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-   -   Im looking for health insurance and dont understand what deductible means help me out (https://gfy.com/showthread.php?t=767140)

eddie-executive 09-08-2007 09:27 PM

Im looking for health insurance and dont understand what deductible means help me out
 
From what i read it means you have to pay that first before the insurance contract starts to pay. I found a plan that has a $2850 deductible. If i go to the doctor that charges like $80 a visit i have to pay $2850 before my insurance will pay it? that cant be right. This is the first time i have ever had or needed health insurance i have no idea how it works.

After Shock Media 09-08-2007 09:31 PM

Deducatble ussually is the max out of pocket per year, typically you will have co pays for doctor visits. If you get hospitalized or have a serious injury though the first 2850 is out of pocket.

baddog 09-08-2007 09:33 PM

You pay the first 2850 each year

After Shock Media 09-08-2007 09:37 PM

Quote:

Originally Posted by baddog (Post 13061973)
You pay the first 2850 each year

You sure about that baddog?
I know I am uninsured by the wife has insurance. She has a deductable yet has co pays and such for DR visits and drugs etc. She is not paying 100% of any of it even at first.

Profits of Doom 09-08-2007 09:40 PM

Quote:

Originally Posted by After Shock Media (Post 13061984)
You sure about that baddog?
I know I am uninsured by the wife has insurance. She has a deductable yet has co pays and such for DR visits and drugs etc. She is not paying 100% of any of it even at first.

You should have a copay for doctor visits and prescriptions, and the deductible should only apply to surgical procedures and hospitalizations...

baddog 09-08-2007 09:40 PM

Quote:

Originally Posted by After Shock Media (Post 13061984)
You sure about that baddog?
I know I am uninsured by the wife has insurance. She has a deductable yet has co pays and such for DR visits and drugs etc. She is not paying 100% of any of it even at first.

Well, as he has mentioned nothing about co-pays, I am going to have to make some presumptions. Maybe he can scan his policy in for us.

eddie-executive 09-08-2007 09:43 PM

Every plan ive seen has a copay for a doctor like $5-$20 i think you just pay the deductible for hospital and major services first before they will pay anything is right.

eddie-executive 09-08-2007 09:45 PM

then what does coinsurance mean? here's a link of my quotes https://www.goldenrulehealth.com/Dir...5-679d7a3c9c1b

minusonebit 09-08-2007 09:57 PM

Deductibles is the amount you pay out of pocket (usually each year) before your insurance starts paying for care. Copays have nothing to do with this. Copays are what you pay for services rendered when your insurance pays the remainder.

Honestly, unless you have a serious medical issue, you are money ahead without health insurance. I am currently uninsured (except for D&D and short term disability) and it works just fine. I don't want insurance and it always pisses me off to know that the goddamned socialists include me in the statistics they use to fight to spend more and more money providing insurance to people who don't need it.

I budget about $2500 a year on my health needs and that includes a new pair of glasses with good frames every year whether I need them or not, an annual checkup w/ full labs, 1 dental cleaning, figures in six visits to the doctor (I only used two of those last year) and my prescriptions for gout.

Health insurance is by and large a scam. There is a reason why insurance companies have piles and piles of money. Its not because they are so great at investing money. Its because most of the people who have health insurance spend less on care then they spend on premiums. In fact, most people have insurance through their work, their employer pays their premiums for them. If this were not the case, people who work a minimum wage job and get company paid benifiets could make almost double what they make now and buy their own insurance (or none at all - a smarter choice in many situations) or pocket the money.

Many people have deductibles that are higher than what I spend on care in a whole year, so they pay that out of pocket and then they pay the premiums. Now tell me what kind of fool thinks that is a good deal?

baddog 09-08-2007 10:04 PM

Insurance is a suckers bet . . . unless you have a pre-existing condition or kids.

eddie-executive 09-08-2007 10:05 PM

:1orglaugh
Quote:

Originally Posted by minusonebit (Post 13062048)
Deductibles is the amount you pay out of pocket (usually each year) before your insurance starts paying for care. Copays have nothing to do with this. Copays are what you pay for services rendered when your insurance pays the remainder.

Honestly, unless you have a serious medical issue, you are money ahead without health insurance. I am currently uninsured (except for D&D and short term disability) and it works just fine. I don't want insurance and it always pisses me off to know that the goddamned socialists include me in the statistics they use to fight to spend more and more money providing insurance to people who don't need it.

