Exploding health care premium

Anonymous
Anonymous wrote:Our country could easily have Medicare for all but for some insane reason MAGA feels that it is better to go bankrupt die young suffer ill health rather than have a “whiff” of socialism.


Medicare is a scam. We pay into it all our lives, then we are hit with monthly premiums, deductibles, and copays and still need a supplement. If you have tricare, you are forced to take it and pay all the premiums, etc. when you already have government care.
Anonymous
Anonymous wrote:
Anonymous wrote:
Anonymous wrote:Wait till you retire or use COBRA it wil be $2400 a month. After paying into Medicare for 40 years each we then get soaked on Part B premiums adjusted by income.


Wow. That's really high.


That's exactly what happens if you are not "poor". If you have saved and planned for retirement, you get soaked with just basic medical insurance from age 65+ and you literally have no choice (or options).
We have paid over $600K+ into Medicare over the years (likely more), yet it will be about $1200 per adult for medical, gap plan G and prescription coverage--that does not include any vision or dental plans.

We plan to retire early. COBRA will be $2400/month and I'd happily pay that until we hit 65 if it was avaiable (it won't unless we retire at 63.5) Because a EPO (not doing HMO, want to keep our doctors and there are no PPOs in our area) will cost over $3K for the 2 of us at age 60 for a Silver plan, and bronze is only $200/month less and that is just MEDICAL. The deducbiles for those "Silver Plans" are $9K/$18K as well. (our COBRA is $1K/$2K).

So yes, you pay a fortune for basic insurance that sucks.



Or, you keep working.
Anonymous
Anonymous wrote:
Anonymous wrote:
Anonymous wrote:Wait till you retire or use COBRA it wil be $2400 a month. After paying into Medicare for 40 years each we then get soaked on Part B premiums adjusted by income.


Wow. That's really high.


That's exactly what happens if you are not "poor". If you have saved and planned for retirement, you get soaked with just basic medical insurance from age 65+ and you literally have no choice (or options).
We have paid over $600K+ into Medicare over the years (likely more), yet it will be about $1200 per adult for medical, gap plan G and prescription coverage--that does not include any vision or dental plans.

We plan to retire early. COBRA will be $2400/month and I'd happily pay that until we hit 65 if it was avaiable (it won't unless we retire at 63.5) Because a EPO (not doing HMO, want to keep our doctors and there are no PPOs in our area) will cost over $3K for the 2 of us at age 60 for a Silver plan, and bronze is only $200/month less and that is just MEDICAL. The deducbiles for those "Silver Plans" are $9K/$18K as well. (our COBRA is $1K/$2K).

So yes, you pay a fortune for basic insurance that sucks.



I started Medicare last year, but had health insurance through work until then. I was laid off pretty much right near my 65th birthday. I am paying more than I expected for Medicare but not nearly $1200 a month. You do have to pay more if you make more than something like $107,000 per year per person, but I do not in retirement. So I went from paying about $175 a month while working to about $450 a month for Medicare, a supplement plan, drug plan and dental insurance, which doesn’t cover much at all.
Anonymous
I work for the insurance and pay 1k/mo for a family of four. I think it's a lot but at the same time it's a pretty good plan, like a silver ACA plan we'd have to pay over 2k for. So I count my blessings.
Anonymous
Anonymous wrote:
Anonymous wrote:Well someone has to pay for everyone who got glp1s off label.


Yup. Some people have genuine health issues that they are not responsible for. But a 5'6 woman with no diabetes weighting 145 lbs jumping on glp1 is ridiculous and we are all paying for it because she wants to be skinny. She should pay for it out of her own damn pocket.


The vanity cases have to pay privately. The sketchy doctors who give medication to women who are size medium and want to be a size small are probably being paid privately too.
Anonymous
Anonymous wrote:
Anonymous wrote:We are retired and pay about $5350/mo for the 4. Up from $4900 last year but down from a few years ago when it was $5500. PPO and it sucks


Seriously? Well I think it’s completely crazy not to have health care… but there is an inflection point, and you are certainly at it.


