,000 deductible. Insurance only pays for preventive care (as in annual physical, cholesterol screening, immunizations, etc.) before you hit the $4,000 deductible. You pay 100% of everything else until you hit the deductible, including drugs. After you hit the deductible, insurance pays 100% of everything. That's provided you're in net-work. The deductible is $8,000 for out of network. Luckily, the network is very extensive and includes all local hospitals plus the majority of physicians, pharmacies, labs, & clinics so no one goes out of network.


Our company also puts $500 per quarter ($2,000/year) into an HSA (health savings account) for the employee to use towards the deductible. The employee can then add the remaining $2,000 in pre-tax contributions through their weekly payroll so the net out of pocket to the employee (if done right) is $2,000 per year for in-network. Employee's cost of premiums is $40/week or $2,080/year so total of $4,080/year. (Actually less because premiums are pre-tax, too so with tax savings it's much less)


For an individual, the deductible is $2,000, company pays $1,000, leaving the employee $1,000 out of pocket. Employee only premiums are $8/week or $416/year.</end quote></div>


OK This just makes me very happy that I work for a big company. It also makes me realize that even though I think my insurance sucks, there's some out there that's worse. :-(

 

[jamie6girl]

<div class="FTQUOTE"><begin quote><i>Originally posted by: <b>concernedmom</b></i>

I'm plan administrator so I picked our plan. It's decent for our size (20 employees).


We have a $4,000 deductible. Insurance only pays for preventive care (as in annual physical, cholesterol screening, immunizations, etc.) before you hit the $4,000 deductible. You pay 100% of everything else until you hit the deductible, including drugs. After you hit the deductible, insurance pays 100% of everything. That's provided you're in net-work. The deductible is $8,000 for out of network. Luckily, the network is very extensive and includes all local hospitals plus the majority of physicians, pharmacies, labs, & clinics so no one goes out of network.


Our company also puts $500 per quarter ($2,000/year) into an HSA (health savings account) for the employee to use towards the deductible. The employee can then add the remaining $2,000 in pre-tax contributions through their weekly payroll so the net out of pocket to the employee (if done right) is $2,000 per year for in-network. Employee's cost of premiums is $40/week or $2,080/year so total of $4,080/year. (Actually less because premiums are pre-tax, too so with tax savings it's much less)


For an individual, the deductible is $2,000, company pays $1,000, leaving the employee $1,000 out of pocket. Employee only premiums are $8/week or $416/year.</end quote></div>


OK This just makes me very happy that I work for a big company. It also makes me realize that even though I think my insurance sucks, there's some out there that's worse. :-(

 

[jamie6girl]

<div class="FTQUOTE"><begin quote><i>Originally posted by: <b>concernedmom</b></i>

I'm plan administrator so I picked our plan. It's decent for our size (20 employees).


We have a $4,000 deductible. Insurance only pays for preventive care (as in annual physical, cholesterol screening, immunizations, etc.) before you hit the $4,000 deductible. You pay 100% of everything else until you hit the deductible, including drugs. After you hit the deductible, insurance pays 100% of everything. That's provided you're in net-work. The deductible is $8,000 for out of network. Luckily, the network is very extensive and includes all local hospitals plus the majority of physicians, pharmacies, labs, & clinics so no one goes out of network.


Our company also puts $500 per quarter ($2,000/year) into an HSA (health savings account) for the employee to use towards the deductible. The employee can then add the remaining $2,000 in pre-tax contributions through their weekly payroll so the net out of pocket to the employee (if done right) is $2,000 per year for in-network. Employee's cost of premiums is $40/week or $2,080/year so total of $4,080/year. (Actually less because premiums are pre-tax, too so with tax savings it's much less)


For an individual, the deductible is $2,000, company pays $1,000, leaving the employee $1,000 out of pocket. Employee only premiums are $8/week or $416/year.</end quote>


OK This just makes me very happy that I work for a big company. It also makes me realize that even though I think my insurance sucks, there's some out there that's worse. :-(

 

[jamie6girl]

<div class="FTQUOTE"><begin quote><i>Originally posted by: <b>concernedmom</b></i>

I'm plan administrator so I picked our plan. It's decent for our size (20 employees).


We have a $4,000 deductible. Insurance only pays for preventive care (as in annual physical, cholesterol screening, immunizations, etc.) before you hit the $4,000 deductible. You pay 100% of everything else until you hit the deductible, including drugs. After you hit the deductible, insurance pays 100% of everything. That's provided you're in net-work. The deductible is $8,000 for out of network. Luckily, the network is very extensive and includes all local hospitals plus the majority of physicians, pharmacies, labs, & clinics so no one goes out of network.


Our company also puts $500 per quarter ($2,000/year) into an HSA (health savings account) for the employee to use towards the deductible. The employee can then add the remaining $2,000 in pre-tax contributions through their weekly payroll so the net out of pocket to the employee (if done right) is $2,000 per year for in-network. Employee's cost of premiums is $40/week or $2,080/year so total of $4,080/year. (Actually less because premiums are pre-tax, too so with tax savings it's much less)


For an individual, the deductible is $2,000, company pays $1,000, leaving the employee $1,000 out of pocket. Employee only premiums are $8/week or $416/year.</end quote>


OK This just makes me very happy that I work for a big company. It also makes me realize that even though I think my insurance sucks, there's some out there that's worse. :-(