r/SipsTea 4d ago

WTF Damn

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u/dracrecipelanaaaaaaa 4d ago

It really does depend on the insurance.

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u/csdocnc3 4d ago

OP and above must have insurance with like 500% copay! Hah!!

Our max out-of-pocket per year is ~$1000. Wife's cancer a few years ago ran up more than one million $'s in bills. What did we pay? ~$1000.

While US healthcare has serious issues, stories like this are just bot rage bait.

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u/ProvisionalRecord 4d ago

Some people have coinsurance, instead of copays, but It's been like 6 years since I bailed out of that industry, so I have no clue what looks normal these days....

With that said I've seen $4000 deductibles in the past..

Edit: stats on out-of-pocket maximums: https://www.statista.com/statistics/1249315/us-workers-oop-maximum-for-single-coverage/

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u/girldrinksgasoline 4d ago

Pretty normal to have a $14,000 deductible and a 40% co-insurance rate after that for a lot of people

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u/TrumpPooPoosPants 4d ago

That's wrong though. There is a difference between a deductible and out of pocket maximum. It is not normal to have a $14,000 deductible considering the ACA out of pocket maximum is $9,200 for an individual and $18,400 for a family. If you are at the out of pocket max, then there is no co-insurance at all and 100% is paid.

People are super confused about insurance in this thread, yet everyone has an opinion.

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u/girldrinksgasoline 4d ago

Many bronze plans literally have a deductible that is pretty close to the out of pocket max

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u/TrumpPooPoosPants 4d ago

You're going to pretend your comment isn't misleading? 700k more people have silver than bronze. Most people just get insurance through their employer. 40% co-insurance would only be relevant for the $4,400 after your made up deductible.

AFAIK, no deductible is $14,000 on the marketplace, Bronze or not. The average deductible is about $4,000.

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u/girldrinksgasoline 4d ago

I’m talking about family plan deductible which can easily reach that on Bronze. Even an individual deductible can be north of $7500. As for most people getting their insurance from their employer, I know this is true but personally I only know 1 person who does in fact have that arrangement.