DP: The reason you have to pay it is because you never know when you are one minute away from a $1-2M+ hospital stay. And even if you are worth $4-5M, you do not want to drain your savings for that.

And while you think it "wont happen to me", I have a friend who had just that happen in late 40s. Just fine one day, very healthy, then had an aneurysm and quite frankly is lucky someone found them (they were traveling for work) and are alive without any real issues. They had 4 weeks in CCU/ICU, another 4 days in Hospital and so many procedures during those first 4 weeks. I know the bills (after insurance adjustment) were well over $1.5M for just the hospital stay. Never mind the next 6 months plus of followup visits and PT/OT/Speech/therapies to return to "normal".

Anonymous
Anonymous wrote:
Anonymous wrote:
Anonymous wrote:
Anonymous wrote:We are retired and pay about $5350/mo for the 4. Up from $4900 last year but down from a few years ago when it was $5500. PPO and it sucks


Wow. What percentage of your income is it as a retiree?

Now I understand why people are saying $1 million retirement is nothing.

How do people will less than a million in retirement live? Wow


They are very wealthy if they have minor kids and retired.


Yes, we are very wealthy. It’s still a lot of money but we can afford it.


But it shouldn't cost that much for healthcare in our 50s and 60s. The sheer fact that my healthcare goes from $500/month for family (employee, spouse and all the kids you want) to $3K for medical only if I want to buy a plan when I'm retired and not 65 is ridiculous (and that plan is only medical and has $8K/18K+ deductibles).

Medicare also should NOT cost $2K+ for a couple over 65 for ONLY medical just because they saved for retirement and saved. When in reality those people are the ones who have funded medicare for 1000s of people. We need a new system, one without all the insurance companies, one where people are not making 5-10M+ for managing a health care company. Do universal HC and we don't need 75-80% of those involved in health insurance now. Costs would go down, and the actual nurses and doctors could get paid more
Anonymous
Anonymous wrote:
Anonymous wrote:
Anonymous wrote:
Anonymous wrote:
Anonymous wrote:
Anonymous wrote:
Anonymous wrote:
Anonymous wrote:We are retired and pay about $5350/mo for the 4. Up from $4900 last year but down from a few years ago when it was $5500. PPO and it sucks


Seriously? Well I think it’s completely crazy not to have health care… but there is an inflection point, and you are certainly at it.


Yeah, that's about 65K a year in premiums. Do you think your family will rack up medical bills worth of 65K every year? Even if you go out of pocket for specialists and scans/tests it would be a few grand if you start having issues. After the years you paid into it, like 10 years of being relatively healthy you are out of 650k. The only thing that can justify it is some catastrophic situation where your medical bills are in 7 figures. Otherwise, it's not even deserving to be called "insurance".


If you do not have e insurance, you get charged the full rate which can be 5-10 what is charged to insurance companies.


I imagine it depends on what you elect to do. We're a high deductible with HSA so I've shopped around and so far the difference between cash and insurance hasn't been much.

You definitely want insurance for the major crises but for a lot of everyday visits and consultations I don't think it is as much of a difference as you might think.
Have you ever looked at what the doctors charge, before the insurance company’s reduced fees?


Doctors don’t actually charge that. It’s the number they claim in order to get the number they want from the insurance “reduced” fees.

The lack of knowledge on what a f—king scam the entire healthcare industry is in this country is actually frightening.


Oh no, lots of us know. The problem is how difficult it is to change the system.


But lots of us have also witnessed "healthy" 40/50 somethings who would have run up millions in bills if they did not have health insurance. I can list 10+ friends/family in the last 2 years alone.
So you could bankrupt yourself and be living in a cardboard box for retirement if you don't have some health insurance and just "wing it and pray"
Anonymous
Anonymous wrote:Some illnesses are terminal regardless of quality medical care. Access to quality medical doesn’t prevent all pain, suffering, and death.


However, if I'm diagnosed with cancer of any type before I'm 75+, I'd prefer to get treatment and be around as long as possible for my family. I wouldnt' want to die at 45 with breast cancer and leave my kids without one parent just to "save money". Quality medical can prolong life(sometimes many years) and make those years you have as enjoyable as possible.