I budget about $2500 a year on my health needs and that includes a new pair of glasses with good frames every year whether I need them or not, an annual checkup w/ full labs, 1 dental cleaning, figures in six visits to the doctor (I only used two of those last year) and my prescriptions for gout.

Health insurance is by and large a scam. There is a reason why insurance companies have piles and piles of money. Its not because they are so great at investing money. Its because most of the people who have health insurance spend less on care then they spend on premiums. In fact, most people have insurance through their work, their employer pays their premiums for them. If this were not the case, people who work a minimum wage job and get company paid benifiets could make almost double what they make now and buy their own insurance (or none at all - a smarter choice in many situations) or pocket the money.

Many people have deductibles that are higher than what I spend on care in a whole year, so they pay that out of pocket and then they pay the premiums. Now tell me what kind of fool thinks that is a good deal?



So when you have a heart attack and need emergency surgery or some other major illness you think your $2500 will cover that? My father had open heart surgery his health insurance paid %100 of it and it cost over 60k.

Some scam.

rhon23 09-08-2007 10:05 PM

Its the amount you have to kick down before insurance takes over. I pay 150 a year for meds then they are either 10 or 20 per perscription.

eddie-executive 09-08-2007 10:07 PM

Quote:

Originally Posted by baddog (Post 13062054)
Insurance is a suckers bet . . . unless you have a pre-existing condition or kids.


So when you fly off your motorcycle and break numerous bones in your body and need to stay in the hospital for days you rather pay %100 yourself?:thumbsup

Sly 09-08-2007 10:09 PM

Quote:

Originally Posted by minusonebit (Post 13062048)
Deductibles is the amount you pay out of pocket (usually each year) before your insurance starts paying for care. Copays have nothing to do with this. Copays are what you pay for services rendered when your insurance pays the remainder.

Honestly, unless you have a serious medical issue, you are money ahead without health insurance. I am currently uninsured (except for D&D and short term disability) and it works just fine. I don't want insurance and it always pisses me off to know that the goddamned socialists include me in the statistics they use to fight to spend more and more money providing insurance to people who don't need it.

I budget about $2500 a year on my health needs and that includes a new pair of glasses with good frames every year whether I need them or not, an annual checkup w/ full labs, 1 dental cleaning, figures in six visits to the doctor (I only used two of those last year) and my prescriptions for gout.

Health insurance is by and large a scam. There is a reason why insurance companies have piles and piles of money. Its not because they are so great at investing money. Its because most of the people who have health insurance spend less on care then they spend on premiums. In fact, most people have insurance through their work, their employer pays their premiums for them. If this were not the case, people who work a minimum wage job and get company paid benifiets could make almost double what they make now and buy their own insurance (or none at all - a smarter choice in many situations) or pocket the money.

Many people have deductibles that are higher than what I spend on care in a whole year, so they pay that out of pocket and then they pay the premiums. Now tell me what kind of fool thinks that is a good deal?

What will you do if you get hit by a car and need to spend 30 days in the hospital?

Yes, it is a big if... but you're already dedicating $200 a month to your health, why not give the $200 to an insurance company and be covered?

minusonebit 09-08-2007 10:10 PM

Quote:

Originally Posted by eddie-executive (Post 13062060)
So when you fly off your motorcycle and break numerous bones in your body and need to stay in the hospital for days you rather pay %100 yourself?:thumbsup

No, thats why you don't have motor vechile accidents that are you fault. Liability insurance is compulsory (in the US, anyway) so when you do have an accident the other guy gets to pay. Except in those fucking no-fault states (goddamn you, Michigan) then it becomes a bit more complicated.

baddog 09-08-2007 10:13 PM

Quote:

Originally Posted by eddie-executive (Post 13062060)
So when you fly off your motorcycle and break numerous bones in your body and need to stay in the hospital for days you rather pay %100 yourself?:thumbsup

Contrary to popular belief, people rarely just "fly off" motorcycles.

eddie-executive 09-08-2007 10:13 PM

Quote:

Originally Posted by minusonebit (Post 13062070)
No, thats why you don't have motor vechile accidents that are you fault. Liability insurance is compulsory (in the US, anyway) so when you do have an accident the other guy gets to pay. Except in those fucking no-fault states (goddamn you, Michigan) then it becomes a bit more complicated.

