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Employees Start to Feel the Squeeze of High-Deductible Health Plans

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11–20 of 387 posts

Re: Employees Start to Feel the Squeeze of High-Deductible Health Plans

#11
post #5

Earlier quoted context omitted.

Generally, but I think that's a bit of a "hey people without a lot of money who can't afford more... you should save money" there. Not that they shouldn't do it, but a slight paradox there.

The point was that the premium was lower so you could save the difference and instead of that difference going to waste each year, it could compound over time.

HSAs aren't use it or lose it. That's FSAs.

Re: Employees Start to Feel the Squeeze of High-Deductible Health Plans

#12
post #4

Isn't the point of an HDHP that you're supposed to set up an HSA to go with it? Premiums for HDHPs are significantly lower than for normal health plans; the idea is that you're supposed to use the premium savings to fund the HSA, which is then money that carries over year over year, right?

Not all employers offer HSAs to go along with their HDHPs. Mine doesn’t and it’s very frustrating. I want to save pretax money in an HSA but I can’t.

Re: Employees Start to Feel the Squeeze of High-Deductible Health Plans

#13

Earlier quoted context omitted.

The point was that the premium was lower so you could save the difference and instead of that difference going to waste each year, it could compound over time.

HSA is spend it or lose it.

You’re thinking of FSAs

Re: Employees Start to Feel the Squeeze of High-Deductible Health Plans

#14

Earlier quoted context omitted.

The point was that the premium was lower so you could save the difference and instead of that difference going to waste each year, it could compound over time.

HSA is spend it or lose it.

Nonono.

That's an FSA. You can hold on to your HSA indefinitely and withdraw for medical reimbursement at any time (decades later).

Re: Employees Start to Feel the Squeeze of High-Deductible Health Plans

#15

Earlier quoted context omitted.

The point was that the premium was lower so you could save the difference and instead of that difference going to waste each year, it could compound over time.

HSA is spend it or lose it.

You're mistaken, but it's an easy mistake to make.

There's an alphabet soup of FSA/LPFSA/HSA/DCFSA options.

An HSA is truly your own savings account, owned by you (just like any other savings account), regardless of where contributions come from.

Re: Employees Start to Feel the Squeeze of High-Deductible Health Plans

#16
post #3
post #2

You can argue that the ACA improved the healthcare system overall. But it's been tough for people who were already covered by employer insurance. I think people fail to appreciate that prior to the ACA, when the healthcare system worked, it actually worked really well. I got very sick at the age of 20 while I was still on my parents very modest insurance (pre-ACA). Within 48 hours I had an appointment at the best onc…

How so? The choice of covering crappy plans is the employer's choice... and crappy plans are what have been pushed AFTER the ACA was passed. Largely by the GoP... Is that what the ACA was, or what someone(s) who want it to fail want? There's a weird narrative where any event is tied to the ACA while they ignore what the healthcare system is in the US overall.

The parent comment is exaggerated, but I think the point is that prior to ACA, employer-provided plans tended to be cheaper and have lower deductibles largely because insurance companies were able to drop or deny coverage whenever they felt like it for individual plans to keep their margins up. While logically true, this is roughly equivalent to hearing from an old coworker that South Africa was a great place to be white under apartheid...

I think it's also worth exploring how much of the difference in financial cost of health insurance plans is due to time + annual overall increases in healthcare cost in the US. ACA was passed 9 years ago. Even under the previous 9 year annual percentage increase averages, you would expect healthcare costs to be at least 20% more expensive than they were in 2010, regardless of ACA.

Re: Employees Start to Feel the Squeeze of High-Deductible Health Plans

#17
post #3
post #2

You can argue that the ACA improved the healthcare system overall. But it's been tough for people who were already covered by employer insurance. I think people fail to appreciate that prior to the ACA, when the healthcare system worked, it actually worked really well. I got very sick at the age of 20 while I was still on my parents very modest insurance (pre-ACA). Within 48 hours I had an appointment at the best onc…

How so? The choice of covering crappy plans is the employer's choice... and crappy plans are what have been pushed AFTER the ACA was passed. Largely by the GoP... Is that what the ACA was, or what someone(s) who want it to fail want? There's a weird narrative where any event is tied to the ACA while they ignore what the healthcare system is in the US overall.

> There's a weird narrative where any event is tied to the ACA while they ignore what the healthcare system is in the US overall.

The ACA fundamentally shifted the landscape for the whole healthcare system with minimum coverage mandates (including employer plans), guaranteed issue, etc. It's also led to higher demand for medical services (ie because more people are covered - a good thing) at a time when the number of doctors has stayed fixed. The net result is that health coverage is simply more expensive. One way that could have played out would be employers eating the higher premiums themselves (which is essentially giving everyone a raise.) Anecdotally, it seems the way it's played out is that employers have kept paying roughly the same amount while employees have either paid higher premiums or received higher deductibles.

Re: Employees Start to Feel the Squeeze of High-Deductible Health Plans

#18

Earlier quoted context omitted.

The point was that the premium was lower so you could save the difference and instead of that difference going to waste each year, it could compound over time.

HSA is spend it or lose it.

Actually, that would an FSA. You can hold onto HSAs.

Re: Employees Start to Feel the Squeeze of High-Deductible Health Plans

#19
post #4

Isn't the point of an HDHP that you're supposed to set up an HSA to go with it? Premiums for HDHPs are significantly lower than for normal health plans; the idea is that you're supposed to use the premium savings to fund the HSA, which is then money that carries over year over year, right?

Not all employers offer HSAs to go along with their HDHPs. Mine doesn’t and it’s very frustrating. I want to save pretax money in an HSA but I can’t.

I thought if you have a HDHP you can open a HSA account. It didn't have to be through your employer.

Re: Employees Start to Feel the Squeeze of High-Deductible Health Plans

#20
post #4

Isn't the point of an HDHP that you're supposed to set up an HSA to go with it? Premiums for HDHPs are significantly lower than for normal health plans; the idea is that you're supposed to use the premium savings to fund the HSA, which is then money that carries over year over year, right?

Not all employers offer HSAs to go along with their HDHPs. Mine doesn’t and it’s very frustrating. I want to save pretax money in an HSA but I can’t.

Can you just open your own HSA account and do it yourself?
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