Anonymous
Anonymous wrote:
Anonymous wrote:This discussion is why I want the right to die. I'd rather skip all the healthcare and just die when I want, rather than be forced to stay alive when I don't want to.


+1. My mom has diabetes and has to take insulin everyday. If I had diabetes, I'd rather not take insulin everyday, but I also don't want to be blind but still alive because my other functions are taking longer to die off than my eyes. I would just rather end it.


Seriously, if you had diabetes you'd "just rather end it"?!?!?! It is a treatable disease and there is a lot you can do with your lifestyle to reverse it/manage it well. Unless it's type 1 (most diagnosed as adults are Type2), you can exercise, eat healthier, cut out sugars and carbs and actually begin to reverse it. I'd rather take that approach of staving off "becoming blind" than offing myself at diagnose
Anonymous
Anonymous wrote:
Anonymous wrote:
Anonymous wrote:For the GLP haters. I was at a public event tonight and saw two morbidly obese people. Like sooooooo seriously obese they are one step away from being gilbert grape's mom stuck at home. One had a cane. Then below that some super obese people. Of course all these people should get GLPs. I think it would be miraculous.

Just like there are people that don't want the whole world to be fed because it's not profitable (thus we have hunger even though we can feed everyone on earth) there are people who don't want to help the sick and obese because it's not profitable. It's disgusting.


I don’t think anyone begrudges actual obese people for using GLP-1.


This. I wish every obese person had free glp 1 regardless whether they are insured or not.

Now the women with a small pouch who wants to look good for the summer or the wedding coming up they should pay for it with their own money out of pocket but they don't.


GLP1 is not a miracle cure if you don't want to help yourself. It's not healthy to stay on it for the rest of your life, and without some lifestyle modifications (for the majority of people who could benefit from it's use) they won't ever be Able to stop using it.
How about we invest in affordable healthcare that includes nutritional counseling (that continues monthly and then quarterly, etc) so that people can learn how to help themselves long term


Anonymous
Anonymous wrote:
Anonymous wrote:
Anonymous wrote:
Anonymous wrote:For the GLP haters. I was at a public event tonight and saw two morbidly obese people. Like sooooooo seriously obese they are one step away from being gilbert grape's mom stuck at home. One had a cane. Then below that some super obese people. Of course all these people should get GLPs. I think it would be miraculous.

Just like there are people that don't want the whole world to be fed because it's not profitable (thus we have hunger even though we can feed everyone on earth) there are people who don't want to help the sick and obese because it's not profitable. It's disgusting.


I don’t think anyone begrudges actual obese people for using GLP-1.


This. I wish every obese person had free glp 1 regardless whether they are insured or not.

Now the women with a small pouch who wants to look good for the summer or the wedding coming up they should pay for it with their own money out of pocket but they don't.


GLP1 is not a miracle cure if you don't want to help yourself. It's not healthy to stay on it for the rest of your life, and without some lifestyle modifications (for the majority of people who could benefit from it's use) they won't ever be Able to stop using it.
How about we invest in affordable healthcare that includes nutritional counseling (that continues monthly and then quarterly, etc) so that people can learn how to help themselves long term




It’s a lifetime use medication for a chronic medical condition. It was literally developed for diabetes.

Do you think it’s unhealthy for me to be on Synthroid for the rest of my life for my Hashimoto’s?
Anonymous
Anonymous wrote:
Anonymous wrote:Someone has to pay for the millions of elderly, demented people to be hospitalized repeatedly to cure them from pneumonia and other illnesses despite the patients having no quality of life. Someone has to pay for the 31% of the nation on government subsidized healthcare (Medicaid, Tricare, Medicare, VA care).


You don't get to dictate quality of life for someone else. Let me guess, you're pro life? The elderly are still entitled to life if they want it. (That said, if they do not, I fully support physician-assisted suicide).

And as for subsidized HC, Dems have wanted this for >10 years but R's whine about "socialism". This could all be solved with universal HC. That doesn't mean that will be perfect either but it would handle the cost issues.