There are so many ways you can get sick or hurt on your own that comes out of nowhere. Keep thinking your superman you'll find out when it's to late.

baddog 09-08-2007 10:15 PM

Quote:

Originally Posted by eddie-executive (Post 13062076)
There are so many ways you can get sick or hurt on your own that comes out of nowhere. Keep thinking your superman you'll find out when it's to late.

Ask any dealer in Vegas if insurance is a suckers bet or not.

You are betting that you are going to get sick or injured in a manner that won't be covered under some other form of mandatory insurance.

eddie-executive 09-08-2007 10:16 PM

Quote:

Originally Posted by baddog (Post 13062075)
Contrary to popular belief, people rarely just "fly off" motorcycles.

Rarely someone flies off their motorcyle? Dude you seriously are on some drugs. Usually when i see motorcycle accidents the dude or chick is not stuck on the bike. I guess you have a seat belt on yours:1orglaugh

And i literally meant fly, like take flight like an airplane your fucking retarded dude:Oh crap

minusonebit 09-08-2007 10:18 PM

Quote:

Originally Posted by Sly (Post 13062063)
What will you do if you get hit by a car and need to spend 30 days in the hospital?

Yes, it is a big if... but you're already dedicating $200 a month to your health, why not give the $200 to an insurance company and be covered?

My chances of getting hit by a car are not too good. I don't jay-walk. If anyone hits me, they'll be paying for it, not me. And I have had four car accidents in my life, none of them my fault. Thats not me in denial, thats how it was on the police report and what my MVR shows. The other parties ended up paying in every case. I did have to get an attorney in one of the cases, but in the end her insurance ended up paying for that too.

The most recent one, a rear-end hit by some stupid bitch in Texas who ran into me when I stopped at the bottom of a freeway ramp to yield, is trying to worm out of it. That was a rental car, so that pisses me off alot since I have to deal with three morons out of it: her, people in the "loss control" department of Enterprise and her insurance company's stupid claims adjuster. But she'll pay when its all over with. It was only $600 in PD and ~ $550 in medical bills to make sure my neck was OK. I already paid the doctors and the x-ray lab, and if this goes on much longer I'll pay Enterprise and then I'll take another drive down to the wretched state of Texas and visit her courthouse and file Small Claims against her.

And any insurance you can buy for $200 a month is going to have a huge deductible. So you are really paying the $200 a month for that PLUS the cost of your care up to the deductible. In my case, that would up my cost of health care to $400 a month while providing me nothing that I don't have now, other than a headache dealing with morons at the claims office.

eddie-executive 09-08-2007 10:19 PM

Quote:

Originally Posted by baddog (Post 13062081)
Ask any dealer in Vegas if insurance is a suckers bet or not.

You are betting that you are going to get sick or injured in a manner that won't be covered under some other form of mandatory insurance.

You live life by what a dealer says in a casino wow. Yes im betting im going to get sick i do it everyday thats my hobby. Seriously what drugs are you on? Im not trying to insult you im seriously asking what drugs you take its quite obvious you do.

baddog 09-08-2007 10:20 PM

Quote:

Originally Posted by eddie-executive (Post 13062082)
Rarely someone flies off their motorcyle? Dude you seriously are on some drugs. Usually when i see motorcycle accidents the dude or chick is not stuck on the bike. I guess you have a seat belt on yours:1orglaugh

And i literally meant fly, like take flight like an airplane your fucking retarded dude:Oh crap

I have flown off a motorcycle, but it did not "just happen." It was because a car pulled in front of me. They had insurance. I got paid.

If they did not have insurance, I did. I would have gotten paid.

eddie-executive 09-08-2007 10:24 PM

Quote:

Originally Posted by baddog (Post 13062097)
I have flown off a motorcycle, but it did not "just happen." It was because a car pulled in front of me. They had insurance. I got paid.

If they did not have insurance, I did. I would have gotten paid.


So you can never have an accident on a motorcycle that isnt caused by you?

baddog 09-08-2007 10:25 PM

Quote:

Originally Posted by eddie-executive (Post 13062094)
You live life by what a dealer says in a casino wow. Yes im betting im going to get sick i do it everyday thats my hobby. Seriously what drugs are you on? Im not trying to insult you im seriously asking what drugs you take its quite obvious you do.

If you don't think insurance is betting against yourself, you are clueless. I am not trying to insult you, just wake you up.

Why do you think loan companies make you get full coverage when you get a car loan? You think it is because they are concerned about your medical bills in case you get into an accident? Not a chance.

