this post was submitted on 03 Feb 2024
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Mildly Infuriating

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[–] [email protected] 42 points 1 year ago (4 children)

For those unaware how Health Insurance works in the states.

You can have health insurance all you want. Especially if this bill is recent, they will cover a large part of the cost, but most people are still on the hook for Usually between $1000-1500 of all healthcare before insurance REALLY kicks in. This is called the Deductible (and Out of Pocket) expense. You also pay a 'Premium', essentially a subscription cost that normally comes directly out of your paycheck.

For single coverage, just yourself, it's about $1200. For family coverage, where your insurance covers everyone in your house, It's usually double that. So ~$2,500-3,000.

So this person probably hasn't had any bills yet this year. Once they pay about $1500 in costs, everything after that becomes (mostly) free. Depending on what you have, insurance will pay anywhere from only 80% - 100% of the cost from whatever the procedures and meds are.

Then funny part is that some places in America the cost is so high, this might be a situation where their insurance DID kick in already and their insurance is still making them pay that much. Or it's a case where you get a bill for that much but your insurance hasn't paid it yet... so it looks like you're supposed to... so you do... then two months later you get a check for that amount.

It's so. Damn. Silly. And I resent Republicans every day for it. That's not even the Fascist MAGA Theocracy republicans. Just your stock standard ones lmfao.

[–] [email protected] 19 points 1 year ago (1 children)

$1000-$1500...?

Most people are on high deductible plans, so it's more like $3000-$5000

[–] [email protected] 5 points 1 year ago (2 children)

Most

That could be true, but do you have a source for that? A significant portion of people are on Medicare/Medicaid, which usually doesn't have deductibles that high.

[–] [email protected] 1 points 1 year ago

i can't give you a source for "most people," but personally my out-of-pocket is $6k for myself, $12k for my family. about the only thing covered before that number is met is yearly physicals. i pay about $500 a month for this (after my employer's contribution). dental separate, no vision.

[–] [email protected] 5 points 1 year ago

I really don't understand why there is anyone against universal health insurance in the states.

Pretty much everyone is guaranteed to get major hospital bills at some point in their life. They are paying massive fees to insurance companies to line their pockets instead of hospitals to provide better service.

Sure, taxes will go up a bit to cover it, but what you'll pay in taxes over your lifetime is going to be no where near what you pay in insurance and healthcare procedures.

I pay $0 annually for insurance, and I can walk in to see my doctor at any moment to consult on something for $0, and if something needs to happen I can get blood work and X-rays for $0, then go to the hospital for surgery for $0 (maybe a $5 parking pass).

[–] [email protected] 3 points 1 year ago

Those amounts you mention. The 1200-3000 dollar ones. Call me silly, but I have no clue if that’s monthly or annually. The whole situation there seems so alien. Healthcare, but also salaries and cost of living. (E.g., $45k/year is a pretty good salary here, while I think it is a junior-ish salary in the states, right? >$100k/year is rare as rocking horse shit here at least.)

[–] [email protected] 3 points 1 year ago (1 children)

You should also hate Joe Lieberman. He scuttled a public option for the ACA, which likely would have prevented a lot of the shenanigans insurance companies pull, as they would be competed right the fuck out of business with a robust public option. Japan has private and public insurance and costs are generally low for health care. Most kids get it completely free

[–] [email protected] 1 points 1 year ago* (last edited 1 year ago)

IDK about how Japanese insurance works, but of course they will want kids' healthcare free. If not then their already dropping population would drop even faster.