ANd things are far from perfect now, unless you have the funding to be concierge/etc. (and then still not the best). Arguments against UHC is "but you will wait months for care". Well for the last 6+ years, that has been the case in most places in the USA. It's a 5 month wait to see a neurologist, even if you have a need, but unless it's urgent (you had a stroke/etc) you will wait and just manage with your PCP. Same for almost everything. Try finding a new PCP/general practice doctor---it will be 6months+ in most areas if you are lucky to find one taking new patients and to get a first appointment. We are already at "all the bad things that can happen" but we don't have "affordable healthcare"---instead we get to pay $1-2K+ per month for crappy coverage.

Anonymous
Anonymous wrote:
Anonymous wrote:
Anonymous wrote:
Anonymous wrote:Wait till you retire or use COBRA it wil be $2400 a month. After paying into Medicare for 40 years each we then get soaked on Part B premiums adjusted by income.


Wow. That's really high.


That's exactly what happens if you are not "poor". If you have saved and planned for retirement, you get soaked with just basic medical insurance from age 65+ and you literally have no choice (or options).
We have paid over $600K+ into Medicare over the years (likely more), yet it will be about $1200 per adult for medical, gap plan G and prescription coverage--that does not include any vision or dental plans.

We plan to retire early. COBRA will be $2400/month and I'd happily pay that until we hit 65 if it was avaiable (it won't unless we retire at 63.5) Because a EPO (not doing HMO, want to keep our doctors and there are no PPOs in our area) will cost over $3K for the 2 of us at age 60 for a Silver plan, and bronze is only $200/month less and that is just MEDICAL. The deducbiles for those "Silver Plans" are $9K/$18K as well. (our COBRA is $1K/$2K).

So yes, you pay a fortune for basic insurance that sucks.



Or, you keep working.


Well we can afford not to "keep working" but it's ridiculous that even so healthcare costs so much! I'd happily "self insure" with a true HD plan, with a cap of $20-25K per year for the family, but I'd want "negotiated rates" that insurance gets you---I'm not paying $800 for a mammogram when my insurance only pays $250---I want to pay cash and get that $250 rate. I want to pay for basic High deductible plan, to protect against major traumatic events. But otherwise, yes, rather than paying $30-40K per year for a crappy plan with a $18K deductible, I'd rather pay much less, get negotiated rates (UHC that's one thing it would do) and self insure up until $25K/year per person.

Anonymous
Anonymous wrote:
Anonymous wrote:
Anonymous wrote:
Anonymous wrote:Wait till you retire or use COBRA it wil be $2400 a month. After paying into Medicare for 40 years each we then get soaked on Part B premiums adjusted by income.


Wow. That's really high.


That's exactly what happens if you are not "poor". If you have saved and planned for retirement, you get soaked with just basic medical insurance from age 65+ and you literally have no choice (or options).
We have paid over $600K+ into Medicare over the years (likely more), yet it will be about $1200 per adult for medical, gap plan G and prescription coverage--that does not include any vision or dental plans.

We plan to retire early. COBRA will be $2400/month and I'd happily pay that until we hit 65 if it was avaiable (it won't unless we retire at 63.5) Because a EPO (not doing HMO, want to keep our doctors and there are no PPOs in our area) will cost over $3K for the 2 of us at age 60 for a Silver plan, and bronze is only $200/month less and that is just MEDICAL. The deducbiles for those "Silver Plans" are $9K/$18K as well. (our COBRA is $1K/$2K).

So yes, you pay a fortune for basic insurance that sucks.



I started Medicare last year, but had health insurance through work until then. I was laid off pretty much right near my 65th birthday. I am paying more than I expected for Medicare but not nearly $1200 a month. You do have to pay more if you make more than something like $107,000 per year per person, but I do not in retirement. So I went from paying about $175 a month while working to about $450 a month for Medicare, a supplement plan, drug plan and dental insurance, which doesn’t cover much at all.


Well yes, you do "have to pay more" if you make over a certain threshold. And I do, and so do plenty of people . And ironically, those paying more are the same ones who have been paying almost 2% of their income their entire lives to fund medicare. We have paid for our family and 100s more families as well. All so we can pay insane amounts for crappy coverage as we age

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