Why do you think loan companies make you get fire insurance when you get a home loan? You think it is because they are concerned about your medical bills in case your house burns down? Not a chance.

It is "in case shit happens."

baddog 09-08-2007 10:27 PM

Quote:

Originally Posted by eddie-executive (Post 13062101)
So you can never have an accident on a motorcycle that isnt caused by you?

An accident that is caused by me, that lands me in an extended hospital stay? Not too likely. But should that happen, there is this little thing called med-pay.

Ask your agent about it. Probably the best deal they offer.

eddie-executive 09-08-2007 10:29 PM

Quote:

Originally Posted by baddog (Post 13062105)

It is "in case shit happens."

Really i didn't know it was in case something happens!lol Thats what i've been trying to say to you because you seem to think you don't need insurance its all bullshit.

When you ride over that pot hole on your bike going 80 and you lose control who pays for your medical care? DOT? nope You must be in a position with a fat bank account to back you if you need to pay major expenses thats why.

baddog 09-08-2007 10:58 PM

Quote:

Originally Posted by eddie-executive (Post 13062113)
Really i didn't know it was in case something happens!lol Thats what i've been trying to say to you because you seem to think you don't need insurance its all bullshit.

When you ride over that pot hole on your bike going 80 and you lose control who pays for your medical care? DOT? nope You must be in a position with a fat bank account to back you if you need to pay major expenses thats why.

Why wouldn't the city, county, state be responsible for a pothole?

And as stated above, you are betting that you are going to fuck up.

After Shock Media 09-09-2007 01:04 AM

Face it there are way to many non insured motorists out there even in mandatory states. Then often these fuckers have zero assets, so then what?

You catch some random bug that turns into a staff infection of some sort that is highly resistant to most antibiotics, you aware many of the super drugs run upwards of 60 to 120 bucks per pill?

Hell there is a crap load of ways to get sick or injured where you will get stuck with the bill. I personally wish to hell I could get insurance for myself yet non will cover my pre existing conditions or anything they think is attached to it which means everything.

minusonebit 09-09-2007 01:08 AM

Quote:

Originally Posted by eddie-executive (Post 13062113)
Really i didn't know it was in case something happens!lol Thats what i've been trying to say to you because you seem to think you don't need insurance its all bullshit.

When you ride over that pot hole on your bike going 80 and you lose control who pays for your medical care? DOT? nope You must be in a position with a fat bank account to back you if you need to pay major expenses thats why.

Actually, yes. Its called a Tort Claim. The State of Indiana buys my parents a new mailbox at least once a year because they cant stop hitting it with the snowplow.

baddog 09-09-2007 01:13 AM

Quote:

Originally Posted by After Shock Media (Post 13062477)
Face it there are way to many non insured motorists out there even in mandatory states. Then often these fuckers have zero assets, so then what?

ever heard of UM/UIM?

After Shock Media 09-09-2007 01:16 AM

Quote:

Originally Posted by baddog (Post 13062489)
ever heard of UM/UIM?

Is that the sound of a normal person and a redneck thinking?

I hate acronyms

baddog 09-09-2007 01:22 AM

Quote:

Originally Posted by After Shock Media (Post 13062493)
Is that the sound of a normal person and a redneck thinking?

I hate acronyms

I guess you don't drive.

UM - Uninsured Motorist
UIM - Under Insured Motorist

Part of your available auto insurance coverage.

eddie-executive 09-09-2007 01:24 AM

Quote:

Originally Posted by baddog (Post 13062503)
I guess you don't drive.

UM - Uninsured Motorist
UIM - Under Insured Motorist

Part of your available auto insurance coverage.

i gotwebhost but i dont got health insurance:1orglaugh

mikeyddddd 09-09-2007 01:26 AM

Quote:

Originally Posted by eddie-executive (Post 13062015)
then what does coinsurance mean? here's a link of my quotes https://www.goldenrulehealth.com/Dir...5-679d7a3c9c1b

http://www.ehealthinsurance.com/ehi/...1-10;entryId=1

eddie-executive 09-09-2007 01:28 AM

Quote:

Originally Posted by mikeyddddd (Post 13062510)

thank you

Cuteshooter 09-09-2007 01:38 AM

Get the highest deductible you can. Better to just stay healthy though. Watch Michael Moore's Sicko and you'll learn all about it......

Blue Player 09-09-2007 01:57 AM

God I love living in England.

The stress of not having to worry about medical bills keeps my arse healthy.


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