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I have a fed HSA plan and I really like it. I did the math, and the savings in the premium more than makes up for the deductible. My plan pays for preventative care even before the deductible is met if your doctor is in network. You do need to be have the cash to pay for your expenses until the deductible is met, which is scary for some. I love that you can roll over the HSA funds from year to year tax free (and even into retirement). When the plans first came out, WaPo did an analysis based upon someone with low vs. high medical expenses, and the result was that it was a good deal for everyone. More so the person with low expenses, obviously, but it was a money-saver even for the high-expense person. With my plan, once the deductible is met, it is just like a low-deductible plan after the deductible is met.
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